Hirsutism is defined as the excessive hair growth in an androgen dependent pattern where hair growth in women is usually minimal or absent (eg: face, chest, and areolaeas) as a result of increased androgen production, increased skin sensitivity to androgens, or both.
PCOS (polycystic ovary syndrome)
Androgen-producing ovarian tumours
Androgen-producing adrenal tumour
Congenital adrenal hyperplasia (CAH)
Severe insulin resistance
From this list, chronic fatigue, hypotension, bradycardia and depression are listed symptoms of hypothyroidism.
Hashimoto's thyroiditis (autoimmune thyroid disease) is the most common cause of hypothyroidism in the western world. This can be shown with elevated levels of antibodies - Thyroid Peroxidase antibody (TPOAb) and/or Thyroglobulin antibody (TgAb). However 10 - 20% with Hashimoto’s thyroiditis do not have high levels of thyroid antibodies. An ultrasound or FNA biopsy can confirm a suspected diagnosis.
The following info is from the book "The Everything Guide To Thyroid Disease" by Theodore C. Friedman, MD, PhD and Winnie Yu Scherer:
"Although the majority of people with Hashimoto's will not develop any other disorders, it's important to know what some of these autoimmune conditions are in case you do start to experience symptoms. Keep in mind, too, that you may be more likely to develop Hashimoto's if you have one of these other conditions.
Type 1 diabetes
Systematic Lupus Erthematosus (SLE)
Inflammatory Bowel Disease
Multiple Sclerosis (MS)"
The major types of Inflammatory Bowel Disease are Crohn's disease and ulcerative colitis.
The following is an except from Hindawi - Epstein-Barr Virus as a Trigger of Autoimmune Liver Diseases...
"Several viruses have been considered to be triggers of autoimmunity and overt autoimmune disease [1–6]. Amongst those, Epstein-Barr virus (EBV), which is the cause of infectious mononucleosis, is unique in a sense as it has been implicated in the induction of multiple autoimmune diseases [7, 8].
These include systemic lupus erythematosus (SLE), multiple sclerosis (MS), autoimmune thyroiditis (AT), rheumatoid arthritis (RA), inflammatory bowel diseases (IBD), insulin-dependent diabetes mellitus (IDDM), Sjögren’s syndrome (SjS), systemic sclerosis (SSc), myasthenia gravis, and autoimmune liver diseases (AiLD) [7–20]."
How to limit the symptoms of low blood pressure:
Stand up gradually
Wear support stockings
Avoid caffeine at night and limit alcohol intake
Include more salt in the diet
Eat smaller meals more often
Thank you, that is mostly what I have been thinking. I have tested with normal thyroid levels but I just got a blood test to have it checked again. I've also scheduled an evaluation for PCOS.