if perimenopause symptoms and
hypothyroid symptoms are similar
and all thyroid tests are in normal
range, taking bc pills, then why
still symptomatic?
would need to know your specific symptoms, but it sounds like both your menopause and thyroid are adequately treated. therefore, this may be something else. see more...
Cholesterol is related to thyroid function with low thyroid function hypothyroidism giving high cholesterol and those with hyperfunction hyperthyrodism giving lowed cholesterol values.   

The TSH is elevated and abnormal indicating that free T4 and free T3 should be measured and if abnormally low and symptoms suggestive of hypothyroidism present then meds can be started. If they are still normal then the condition is called subclinical hypothyroidism.   

  

As to the bilirubin, I would repeat the bilirubin in a non-fasting state. Some people with Gilberts syndrome have elevations in total bilirubin and normal direct bilirubins upon fasting which aggravated the total bilirubin. I would also look at your CBC closely for indications of a hemolytic anemia which would also account for indirect bilirubinemia (total bilirubin) such as what happens with certain medications or conditions.   

  

The AST/ALT, you don't give the upper limit of normal and so generally the values are referenced with regards to how how many times normal they are out. Those are low level abnormalities that can be due to many causes including medications, alcohol, fatty liver, chronic hepatitis and other possibilities. Low levels are usually repeated several weeks later to see if they are still there after looking at things that may contribute to the liver elevations.   

  

All of this must be taken within a clinical context. That means that lab values can be be understood without a valid clinical history and physical. You state known and so the comments above are general in nature and would defer to the doctor for a clearer picture and understanding pertaining to your case. the cause would really be determined by the levels of your other hormones. it may be that you are not ovualating. early menopause is also a cause, but the diagnosis cannot be made just on the oestrogen levels.<br><br>best wishes i am 26 years old and have the same problems, i have had all the testing, let me know what you hear.thanks! i'm on otho tricycline high and for the first 2 or 3 weeks i got real sick. i felt like i couldn't eat or i would throw it up. and i just felt generally horrible. it'll pass though in a week or so. i've been on it for close to 3 years now. and i haven't had problems since those first 3 weeks were over. i don't know if you know this or not, but after about 5 years of taking one type of birth control, your doctor will change your prescription because after a while your body doesn't respond to the hormones any more and the bc becomes useless. they'll change your prescription after around 5 years and you might get sick again while your body is getting used to the new hormones. 


hope i could help

oh, i got headaches too Go to a gynaecologist who will evaluate her both clinically and by certain test like thyroid profile pelvic ultrasound, hsg for any anomaly in the uterus or tubes. General and pelvic infection to b treated if any. You may require hormonal and immunological test to know the answer. i would get on some sort of birth control. this sounds like a hormone thing. your body is trying to regulate itself again and birth control would even out the hormones. the first sign of early menopause is the alteration of the menstrual cycle and the absence of periods. also, if you are trying to get pregnant without success, the cause of infertility may be related to ovarian failure.

to confirm whether a woman really suffers from early menopause, it will be necessary to have a gynecological check-up and a hormonal examination. Hello Darmawati,



Thank you for using the HealthReplies.com service.



Normal women have regular menstrual cycles, usually 11-13 times a year, or approximately once a month, with cycles every 21-35 days, and menstruation for 3-7 days. If you have not had your period more than 35 days since your last period, then you have menstrual disorders / late.



However, irregular menstruation can be caused by many causes, and treatment for each cause is certainly different. In many cases, menstrual disorders do not require medication, but only lifestyle changes and stress management can improve the patient's menstrual patterns. In other cases, menstrual pattern disorders can only be corrected by operative measures, such as in pituitary tumors. Therefore, before taking menstrual medicine, you must first know the cause of your disease.



Some diseases or conditions that can cause menstrual cycle disorders, such as:



Stress Use of contraception Pregnancy Polycystic Syndrome Thyroid Disease Menopause Pituitary tumors In diseases that are hormonal disorders, therapeutic treatments in the form of hormonal medications can be given, but it is recommended only to be consumed on a doctor's prescription / recommendation. But in other diseases, hormonal therapy will not solve the problem, or even can cause new problems.



I advise you to check with a specialist obstetrics and gynecologist, so that a more complete examination, your condition known, and given more appropriate treatment.



What you can do now is:



Eating nutritious food Adequate rest Avoid stress Avoid alcohol and cigarettes Regular physical activity Thus, hopefully it can help. sorry about your diagnosis. i too was given the diagnosis of pof this past february, after a failed ivf cycle. i was told that my only chance to have a successful ivf cycle would be to use donor eggs. so that is what my husband and i are doing next month. i have regular monthly periods though, apparently unlike you. if you truly have a diagnosis of pof, there are not any fertility medications that will make it possible for you to create a genetic family. sorry. it's a fact. you can use the strongest fertility stim meds at the highest doses, and it won't do you any good. furthermore, having a period does not mean that you're ovulating...which is exactly the point of having pof. there is no pharmaceutical way, nor technological way available right now to provide the opportunity for a woman who has pof to have her own eggs retrieved. perhaps you were mistaken with what your diagnosis was? i would ask your re again. best of luck to you. if you have any further questions, please feel free to email me. i am here to provide support for you as well.
addtl info: i just realized that you stated that you aren't able to get into an re until june 2nd. so who gave you the diagnosis of pof? i suppose your gyn? not meaning to knock your doctor, but the reality is that a gyn is simply not educated enough nor specialized enough to make this diagnosis. coming to the conclusion of pof is made via blood work and exams. also, it usually is made only after a round of stim meds fails miserably. i suggest you get a real diagnosis when you see an re. you probably simply will find that you just need a some clomid to help "kick start" your period. but that's a far cry from actually having pof. It is difficult to say till I know what tests have been done so far and what are your wife's symptoms other than fever.
However if [malaria](https://www.lybrate.com/topic/malaria) test is negative usually it is better to avoid antimalarials. Please repeat the test from another [lab](https://www.lybrate.com/medicine/lab100-mg-tablet) if in doubt.
Also she will need a series of blood tests done if [fever](https://www.lybrate.com/treatment-for-fever) continue beyond 72 hours.