Hello. I have reviewed your concerns regarding your weight gain and facial changes.
It is understandable that these changes are distressing, especially when you feel you aren't eating much. In patients with PCOS, weight management can be very challenging due to hormonal imbalances and insulin resistance. However, your specific symptoms require a detailed evaluation.
Potential Causes to Investigate
Insulin Resistance: This is very common in PCOS and makes the body store fat more easily, even with a low calorie intake.
Hormonal Imbalance: Beyond the
thyroid, other hormones can influence fat distribution and energy levels.
Cardiovascular Fitness: Your feelings of breathlessness and tiredness during exercise should be checked to ensure your heart and lungs are responding well to physical activity.
Recommended Next Steps
Laboratory Tests: In addition to your thyroid, I recommend checking your
HbA1c (blood
sugar), fasting insulin levels, and a
lipid profile.
Physical Examination: A doctor should physically assess the "roundness" of your face and check your blood pressure.
Specialist Consultation: I strongly suggest consulting an Endocrinologist. They specialize in hormonal issues like PCOS and can provide a more targeted treatment plan to help manage your weight and energy levels.
Lifestyle Management
Dietary Focus: Since you have PCOS, focus on a low-glycemic index (Low-GI) diet. This helps manage insulin levels. Focus on whole grains, legumes, and plenty of vegetables.
Activity: Since you experience pain and breathlessness, do not push yourself too hard. Try low-impact activities like slow walking for 10–15 minutes a day and gradually increase as your stamina improves.