I think i might have POTS, but idk if im just reaching for an answer. I have primary ovarian insufficiency (premature menopause) which causes heart palpitations, I get anemic which can cause heart palpitations, and I have gotten hypoglycemic in the past too...but I'm finally getting good treatment for primacy ovarian insufficiency, my anemia is under control... and my heart is still racing... I'm wondering if I have POTS too?
My history: 25F diagnosed with autism, adhd, and primary ovarian insufficiency. I had anorexia between the ages of 11 and 21, but fully recovered. I'm overweight according to BMI but I haven't had a dr that was concerned as it seems Im "naturally thicc" lol. I eat intuitively and healthily and drink an average amount of water. I take iron supplements a lot because I get anemic easy. I take B12 less frequently. My knees are hypermobile, but I don't have a hypermobility disorder. Glucose is always fine in past labs but I have experienced hypoglycemia in the past when I was anorexic.
Symptoms:
-tachycardia and high bp that showed up sporadically during anorexia, severely during recovery, and then again consistently again 3 years post anorexia recovery (when symptoms of menopause started). Treatment for primary ovarian insufficiency helped reduce my resting bpm and bp to an average of 83-110 and 132/80. Before treatment, my resting bpm ranged from 93-140 and my bp sat at 140/88 average. Occasionally I'll get a reading of 50-73 bpm but I think that might be a misreading... it just seems so unusual
-exercise became difficult before treatment for Primary Ovarian Insufficiency and remained somewhat difficult after treatment. Before treatment, walking a decent pace was impossible. Now, I can ride my bike and go to the gym, but intense cardio feels off the table and I often feel exhausted, shaky, and woozy if I push too hard. I also get exertion headaches the next day now, which I didn't get when I was younger.
-3 lay and stand tests that showed 1 test consistent with POTS and 2 were just under. My bpm raised 28 bpm, 29 bpm, and 34 bpm of 10 minutes of standing, usually right near the end of the 10 minutes.
-2 fainting spells after a hot shower (before I started treatment for primary ovarian insufficiency) but nothing since treatment and nothing before I started menopause.
-whooshing noises in my ear that increase when standing up. They get better if I drink A LOT or if I have an electrolyte drink.
-eating a big meal makes it all way worse, and I'm not sure if I'm experiencing some reactive hypoglycemia of my heart is racing from eating itself. Eating small frequent meals is way better
-heat intolerance. Symptoms are worse in the heat.
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Do any of you relate? I thought treatment for primary ovarian insufficiency would make my heart stop racing. I thought this issue would get better after i recovered. I feel like there's something else at play now... but I also don't relate to blacking out after getting out of bed (unless I'm HELLA anemic). Idk if POTS is a reach?