How to loose weight and get rid of access body and facial hair and irregular periods - #9755

Hello Bazila, OPD PRESCRIPTION Name: Bazila Age/Sex: 18 years / Female Date: 12/04/25 Weight: Thank you for sharing that — it sounds like you're dealing with a really frustrating and painful situation. You’ve been doing everything right by getting tests done and watching your lifestyle, yet you're still experiencing symptoms that deeply affect your daily life and confidence. Chief Complaints: Irregular menstruation (last period: early February) Progressive weight gain despite healthy diet Hirsutism (excessive facial and body hair) Androgenic alopecia (scalp hair loss, balding) Inability to lose weight despite efforts Provisional Diagnosis: Oligomenorrhea with Clinical Hyperandrogenism — likely Subclinical or Phenotypic PCOS / Insulin Resistance (with normal labs) Let’s break it down clearly: Your Symptoms: Irregular periods (no period since early February) Belly bloating or "hanging" sensation Rapid or persistent weight gain despite clean eating Hirsutism – excessive facial and body hair Hair thinning/balding (likely androgenic alopecia) Difficulty losing weight despite efforts All blood tests (PCOD profile, CBC, TFT, USG) are reported as normal What Could Be Going On? You could still have a hormonal disorder that isn’t fully showing up in basic blood tests yet. Some forms of PCOS, especially lean or subclinical PCOS, don’t always reflect clearly in: Ultrasound (ovaries may appear normal) Testosterone (may still be in “normal” range but on higher side) Basic insulin/glucose levels You may have Insulin Resistance without diabetes — very common in women with your symptoms. Metabolic dysfunction can lead to: Fat accumulation around belly Weight loss resistance Increased androgens (causing hair issues) Non-classic Congenital Adrenal Hyperplasia (NCAH) or androgen-secreting issues (very rare but worth ruling out) These don’t always show up in general PCOD profiles They require specific tests like 17-OH Progesterone, DHEAS, and Free Testosterone Hypothalamic dysfunction or chronic stress can also disturb hormonal signals without showing in initial tests. What Can You Do? Even if reports are normal, your symptoms are clinically significant and deserve treatment. Dr Shayeque Reza MD 9800280276.