Uterine Fibroids: Navigating Hormonal Imbalance and Health Concerns

Uterine fibroids

Hello, for the past six months, it seems I have been experiencing hormonal imbalance.
I've been under a lot of stress and suddenly gained 20 kilograms, going from 44 kg to 64 kg.
Previously, I would feel full after a small meal, but now I need to eat until I feel completely satisfied to feel full.
What troubles me the most is my unstable emotions; I often feel down or extremely irritable, which has caused disharmony with my family, boyfriend, and colleagues.
Additionally, I frequently suffer from insomnia, often only sleeping 2-3 hours before waking up naturally and unable to fall back asleep.
I can't manage without medication.
Even after seeing a psychiatrist, I've been dealing with persistent cystic acne on my face, and despite visiting a dermatologist, it hasn't improved.
My menstrual cycle has also been irregular; in July it was late by 7 days, and in August by 4 days, with a reduced flow.
On the first day, I used a panty liner, on the second day a sanitary pad, and by the third day, the flow was light enough for a pad, and by the fourth day, I was back to a panty liner.
I have visited a gynecologist and already knew I had uterine fibroids, about 2-3 cm in size, which haven't changed.
However, after having intercourse with my boyfriend, I often experience dull pain in my lower abdomen.
I also find that I accidentally leak urine when I laugh hard or exert pressure on my abdomen.
Additionally, I often feel hot flashes in my back, which makes me feel very uncomfortable and irritable.
I consulted with the obstetrics and gynecology department at Hsinchu Ma-Jia Hospital, and my ovarian function seems normal, but I didn't receive a clear diagnosis.
I am concerned about my fertility.
Should I be worried about gynecological issues or hormonal imbalance? I keep running from one hospital to another, from gynecology to dermatology to psychiatry, and now I plan to see an endocrinologist.
This constant hospital hopping has drained my finances, and I am truly at my wit's end.
Please help me figure out which specialist I should see to resolve my issues.

Zhai Mei QQ, 30~39 year old female. Ask Date: 2018/08/30

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, at 35 years old, you should not be in menopause, but you are experiencing some menopausal symptoms as well as symptoms of autonomic nervous system dysfunction.
It is recommended to see an endocrinologist.
Wishing you good health.

Reply Date: 2018/08/30

More Info

It sounds like you are experiencing a complex interplay of symptoms that could be related to hormonal imbalances, possibly exacerbated by stress and lifestyle factors. Uterine fibroids, which you mentioned having, can indeed contribute to various health issues, including menstrual irregularities, pelvic pain, and even emotional disturbances due to hormonal fluctuations.

Understanding Uterine Fibroids
Uterine fibroids are non-cancerous growths in the uterus that can vary in size and number. They are often influenced by hormones, particularly estrogen and progesterone. These hormones can cause fibroids to grow, and fluctuations in hormone levels can lead to symptoms such as heavy menstrual bleeding, prolonged periods, and pelvic pain. In your case, the fact that you have experienced changes in your menstrual cycle, such as delayed periods and reduced flow, could be linked to the presence of fibroids.

Hormonal Imbalance and Symptoms
Your symptoms of sudden weight gain, emotional instability, sleep disturbances, and skin issues (like acne) suggest a possible hormonal imbalance. Stress can significantly impact hormone levels, leading to increased cortisol production, which can contribute to weight gain, particularly around the abdomen. Additionally, hormonal imbalances can affect insulin sensitivity, leading to further weight gain and difficulty in managing appetite.

Emotional and Psychological Impact
The emotional symptoms you described, including mood swings and irritability, can be linked to hormonal changes. Conditions like premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD) can cause significant emotional distress related to hormonal fluctuations. Moreover, the stress of dealing with multiple health issues can further exacerbate these feelings.

Recommendations for Management
1. Consult a Specialist: Since you have been seeing multiple specialists, it may be beneficial to consult a gynecologist who specializes in reproductive endocrinology. They can provide a comprehensive evaluation of your hormonal levels and the impact of fibroids on your overall health.

2. Lifestyle Modifications: Consider incorporating lifestyle changes that can help manage stress and improve hormonal balance. Regular exercise, a balanced diet rich in whole foods, and mindfulness practices such as yoga or meditation can be beneficial.

3. Sleep Hygiene: Since you are experiencing sleep disturbances, establishing a regular sleep routine and creating a calming bedtime environment can help improve your sleep quality. Avoiding screens before bed and engaging in relaxing activities may also help.

4. Mental Health Support: Given the emotional toll of your symptoms, seeking support from a mental health professional can be valuable. They can help you develop coping strategies for stress and emotional regulation.

5. Monitor Symptoms: Keep a detailed journal of your symptoms, menstrual cycle, and any changes you notice. This information can be helpful for your healthcare providers in diagnosing and managing your condition.

6. Consider Hormonal Treatments: Depending on the findings from your specialists, hormonal treatments may be an option to help regulate your menstrual cycle and manage symptoms related to fibroids.

Conclusion
Navigating health concerns related to uterine fibroids and hormonal imbalances can be challenging, especially when symptoms overlap. It’s essential to have a coordinated approach to your care, focusing on both physical and emotional health. By working closely with healthcare providers and making lifestyle adjustments, you can find a path toward better health and well-being. Remember, you are not alone in this journey, and seeking help is a crucial step toward finding relief and understanding your body better.

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