
Experiencing Swollen Ankles. No Periods. Athleticism. History Of Migraines, Started With Puberty. Has Acne. What To Do?

Thoughts? Suggestions?
Few suggestions.
Detailed Answer:
Hi,
Thanks for consulting us.
You have provided a good account of her history.
I have few suggestions:
Check her Thyroid functions by doing a TSH test.
Rule out pregnancy. If not sexually active rule out PCOS ( polycystic ovarian syndrome) by doing a pelvic ultrasound & hormone tests like, FSH, LH, testosterone, etc. (her acne also may be one of the manifestation).
Enquire if she is taking any drugs or energy producing substances to increase her athletic performance, as it may be a side effect or allergic reaction to theses substances.
Remember, it is necessary for a girl to have periods every 3-4 months to avoid long term health risks & Gynecological problems. So MUST get in touch with a qualified Gynecologist.
Cardiac & Kidney status is already been evaluated as per the information provided by you.
Hope I have given you some valuable suggestions.
Best regards.

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