I am a 43 yo female whose menstrual cycle stopped abruptly 5+ years ago following two early miscarriages. I have 5 children, the last born prematurely at 33 weeks, then the two miscarriages. Dr. was unable to induce a cycle with progesterone alone, but did cycle with combination BC. Have hot flashes, trouble sleeping, vag. dryness, lack of libido, fatigue... Recent test results indicate:
It looks like you are in perimenopause and having some of the symptoms related to menopause. They may come and go over the next several years. The fact that you don't have bleeding with progesterone but do have bleeding with estrogen and progesterone means your uterine lining is working.
There are many things that could be going on. Some related to perimenopause; others related to being 43 and having 5 children and the stresses of that. There could of course be many other things as well.
Talk with your doctor about a short course of estrogen and progesterone, or even a low dose birth control pill for the hormones it provides and see if that helps. This assumes there are no medical reasons not to be on hormones. Make sure your diet is good and balanced and that you have some time for yourself each day. It might also be helpful to see if you are anemic by checking a blood count and check your blood sugar to see it is not too low or too high. You can try using the over the counter Replens for vaginal dryness. Apply it daily for one week then twice each week after that.
If the cortisol levels were abnormal, you should ask to speak with an endocrinologist to be sure there is not a problem with your adrenal glands.
Machelle M. Seibel, MD
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.