Common gyne-endocrine issues

PCOS (irregular periods, acne, excess hair), thyroid disorders, hyperprolactinemia, premature ovarian insufficiency, and perimenopausal hormone changes.

Evaluation

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Detailed history (cycles, weight changes, sleep, stress), exam (thyroid, skin/hair changes), and targeted labs (TSH, prolactin, androgens, FSH/LH/estradiol).

Imaging only if indicated (e.g., pelvic ultrasound for PCOS features).

Management

Personalized plans may include lifestyle support (nutrition, activity), cycle regulation, fertility planning, bone protection and, when appropriate, hormone replacement or targeted medications (e.g., metformin in PCOS or prolactin-lowering therapy for hyperprolactinemia).

Deep Dive

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PCOS details: we rule out other causes of high androgens (e.g., non-classic congenital adrenal hyperplasia, thyroid disease, hyperprolactinemia).

Primary ovarian insufficiency: symptoms include irregular or absent periods before age 40 with high FSH; care includes bone and heart protection with appropriate hormone therapy unless contraindicated.

Thyroid & prolactin: correcting these often restores cycles and fertility.

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