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intermittent, but extreme nausea, extreme fatigue

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I need some answers. I've been to my family doctor and ob/gyn and they can't/won't help. I am a seemingly healthy 28 year old, but for the last 8-10 months I have been plagued by intermittent, but extreme nausea, extreme fatigue and at times dizziness. I have not had a period for 4 months, but am not pregnant (I've taken 3 home tests and had a blood test done in the E.R.). I'm not sure where to turn at this point. Please help!

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replied January 6th, 2012
Womens Conditions Answer A30069
Hi, and thanks for your medical question on eHealth forum!

Basically you have secondary amenorrhea or absence of periods/menstruation due to some thing. The first thing to check for is pregnancy as you have done. If this is not the case, then other causes will have to be looked into. Stress and anxiety is a major factor. Thyroid problems and abnormal levels of FSH, LH, prolactin, androgen hormones or male hormones and estrogen hormones too can be the cause. MRI of brain may be required to rule out pituitary tumors secreting prolactin. Another major contributor is polycystic ovarian syndrome (PCOS). This can be diagnosed by a CT scan or abdominal ultrasound and tests for insulin resistance.

Smoking is also often associated with secondary amenorrhea and can be worse in presence of stress. Sometimes tumors of the ovaries and brain may also cause absence of menstruation. Severe anemia and malnutrition, excess weight gain or weight loss, hypothyroidism too can contribute. If you have been on pills or depot shots then this can be post pill amenorrhea.

Since a confirmed diagnosis cannot be given on net please consult your gynecologist (take a second opinion from another) regarding this. Hope this helps. Take care!

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