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I Have Losing Weight Prior To Menstruation And Gains Later So I Want To Know If Maybe I Am Having Hormonal Imbalance, Thyroid Issues, Etc?

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Posted on Mon, 20 Feb 2023
Question: I have been having some weird symptoms over the past few years...it has taken me awhile to pinpoint exactly what is going on. Basically, I have been trying to lose weight for awhile now....around 5 months. What happens is, about two weeks prior to menstruation, I lose a significant amount of weight (6-9lbs). It happens over the course of the 1.5 to 2 weeks prior to my menstruation but once my menstruation ends, my weight loss takes a step back. During that weight loss period, I am able to eat almost anything. I can crunch on chips, fast food, go out to eat, etc. and it does not impact me much. However, since I am trying to maintain a healthy lifestyle to lose weight, I have been eating fairly healthy and I am losing a lot of weight during this time. I also notice that I urinate frequently during this time as well.

Once I start my menstruation, if I attempt to eat healthy, I hardly lose any weight...maybe a pound a week, if that! If I eat unhealthy, I pack on the pounds significantly. This occurs during the week of my menstruation, and the week or so following.

I must admit, my menstrual cycle is 28-30 days off, 5-7 days on. During my cycle, I am very heavy with a lot of blood clots, crampy, and feeling rather ill most days. I do not know if this has something to do with it.

I just want to know if maybe I am having hormonal imbalance, thyroid issues, etc. I do get cold frequently, I do struggle with depression, body aches and pains, etc as well but I am unsure if this is related.
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Answered by Dr. Mirjeta Guni (56 minutes later)
Brief Answer:
About weight gain during menstrual cycle;

Detailed Answer:
Hello,

The rapid weight changes during menstrual changes are common in some females.
Water retention is one of the major reasons for weight gain during periods.
Water that is absorbed in the body from various sources during the day is retained by the body tissues during menstruation. But after periods you will be able to get back to previous weight or restart to loose easier.

Nevertheless, you need to check thyroid function before, to exclude an underactive thyroid.
If the thyroid function is normal, than the difficulty to loose weight during this period is due to water retention.

Hope the information will help.
Best wishes,
Dr.Mirjeta
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2414 Questions

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I Have Losing Weight Prior To Menstruation And Gains Later So I Want To Know If Maybe I Am Having Hormonal Imbalance, Thyroid Issues, Etc?

Brief Answer: About weight gain during menstrual cycle; Detailed Answer: Hello, The rapid weight changes during menstrual changes are common in some females. Water retention is one of the major reasons for weight gain during periods. Water that is absorbed in the body from various sources during the day is retained by the body tissues during menstruation. But after periods you will be able to get back to previous weight or restart to loose easier. Nevertheless, you need to check thyroid function before, to exclude an underactive thyroid. If the thyroid function is normal, than the difficulty to loose weight during this period is due to water retention. Hope the information will help. Best wishes, Dr.Mirjeta