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Over weight. Having lot of hair on face. What can be wrong?

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General & Family Physician
Practicing since : 2006
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My granddaugher is way over weight does not take a period and has alot of hair on her face what can be wrong she is 18
Posted Wed, 13 Nov 2013 in Vaginal and Uterus Health
Answered by Dr. Albana Sejdini 57 minutes later
Brief Answer:
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Detailed Answer:

There are many health conditions that could be related to no period and hair in face in a 18 years old young lady, where the most important is the

- Polycystic ovary syndrome (PCOS) = in this case, the estrogen and progesterone levels are imbalanced.

For the right diagnosis, you should consult and OG to do an ultrasound of the uterus, ovaries to check for possible cysts.

In addition, it is important to check the levels of estrogen, progesterone, androgen, insulin, blood glucose and lipid levels together with thyroid function to identify the right underlying problem.

In the majority of cases, girls with PCOS are more prone to being overweight or obese, have diabetes, heart disease, high blood pressure, etc. Therefore, measures must be taken in time.

With regards to treatment, although there is no specific one, however, there exist many ways to overcome such problems, including:

- as your granddaughter is obese, it is good to start losing weight. You can talk to a physician or dietitian to prepare diet menu for her with healthy foods.

In addition, you should encourage her to do more physical activity as it would help in losing weight and reversing PCOS.

- Other treatment options include pills such as birth control pills to re-balance the levels of estrogen and progesterone.

Some other times, if the OG or endocrinologist would see it appropriate to use anti-androgens that could lower the levels of male hormones that will help getting off the hair from her face and start the periods.

Furthermore, Metformin is also used in such cases to lower insulin levels (which increase androgen levels), and to help losing weight, both would help stabilize the menstrual cycle.

At last, you should contact your OG to choose the best option for your granddaughter.

All the best to her and you all!
Above answer was peer-reviewed by
Follow-up: Over weight. Having lot of hair on face. What can be wrong? 4 hours later
If it is a cyst would there be other signs? Such as stomach issues?
Answered by Dr. Albana Sejdini 13 hours later
Brief Answer:
Please follow the answer below...

Detailed Answer:
Hi and welcome again,

Usually, the signs of cysts are as mentioned earlier (the one that your granddaughter already has).

With regards to stomach issues, sometimes, girls or women might experience some types of discomfort in the abdomen (tummy).

However, the majority of cases have reported the signs of your granddaughter.

Do not worry, once you get the lab results, talk to her OG to start the right therapy together with lifestyle and diet changes and you will see the improvement very soon.

Hope it answered to your inquiry!
Above answer was peer-reviewed by
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