Answer Posted - Which option is true?
PCOS is a common hormonal imbalance that often begins in puberty and affects as many as 10 percent of women. PCOS is essentially a diagnosis of exclusion, made on the basis of blood tests, a patient’s symptoms and an ultrasound of the ovaries. In Savage’s case, an ultrasound showed no cysts, but she did have an elevated testosterone level.Doctor told Savage that her best chance of getting pregnant involved losing weight. He prescribed metformin, a diabetes drug that can promote weight loss. Metformin is commonly given to PCOS patients and may help promote ovulation as well. Savage began following a paleo diet, which emphasizes meat, vegetables, nuts and fruit, and drastically reduces the intake of carbohydrates, sugar and processed foods.In October 2015, she and her husband were elated to learn that she was pregnant with identical twin boys.
From the time she was 12, Deborah E. Savage recalled, her inability to lose weight became one of the defining elements of her life. And because she is short — 5-foot-3 — extra pounds were particularly noticeable. Savage joined a gym, but that didn’t help her lose more than a few pounds. She had painful acne and facial hair. Savage was having irregular menstrual periods, but doctors did not seem concerned. At times she went 3 months without a period; at other times they lasted for 2 weeks. In her early 20s, every year, she seemed to gain 10 pounds. The doctor prescribed oral contraceptives, which helped clear her skin and made her periods somewhat less irregular. In 2010, Savage and her husband joined a popular weight-loss program, she lost only about eight pounds after several months, while her husband, who followed the same diet, had no trouble shedding much more weight. By early 2015, she was desperate. She had stopped taking the pill nearly a year earlier, in hopes of getting pregnant; without it, her acne had roared back and her facial-hair problem had worsened. Savage was at her heaviest weight — about 240 pounds — and her family doctor warned that her cholesterol, at 210 mg/dL, was too high.
Option 1: Thyroid disorders
Option 2: Adrenal Gland Disorders
Option 3: Ovarian cysts
Option 4: PCOS
Source : https://www.washingtonpost.com/national/health-science/for-half-her-life-doctors-told-her-to-lose-weight-but-something-else-was-going-on/2016/05/16/f8afdec2-f8da-11e5-8b23-538270a1ca31_story.html?utm_term=.0d81918ec3e7