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
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