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Have PCOS, increased heart rate upon little exertion, decreased energy, thinning hair. Please advise

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Internal Medicine Specialist
Practicing since : 1986
Answered : 2094 Questions
I am suffering from the following:
Weight Loss (without diet and exercise because i have tried alot)
decreased Energy and Stamina
decreased Skin Elasticity (younger-looking, smoother skin)
decreased Focus and Memory
lowest sense of well being, emotional stability and reduction of stress
decreased Muscle Mass and Flexibility
decrease in Sexual Desire and Performance
Deeper, More Restless Sleep
Thinning Hair
poor Eyesight
Increased Muscle and Joint Pain
decreased Bone Density
decreased Metabolism
UnHealthy Heart Rate
decreased Immunity, including Resistance to Flu and Colds.
slower Healing of Wounds and Recovery from Illness
declining Immune System and General Health
Iam 31 years old, have one 4 yrsold son.but as my condition is as such since 2-3 yrs after his birth, i am not regaining myself to go for the second baby. moreover my professional,personal and domestic life is getting very disturbed because of my condition, since its prolonging. I need to know if I am suffering from any hormone defficiency like hgh or should go for any treatment which can get me back to life. i joined fitness club, hired personal trainer but no use. I have PCOS and to regulate my periods I have to take contraceptive pills, 5-6 months. periods are regulatingbut energy level is declining more. I wasnt able to do cardio also today, my heart rate was quite high on very low speed. should be withing 120-130 when iam on speed of 6 and incline of 6. but my trainer was also not comfortable with my heart rate. pls advise me fully. i reside in hongkong and need to findthe especialist also if have to go for them.
Posted Thu, 20 Sep 2012 in Thyroid Problem and Hormonal Problems
Answered by Dr. Akhilesh Dubey 1 hour later

Your symptoms are suggestive of hyperthyroidism or increased thyroid hormone levels. To help you better, please oblige by answering the following questions:
a.     What is your height and weight?
b.     Do you have lot of perspiration and intolerance to heat.
c.     Is there any swelling in front of neck which may be nodule in thyroid?
d.     I would also like to know do you have tremors or shaky hands, prominent eyes.
e.     Do you have any palpitations?
f.     What makes you think you have a slow metabolism?
We would need to so a serum Free TSH level, free Thyroxine and Thyronine level to rule out hyperthyroidism. Other issues like immunity etc can be sorted out with a healthy balanced diet. Take 5-6 servings of fruits and vegetables, a high protein diet and plenty of water.
Awaiting your reply. Depending on that, we can decide who is the specialist you need to see.
Above answer was peer-reviewed by
Follow-up: Have PCOS, increased heart rate upon little exertion, decreased energy, thinning hair. Please advise 22 hours later
I am 156cm and 56 kg.Now a days heat tolerance is verylow.even in few minutes in the kitchen i get showered in sweet. cant stand there for more than 15 mins for cooking. outside I notice have usually started to avoid going out in a XXXXXXX weather, but thats the same for the cold weather also, cant tolerate, even now a days rom temperature i keep 22*c atnight and take a light blanket on. I dont have any swelling in my neck. though have tonsils problem in the childhood, but now they are not big.Sometimes i get tremors but not frequent. about eyes I cant say ,dont understand "prominent eyes" means what? Palpitations getting nowadays more but havent gone for ECG yet, my trainer have asked me check itout but couldnt get time, sometimes get pain in the left hand whichreach to the chest ,i took pain killer but it stays and goes only when i sleep, with or without taking any pain killer. looking at some of the signs,such as weight gain, fatigue,sluggishness, depression( most intolerable), muscle aches, mental sluggishness, constipation , menstrual irregularities, inability to tolerate cold temperatures, weakness, hair loss , skin problems paleness and brittle nails( my nails just tore off when they become little big, as if for a long period of time my hands were in water ,my toe nails both ofthem just broke from the middle in the normal pumps i use to were for yrs), my trainer suggest that I might be having slow metabolism rate as she is working on me for more than one year now and couldnt achieved the desired results which are normally achieved with the women of my age and phsyic. she tried to change my lifestyle making me more active but that activity brings more retardation physically.she colsely monitor my diet plan that its balanced weekly. hope this answers your query.
Answered by Dr. Akhilesh Dubey 15 hours later

Thanks for the providing the necessary details.

As you have low heat tolerance, perspiration and palpitation and other symptoms I strongly suspect you may be suffering with a thyroid problem. In addition, you also may need investigations to rule out anemia.

I urge you to consult a physician or an endocrinologist. He/she can guide you through the necessary test such as complete blood count, routine blood sugar and thyroid function test (TSH, Free T4 and T3 levels).

Please get a check up and let us know the reports. I would be available for comments based on the reports of the test.

Hope this helps. Let me know if you have other concerns.
If all your queries are answered, please close this discussion.

Good Luck!!
Above answer was peer-reviewed by
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