Hello Good Evening, This picture might be looking of Hypothyroidism. In Hypothyroidism, there are many symptoms occurred as follows: Appearance: Thin brittle fingernails, Dry itchy skin, Weight gain and water retention, Hair loss. Neurological: Depression. Neuromuscular: Depressed reflexes, Hypotonia, Muscle cramps and joint pain, Mood instability, Irritability, Constipation. Constitutional: Fatigue, Sleepiness, Cold intolerance, Decreased sweating. Cardiovascular: Bradycardia, Elevated serum cholesterol. Endocrine: Female infertility, menstrual irregularities, Hyperprolactinemia and galactorrhea. You have many of them, so you might be a case of it. Iodine deficiency is the most common cause of hypothyroidism worldwide. Stress is known to be a significant contributor to thyroid dysfunction; this can be environmental stress as well as lesser-considered homeostatic stress such as fluctuating blood sugar levels and immune problems. So you should be go through Thyroid profile, which is a blood test, followed by medication (Tab. Eltroxin) should be started under supervision of your GP. Regards, Dr. Naresh Jain.