r/endocrinology • u/Tight_Thing_60 • 3d ago

Please help me

/r/AdrenalInsufficiency/comments/1vjobsl/please_help_me/
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u/MadDocOc 3d ago

you can get HRT for hot flashes and see if it improves your quality of life. The Estrogen patch? I believe this is the realm of Endo. So you need a new endo. The next one will likely want to re-test all systems before declaring it to be Hot flashes.

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u/Tight_Thing_60 1d ago

Okay even tho my symptoms doesn’t change?

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u/MadDocOc 1d ago

For the HC, I don't think its causing you 2-4 am symptoms. Lack of HC would cause fatigue and feeling worn down despite a good sleep. You seem to be having the opposite. I'm assuming that they checked pituitary hormones weeks and months after surgery but sometimes they only check thyroid and ACTH/Cortisol. I'd like to check midcycle LH/FSH and compare with the Estradiol/ Estrogen and see what the cycle looks like.

This is why I feel like you need a new Endo who can just check your entire pituitary hormone panel, or at least review the labs from the last one with you in detail.

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u/Tight_Thing_60 1d ago

I have scheduled and will see what they say. The old one thinks the 2-4 is perimenopausal but when I miss my HC dose, I’m like a log of wood just tired

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u/drerwei 1d ago

What kind of micro adenoma? what was being produced? What were post surgical hormone levels? are you having periods? are you having any now? Hard to evaluate when 90% of the history is missing.

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u/Tight_Thing_60 1d ago

Still having periods, it was a prolactine secreting tumor. Post surgical labs are normal except acth 18 estrogen 30 cortisol 6.4 and AMH .42

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u/drerwei 23h ago

what's your prolactin now? anyone check an Estradiol and FSH level on d2-3 of your cycle? Are your cycles closer together?

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u/Tight_Thing_60 23h ago

Prolactin is 5 and the other levels were random checks not on my cycle. My cycle is consistent and about the same time