feeling confused

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feeling confused

Postby lix » Mon Dec 08, 2014 12:15 pm

Hi all, I'm a bit confused and not sure what to do next... perhaps others have been in the same situation.

About 4-5 months ago I made an appointment to see my GP because I was feeling tired, low energy, low libido, couldn't focus and - more importantly - at that point I missed about 3 periods (not in a row, basically this year I had every 2nd period). I'm 39, not overweight (BMI 22), no hair issues, but I do have oily skin and blackheads. My GP did a blood test and she sent me for an ultrasound thinking it might be PCOS. After the ultrasound results came back she said she was 'almost positive' that it was PCOS - at that point I decided to go see a specialist.

Last week I saw an endocrinologist who is also a PCOS specialist. He says it's not PCOS, it's rather low ovarian reserve because I'm high FSH, high LH, undetectable oestradiol. I'm also 'high response' AMH though (22.5 pmol/L), which suggests "good potential for fertility" - in my mind that's strange, as it contradicts the FSH/LH/oestradiol results. Also, AMH is not high enough to be indicative of PCOS either...

He suggested hormone-replacement therapy - Femostone 2/10 for three months, estrogen-only. I'm really scared to start HRT though, because of the side effects (breast cancer etc). But, I'm also scared about not having periods for a long time, that also can lead to uterus cancer. So I'm not really sure what to do now... should I go for another opinion? Try the treatment? Try something natural (like maca powder)?

Thanks for any ideas...


PS. I'm single with one child and no plans for more kids for now, although it would have been nice to have a 2nd one...
lix
 
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Re: feeling confused

Postby Hols969 » Mon Dec 08, 2014 3:46 pm

Could u not try the combined contraceptive instead ?
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Re: feeling confused

Postby lix » Mon Dec 08, 2014 8:19 pm

His argument was to make me feel better, address tiredness, low libido, possible depression etc rather than 'fix' my periods. On the other hand, my fear is related to taking hormones... I'm already on thyroxine as I've been hypo since I was 22. HRT has such a long list of 'possible side effects' I'm scared to take it. I had breast lumps a long time ago but they were benign and they went away after breastfeeding. I also had nodules on my thyroid and one of my smear tests a long time didn't look good (it was a false alarm though). So there was always a lingering fear of cancer in my mind. So yeah, I'm very resistant to it...
lix
 
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Re: feeling confused

Postby Hols969 » Tue Dec 09, 2014 5:14 am

For me the combined pill controls the majority of my symptoms and I've been on it for almost 30 years on and off. There is such a small risk that for me to feel normal ish! most of the time is worth the risk. I would perhaps try the combined pill first to see how you get on. I'm 45 and hrt would make me feel old before my time !!!
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