<s>[INST] I am a 23 years old female. I weigh 230 pounds. I am about 5 6 . I was not always over weight actually I was very small as a child sickly they used to say. I had a lot of ear nose and throat problems corrected with surgery (tonsils and adnoids removed) when I was 7. They doctor said he removed more infection out of me than any other patient he had seen. After surgery I started to gain weight and when I was 11 I started having my period. After my first, 6 weeks later I got punched in the stomach and started my period again. When I was 14 I started to walk and exercise a lot so much that my periods stopped coming for 4 months. I was at a healthy 140 pounds till when I was 16 and I started working 35 plus hours a week, getting good grades in school, and started dating. I became sexually active at 16 as well. The first time I had sex I did not bleed at all. All the while my periods were very irregular coming ever 4-8 weeks. I contributed this to stress. I got put on the depo shot at 17 and gained 35 pounds fast (in about 3 months). I did not go back and get another shot or get put on any other birth control. I was still seeing the same man (who is now my husband). Over the years I just keep gaining pound after pound. I stopped exercising when I got a job because I never had the time. I quit that job when I was 17 and just focused on school (my grades dropped to a B/C average). To tell you the truth I never monitored my menstrual cycles the way that I should. I do keep a lot of stress in my life and always have and everyone always told me that that is why my periods are the way that they are. I split from my boyfriend after high school and was sexually active with two other men one of which I used protection (condoms) and the other I didn t. I was living with my sister and our cycles seemed to start becoming regular together. She was trying to get pregnant and one time she told me she got her period and I thought it was odd that I had not gotten mine. So I took a pregnancy test and it came back negative. What my sister thought was her period later she found out was implantation bleeding (She had a sucessful birth to a beautiful little girl). I started my period two weeks later. I actually went back to the boyfriend that I had had since I was 16 and got married a couple months later at age 18. I kept a lot of stress then because we were on our own and not really doing as well as I would hoped. We did not eat regular at all and I was under a lot of stress. But despite that my periods came about every 6 or so weeks. I thought was normal. I went for a pap in 06 and got put on the pill 10 months later (me and my husband always used protection everytime) My pap was normal I did not have any diseases or anything. My periods always came during the sugar pill week (it usually took 2 or 3 days) but they came and ended either before, on, or after the day I went back on the actual pill. I went back for another pap in 07 a year later everything came back normal my periods were still doing what was stated above. The next year I went for a pap in 08 and told them I may have a yeast infection and the prescribed Diflucan (which I was allergic to). Within a week I got a call that I had Trichomoniasis? I think that is how you spell it? Anyways it was very odd because I had no other sex partners and to tell you the truth I can almost gaurantee my husband did not have any either. I went got a prescription filled it and me and my husband took it as prescribed. I was also put on effexor XR for depression that year by another doctor.. They also changed my pill that year as well. I can honestly say that the changed it from a combination pill to just a one hormonal pill (or maybe the other way around) I am sorry I can not remember the name. The next year (n 09) I back I had gotten up to 240 pounds, I had headaches everyday for a year, and was taking a lot of tylenol. The took me off the birth control they though it was too much. Well that is when me and my husband decided that it was time to try for a baby. I started doing a high fiber, no eating after 7, no pop, lot of water diet. It worked great. But because of family issues (sister was now a drug addict) I had to start taking care of my neice and stayed with my mom a couple days out of the week. Sress levels became very high. I went to a therapist when I stopped taking the effexor medication and the decided to put me on Lamictal which within 3 months they had to replace with seraquel. That only lasted 2 weeks. I slept all the time and I could not care for my neice. All the while after being taken off of birth control me and my husband had been trying to conceive. My periods were every 2 months now. I kept taking HPT and they were always negative. So I actually gave up hope. We talked about quitting but when the time came to put a condom on we never did. In October of 09 My sister had gotten into a lot of trouble. Me and her had some words and then she left. Well my husband was actually going to get a pregnancy test on his way home that night because he had noticed some changes in me ? I dont know his words not mine LOL. Well I tried to relax and rest when I got a horrible sharp pain in my back (I never used to get sharp pains before my period not like this) and almost started immediatly. I called my husband and told him to not worry about bringing home a test because I had started my period. I bled for 10 days. I never bled for anything over 5 days before. I also had a lot of stringy blood but never passed anything. Within a month I started getting lower left abdominal pains that would go into my back and down my leg. I had started going to school online and I thought well this is because I am at the computer all the time. Well it was now November and I got a double ear infection and strep throat. I was prescribed amox/clav 800 mg. They did not do a pregnancy test because I told them there was no way I was pregnant. (me and my husband actually had stopped having sex since the incident). Well me and my husband had a very great conversation and started trying again at the begining of December. I was laid up for a week while I had the infection and finished my antibiotics. My hip pain kept coming. Judging by a different pain in my abdominal area and the discharge I was having December the 23 we immediatley had sex. I also had a mild cold for 3 days all through Christmas then. I was for sure to have orgasms afterwards (to help the sperm) every time we had sex. Well when I realized I had not had my pap I made an appointment January 4th. I took 3 pregnancy tests and they all came back negative. I went to the appointment as schelduled and got a pap where she was having trouble reaching my cervix. She said it was pointing down? I dont know what that means? Anyways I had told her of everything that was going on. She gave me a pregnancy test and it came up negative. Then She said I may have PCOS? She told me of the symptoms and there is only two things that maybe what she thinks that it could have been. I am overweight and I keep it on my stomach. I am not hairy my voice is high pitched and I do not have a lot of hair in places they should not be. I have one hair on my left breast. I do have hair (I am black headed) and the hair besides on my privates and my legs are blonde (you cant see them unless you are really close). My blood sugar came back low-normal 87 at the appoinment. They did not do any blood test. She ordered me a pelvic ultra sound. I am wondering if this was handled the right way? I go for the pelvic ultrasound next monday. I am wondering if you have any thoughts about what may be the problem. I still have the lower left abdominal pain. I have recently cut out all soda (pop) from my diet I drank water all day long maybe have a glass of milk every now and then. I try to eat as much fruits and vegatables as I can. I am taking prenatal vitamins since the appointment 4 days ago. I really am just wondering why she order the pelvic exam and if there is any way to get my period back. Does it sound like it is all stress related? Could the medicine/sickness through me off? Any help of advice would be excellent. I really dont think I have PCOS. Thank you in advance. [/INST] DearRead your history thoroughly .In my opinion your dr. wants to rule out any pathology in pelvis , so asked you to get the scan done.You are overweight and your periods are irregular , one of the signs of PCOS.Relax, there is a treatment for PCOS, if your scan shows it.Take careDr.Mira Butani </s>