Hi Dr. Lupo,
32 yo, female, 132 lbs, 5.5', good shape, very active
Currently on 112mcg synthroid, have Hashi's, labs on 1/26/09- TSH 0.98, FT4 1.5 (.8-1.9), FT3 2.5 (2.3-4.2)
My Repro endo wants me to start on Vivelle-dot and prometrium therapy because she thinks my current symptoms are low estrogen related. I have irregular cycles, only two cycles since last April 2008 and one was induced by prometrium. Last cycle was 42 days long. I had estradiol drawn on day 12 of my cycle and it was 40 and was told it was too low. My FSH is normal and does not indicate ovarian failure. I have been checked for PCOS as well and it has been ruled out.
I continue to have hair loss, sleep disturbances, moodiness, quick to anger, dizziness and headaches. I felt very fatigued this weekend and took my BP and pulse- it was 104/71 and I had a pulse of 48. I thought my BP was going to be high but instead was shocked by my pulse rate. Do you think my symptoms could be related to a less than optimal T3 level or do you think I could benefit from starting estrogen therapy? Will I likely have to increase my T4 meds if I start estrogen therapy?
Any advice would be appreciated as I am very hesitant to add estrogen.
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