I'm perimenopausal and my hormone dips have thrown up digestion, hyperosmia, brain fog issues and because of lack of appetite I have become malnourished and very low on ferritin despite trying the super heme from 3 Arrows.
I've had some private bloods done. Notable results are:-
T3 2.97
T4 0.87
TSH 7.17
Oestradial 1802
LH 12.2
B12 432
Ferritin venous 47.9
Serum Iron FE 3.99
CRP 65.21
ALT 51.5
eGFR 76.3
I have been bleeding quite heavily and the 3 arrows super heme iron capsules stuff me up with constipation after a few days... I've been eating chicken livers..
I've got a private consultation with a menopause specialist GP at Harley Street on Monday and I had an ultrasound which was clear regarding endo, fibroids, cysts, cancer.
Advice appreciated
Thanks
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I can only comment on thyroid but you look underactive and need to see a doctor.Biotin (vit b6 or 7 forget which) , can interact with blood tests if taken in large amounts.
I don't have advice but just wanted to agree perimenopause can be horrendous. I am late perimenopausal and also had to be checked for "unexplained bleeding". In my case I had to figure it out myself and it's that my estrogen needs frequent adjustments.
I'm going to see a menopause educated private GP at Harley Street today with ultrasound scan and private blood test results so will update later today.
I was fine until the peri started throwing my hormones out of balance highlighting my underlying issues....
I’m very late perimenopausal at 58 (in May) and soon to have 3rd Decapetyl injection.
My symptoms are predominantly pelvic lower back pain bloating and constipation I have had for 13yrs with vary degrees of severity … explored Thyroid (I have Hashimoto’s and very low to under range at times FT3 and why I looked into thyroid) and looked at many other autoimmune diseases as I do have a few, so ruled out those as my cause… my GP was reluctant to explore gynaecology at first 🤷🏻♀️ I had mentioned this 5-6yrs ago if could be anything re gyno but I didn’t tick right boxes on the screen 🙄
I then went on hrt to try to balance some hormones at first this helped but for me it was progesterone helping and not increasing oestrogen, which is often what most Drs and people feel they need but it’s not always the case.
I have had abnormal mid cycle bleeds for 30 years (just one of those things mentioned to me and added more smears to rule out things🤨) and heavy bleeds last 15yrs and “abnormal bleeds” whilst on hrt and that triggered 2 lots of 2WW (2 week wait cancer pathway) through NHS investigations, but went privately the last time in 2023 as too long a wait to get things sorted.
Re scans one ultrasound showed I do get hormonal cysts, so catching those at right time is necessary as only 1 in 5 scans I’ve had picked that up…but all picked up adenomyosis and now had pelvic MRI and I also have endometriosis in pelvic cavity and on bowels so this is probably my problem, lesions can be on sciatic nerve muscles well just about anywhere these aren’t just gynaecological problems it’s whole body problem it’s thought it’s spread through lymphatic system…they know for some too much oestrogen is causation, but not all….but it’s very misunderstood condition and like many women’s health conditions it’s not been studied as much as mens erectile dysfunction 😠
Now we realise I’m oestrogen dominant- possibly not clearing the bad oestrogens away (not necessarily high in oestrogen but making my hormones out of balance) and know this situation also can interfere with conversion of thyroid hormones (my Low FT3 most likely but we will see)… I went privately in Autumn 2023 and under went a under general anaesthetic for a biopsy of my endometrium as with hrt increases over years by GP the lining had very slightly thickened and 2 polyps were found through this procedure, which were not picked up on ultrasound at all, these were removed and biopsied too, and had D&C and I had coil fitted for adenomyosis (predominantly) this automatically made me feel somewhat better … but I was still having odd twinges re pain and mid cycle and cyclical bleeding but to very lesser degree… so hence my pelvic MRI and now trying the injections to definitely try to rule out gynaecological conditions as my pain problem as these injections shut down hormones and should hopefully give us a clue what is going off, as numerous orthopaedic investigations re back pain only gave degenerative discs and of normal wear and tear… and spinal injections were my next option but we wanted to rule gynaecological conditions first before having those…. I’ve been somewhat better I’m hoping the 3rd injection I see more improvement … what we will do after 6th (July) I don’t know yet (know in June at next consultation) but so far so good.
I’ve suffered low iron and ferritin at awful levels along with B12 & vitamin D over years.
I have B12 injections (I have pernicious aneamia) I take Vitamin D & K2 , Magnesium supplements and have in past taken iron supplements and folic acid - although know Methylfolate is better as natural, and we don’t need to convert this… but NHS will only give out folic acid (synthetic)
I hope you find some answers seeing menopause specialist but not everyone needs more oestrogen - just my experience in menopause journey is very much pushing the protective hormone oestrogen but progesterone doesn’t get much air time 😵💫
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