Hello! Thank you for asking on HCM! I understand your concern and would explain that your symptoms seem to be related to a hormonal imbalance. A chronic inflammatory pelvic disease or ovarian cysts may be related to your symptomatology. I recommend consulting with your gynecologist for a careful physical examination, an abdominal ultrasound and some lab tests: - complete blood count - sex hormone blood levels - urine analysis - vaginal discharge bacterial culture. A hormonal treatment (estrogenes or progesterone) may be needed. Meanwhile I recommend you to follow a balanced healthy diet and avoid malnutrition. You should know that sex hormones are produced in the fat tissue (which is very important for the female body) and a balanced diet is necessary for this. Hope to have been helpful! Best regards. Dr. Iliri