instruction: hello doctor I am experiencing irregular periods sometimes two times a month latest before three months and sometimes it will skip for two or three months I also noticed that I suddenly have hair growing on my stomach and chest also I do not have hair on my legs before but now I have a few hairs growing on some spots I also noticed that there are suddenly pimples on my back which never happened before this occurred last month I have not done any tests on my thyearoid or hormones I used to also take pills diane to regulate my menstruation but after two months I stopped
output: hello I can understand your concern according to your statement now you are suffering from amenorrhea absence of menstrual cycle hirsutism hair growth in women in the male pattern acne pimples one type of acne on the back and having no history of thyearoid or hormonal test and issues cause you are on childbearing age suggests that it may be cos polycystic ovarian syndrome cos can be established by your clinical features with some investigations result you should undergo abdominal ultrasound which can detect bilateral polycystic ovaries you can undergo some blood tests too like blood for testosterone increased sex hormone binding globulin decreased oh fish ratio increased and thyearoid test to exclude hormonal diseases you can start metformin bigunide therapeutic class to restore your regular cycle and fertility and supportive management for your other complications and estrogen therapy