I Am 54 Year Old Woman (5'7" @ 142 Lbs.,

Posted on Fri, 28 Jun 2019

Question: I am 54 year old woman (5'7" @ 142 lbs., not overweight) that has had a hysterectomy 2 years ago. I'm probably beginning to go through peri-menapause. My recent blood work shows my estrogen level at 494, and Prolactin at 26.8, both very high. I have Hashimotos Thyroiditis taking Tirosent and Cytomel. Other symptons are hair loss, fatique, cold hands and feet, night sweats and not sleeping well. My doctor is putting me on progesterone now. Overall feel ok, no real issues.
I will do another blood test to check Prolactin again today. Should i be worried?

Answered by Dr. Shanti Vennam (1 hour later)

Brief Answer:
Please plan further management after investigation.

Detailed Answer:
Hi,

Thanks for trusting us with your health concern.

I have gone through your query and also the attached reports. I would like to offer some suggestions.

As of now, there is no need to worry. Since you are going to get the serum Prolactin levels repeated, you can plan further management after the report.

Estrogen levels can get higher during perimenopause as there is infrequent or absent ovulation leading to higher FSH production. Prolactin levels can get higher due to hypothyroidism, though this is one of the several causes.

I have noticed a lowered TSH level in your reports which is not a feature of Hashimoto's thyroiditis. It is possible that you could be needing to decrease the medication after checking with your health care provider.

Progesterone, at this stage helps to check the estrogen levels and also improves the overall well being.

Your other symptoms relate to the hormonal imbalance you are experiencing currently. Please take adequate liquids, wear comfortable and preferably cotton clothing and practice breathing exercises regularly.

Hope you find this information useful. Please feel free to contact for further clarifications. I will be happy to help.

regards,
Shanti.V.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Shanti Vennam (41 minutes later)

Thank you for your response.

One other symptom I have is dizziness which I don't like. What would you think is causing this?

As far as the hormones, I want to be sure this would not be a leader to cancer. What is your opinion?

Kindly,
Kristen

Answered by Dr. Shanti Vennam (13 minutes later)

Brief Answer:
Detailed below.

Detailed Answer:
Hi,

Thanks for writing back.

Dizziness can have several causes ranging from simple nutritional deficiencies like anemia, hypoproteinemia, electrolyte imbalances to other causes like undiagnosed hypertension etc. In your case, I would ask you to check for blood glucose levels, blood pressure and mineral deficiencies. A physical examination should help further.

In most cases, such hormone imbalances are a common occurrence during peri-menopause. The presence of cancer is a relatively rare finding. Moreover, you have already undergone hysterectomy which excludes cervical and uterine pathology. So, please relax and go for the test.

Hope this helps. Please let me know if I can assist you further.

regards,
Shanti.V.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Shanti Vennam (4 hours later)

Thank you for your input.
Kindly,
Kristen

Answered by Dr. Shanti Vennam (48 minutes later)

Brief Answer:
You are always welcome.

Detailed Answer:
Hi,

Thanks for your feedback.

You are always welcome to contact us for any more information.

Wish you good health.

regards,
Shanti.V.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T