Hello, Thanks for your query on HCM As per your clinical history is concerned please follow like this - 1)Check your TSH level as you are under treatment so if low then talk with your treating Doctor to adjust medications. 2)If [TSH] is normal then talk with your Gynecologist to add low dose estrogen therapy and this will solve your problem. 3)Try to avoid hot beverages, caffeine, spicy foods, alcohol, stress, hot weather and even a warm room. 4)Make a plan to sleep during day and night 5)Do meditation and deep breathing exercise 6)Try to eat a balance diet and add a calcium suppliment regularly 7)Do regular Kegel exercises which will strengthen pelvic muscles 8)Try to avoid alcohol and smoking Hope that helps