Weight Gain Concerns: The Impact of Laxatives and Ovarian Cysts

A netizen continues to ask, "I gained 20 kilograms after taking laxatives."

I visited a family medicine doctor and also consulted with a gynecologist, who informed me that I have an ovarian fibroma.
They advised me to lose weight quickly.
I had blood tests done in January, which checked various aspects of my health and came back normal.
However, I am unsure where the problem lies since I have gained so much weight.
My height is 163 cm and my weight is 75 kg; I used to weigh 55 kg.
This makes me suspect that it might be related to the use of laxatives (I have only taken Western medicine, not traditional Chinese medicine, and I’ve heard that Western medications often contain steroids).
I have not yet seen a metabolic specialist.
Next Monday, I will go to Kaohsiung Medical University to see a gynecologist and get blood tests done to check for any abnormalities.
If the situation is serious, which specialty should I consult? I also have very light menstrual flow and suspect it might be a hormonal imbalance.
However, if I need to ask the doctor in person, do I have to go to Taichung for treatment? Are the doctors in Kaohsiung not sufficiently specialized? Thank you.

Wu, 10~19 year old female. Ask Date: 2001/09/10

Dr. Li Huixiong reply Internal Medicine

Please go see an endocrinologist as soon as possible.

Reply Date: 2001/09/10

More Info

Weight gain can be a complex issue influenced by various factors, including hormonal imbalances, lifestyle choices, and underlying medical conditions such as ovarian cysts. In your case, the presence of an ovarian cyst, specifically a fibrous cyst, may not directly cause weight gain, but it can be associated with hormonal changes that might contribute to weight fluctuations.

Firstly, let's discuss ovarian cysts. Ovarian cysts are fluid-filled sacs that can form on the ovaries. While many women experience them without any symptoms, some cysts can lead to hormonal imbalances, particularly if they are related to conditions like polycystic ovary syndrome (PCOS). Hormonal imbalances can affect metabolism and appetite regulation, potentially leading to weight gain. In your situation, the cyst may not be the sole cause of your weight gain, but it could be a contributing factor if it is affecting your hormonal levels.

Regarding your concerns about laxatives, it's important to clarify that while laxatives can lead to temporary weight loss due to fluid loss and decreased food intake, they are not a sustainable or healthy method for weight management. Overuse of laxatives can lead to dehydration, electrolyte imbalances, and dependency, which can ultimately worsen your digestive health. It's a common misconception that laxatives can help with weight loss, but they do not address the underlying issues related to weight gain and can lead to more significant health problems over time.

Your significant weight gain from 55 kg to 75 kg is concerning, especially given your height of 163 cm, which places you in a higher BMI category. This change in weight can be attributed to various factors, including lifestyle changes, dietary habits, stress, and hormonal fluctuations. It is crucial to evaluate your overall health and lifestyle to identify potential causes of this weight gain.

You mentioned that you have had blood tests that returned normal results, which is a positive sign. However, if you suspect that your menstrual irregularities and weight gain are related to hormonal imbalances, it may be beneficial to consult an endocrinologist or a reproductive endocrinologist. These specialists can provide a more in-depth evaluation of your hormonal levels and help determine if there are any underlying conditions contributing to your symptoms.

Additionally, since you are experiencing menstrual irregularities, it is essential to address this with a healthcare provider. Irregular periods can be a sign of hormonal imbalances, which can also impact weight. Medications such as hormonal contraceptives or other treatments may be recommended to help regulate your menstrual cycle and address any underlying issues.

In conclusion, while ovarian cysts and the use of laxatives can play a role in weight management, it is essential to take a holistic approach to your health. Consulting with specialists, maintaining a balanced diet, engaging in regular physical activity, and addressing any hormonal imbalances are crucial steps in managing your weight and overall well-being. If you have further concerns about your health or treatment options, please do not hesitate to seek professional medical advice.

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