OB-GYN (Obstetrician-Gynecologist) Questions OB-GYN

Menopause Nightmare?

I’m going through menopause and was diagnosed with hypothyroidism in 2019, but despite treatment with Cytomel 20 mcg daily, I still experience weight gain, chronic insomnia, chronic fatigue, brain fog, severe cold intolerance, GI and redux issues, skin irritation. I’ve advised my endocrinologist of my troubling symptoms, but he states that my TSH (2.11) is normal despite low levels of T4( 4.4) & Free Thyroxine (1.1). I’m miserable daily and basically have secluded myself indoors away from others. I’m still searching for an integrative endocrinologist because I believe that my other hormones are imbalanced and balancing them is key to better thyroid control. Any suggestions?

Female | 52 years old
Complaint duration: 1 yr 3 mos.
Medications: Propranolol, Flecainide, Cytomel, Potassium citrate, Uribel,
Conditions: degenerative spinal stenosis, SVT, interstitial cystitis, dysfunctional pelvic floor, fibromyalgia, hypertension,

2 Answers

OB-GYN(Obstetrician-Gynecologist)OB-GYN
What you need is a good OB-GYN who will actually balance both your female/male hormones and then balance them with your thyroid hormones. You also need to know that there is an increased incidence of autoimmune thyroid dz as well as other autoimmune diseases when women have a drop in their Estradiol levels with menopause. My approach is outlined in my book, Full Bloom, Perimenopause, Menopause, Postmenopause and Beyond on Amazon. This book walks you through the research and outlines the approach of why bio-identical hormone replacement is recommended and how it actually protects your heart and protects you from all mortality, even cancer. Ask your GYN to check your bloodwork for your blood levels of your 4 hormone groups: 1) Estradiol, Progesterone, Total Testosterone and Free Testosterone, 2) TSH, Free T3, Free T4, Thyroglobulin Antibody and Thyroid peroxidase antibody, 3) Vitamin B12 and AM Cortisol (drawn 3hours after arising from overnight sleep) and 4) Fasting blood sugar and insulin (4hour fast). If your doctor is not comfortable interpreting these results, then contact my office as these lab results are the foundation of your health and it is extremely important that you understand these values and what they mean for you.

Dr. Victoria J Mondloch
Menopause is definitely a tough experience for many patients but there is hope. Replacing and rebalancing hormones in post menopausal patients is the key and we see patients not only get great relief from symptoms but additional many times rebalance and feel young again. These hormones include testosterone and estradiol as well as T3 (desiccated thyroid) and others. Also making sure Vitamin D and B12 is optimized is key.