A member asked:

My niece is 18. had a menstrual cycle once. sleeps all the time. overweight. neck dark on back. pmd says thyroid normal. what is it? 2nd opinion?

9 doctors weighed in across 3 answers
Dr. Fernando Garcia answered

Specializes in Anesthesiology

Hormone Difficiency: There are many hormonal changes taking place in teenagers. In some a hormone deficiency can arise, either as a genetic defect or as an acquired condition. Hormone levels can effect or be affected by weight. Some of the symptoms you describe point towards the Adrenal glands. Conditions such as Addison's disease can display these symptoms. See an Endocrinologist to have her evaluated.

Answered 3/2/2015

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Acanthosis nigricans: Is the darkness on the back of her neck. She has insulin resistance and PCOS She needs to see an endocrinologist and start treatment for this. She will be unable to lose weight until her insulin resistance is treated. Her periods will not normalize without addressing the hormonal imbalance she has.

Answered 7/9/2015

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Dr. Douglas Fronzaglia ii, do, ms answered

Specializes in Internal Medicine - Geriatrics

PCOS: It sounds like a condition call polycystic ovarian syndrome and is characterized by irregular periods, obesity, and eventually diabetes. Weight reduction is the most important step in controlling the condition. A relatively routine workup can confirm the diagnosis.

Answered 3/2/2015

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