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Womens Health > Menopause Forum > Sex hormones and hypothyroidism
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Q: Sex hormones and hypothyroidism
asked by: DoctorQuestion on May 11th, 2008
I don’t think my current hormone therapy is quite the right "balance" for me and I would like your opinion. I was given Progesterone Cream 20mg daily and Estratest HS daily. I felt really well after about three days of taking the medication. Then after a few more days I began to have severe hot flashes and night sweats, a horrible headache, and I feel tired, lethargic and slightly "jittery”. Do these symptoms suggest too much of one of the hormones, not enough of one of the hormones, or do I just need to try something different? I know the balance of the hormones is critical and I feel like this balance is not right for me. I've tried to read up on which hormones cause which symptoms. They are all so interrelated and I get overwhelmed. When I return to my doctor I would like to be able to say "I believe I need less of hormone XYZ because of this symptom" or "I need more of hormone ABC because of that symptom". I would appreciate your opinion. Thank you


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Dr. Nikola Gjuzelov , MD
replied on May 16th, 2008
Menopause Answer A4121
It is not that simple and easy to balance your sex hormones. Presence of hypothyroidism additionally complicates the condition. You may also have a neurotic personality that might worsen the condition, too.


Your symptoms can be due to any or all of these conditions: menopause, hormone medicines, hypothyroidism, and anxio-depressive disorder.


Menopause will cause you problems as long as FSH-levels are high. Hormone replacing therapy in fact decreases the FSH-level but you can’t expect to experience a benefit so soon. You can check the FSH-level after 1 month again to see if it is still high.


You may want to go to your gynecologist and tell him about your problems.





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