Wednesday, April 15, 2020

Amenorrhea and weight loss while obese?

Hey everyone,

So I (as well as my doctor) are struggling to figure this one out and I thought I’d throw this question to this group to see if anyone has experienced this, and possibly resolved it.

So I’m a pretty healthy 34 year old female, 5’6. I was a morbidly obese child from probably toddler years. I’ve spent most of my life yoyo dieting pretty severely - at times I’ve lost 100lbs in the span of 6-8 months. Some of these major weight losses were with the help of the Dr. Bernstein program (which I wouldn’t recommend personally), and others were through my own willpower, exercise, eating right, and getting stress in check. My highest ever was 270 my lowest ever was 168. Right now I’m at 195.

Here’s the catch though: every time I get below 200lbs, I lose my period entirely for months and months... until I let myself go and my weight creeps back up to about 200. I am one of those people who can sort of pull that off (athletic build with an hourglass shape so it does go to the right places). But, obviously, 200lbs for a 5’6 female isn’t ideal.

Over the last few months, I’ve been able to bring myself down from 234 to 195 now. I look and feel better, but the lack of period worries me. I want to keep going with the weight loss, but I would also like to be able to get pregnant in the next few years. The longest amount of time I spent consecutively under 200lbs was about a year last time, and I never got my period throughout that entire time.

My blood work is normal other than severe hypothyroidism which is controlled/normalized with synthroid. My current pandemic exercise routine is slightly more stepped up than usual due to so much free time - but I don’t think it’s excessive: daily, I’ll usually walk for a total of 2-2.5 hours with my dog, and i do a 25 minute power yoga in the mornings and a 15-25 minute moderate pace run outside in the evenings. I do this probably 5 days a week but never push myself to extremes (from being a former crossfitter and having been in ICU twice with rhabdomyolysis, I now know my limits).

So all that to say - has anyone been in a similar position? If so, how did you get your period back without regaining the weight? Does anyone have any tips in general as to what might be up? I know this is a long shot given that my doctor can’t quite figure out what’s up.

On a related note: am I better off being obese at over 200 and having a period, or feeling mentally healthy at a weight I feel good with, but worrying about my physical health? Or am I stressing myself into a problem I shouldn’t be worried about?

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