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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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PCOS,on Progesterone, Lexapro, Keep Falling Asleep, Wake Up Exhausted. Any Ideas ?

i am 53, have pcos and depite glumetza, progesterone, lexapro, and estrodial spay, i am exhausted! My thyroid blood work came back on the normal to low side (nodules were present on my thyroid) and I am waiting for cortisal saliva test results. I have always had problems falling asleep and still do. But once asleep, I sleep 12 hours and wake up exhausted. Any ideas?
Mon, 22 Jul 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
You are taking treatment for PCOD ( Poly Cystic Ovarin Syndrome ) as metformin , progesteron, estradiol and lexapro.
You have not mentioned the size & number of cyst.
As in PCOD there is elevation of testosterone and androgen hormones.
There develops amenorrhea, with obesity.
Change in ratio of F S H/ L H hormones.
History of anemia and blood calcium very important .
So please mention all relevant reports.
As anemia and low calcium level may b responsible for fatigue.
Menopause may be another reason of such exhaustion.
Good luck.
Dr. HET
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PCOS,on Progesterone, Lexapro, Keep Falling Asleep, Wake Up Exhausted. Any Ideas ?

Hello, Thanks for the query to H.C.M. Forum. You are taking treatment for PCOD ( Poly Cystic Ovarin Syndrome ) as metformin , progesteron, estradiol and lexapro. You have not mentioned the size & number of cyst. As in PCOD there is elevation of testosterone and androgen hormones. There develops amenorrhea, with obesity. Change in ratio of F S H/ L H hormones. History of anemia and blood calcium very important . So please mention all relevant reports. As anemia and low calcium level may b responsible for fatigue. Menopause may be another reason of such exhaustion. Good luck. Dr. HET