A 23-year-old woman presented with a 1-2 months history of fatigue and headaches after 10 months postpartum. Symptoms She has gained approximately 13kgs since her vaginal delivery, which was complicated by moderately excessive bleeding. She also reports menstrual periods that last up to 2 weeks, despite the placement of an etonogestrel implant in her left arm after delivery. Additional symptoms on presentation include hair loss in clumps over recent weeks, chronic high blood pressure, constipation, lightheadedness after standing up quickly, and cold intolerance.

What can be the probable cause responsible for these symptoms? *This patient case is from Docplexus Editorial Team for educative purposes only. Source: Clinical Advisor The answer is posted in the comment section. click here.