thanks for asking. few questions Do you have headache/associated loss of vision/associated nausea and vomiting/ difficulty in seeing side objects? *Any loss of chest hair/ sexual hair-axillary or pubic/ any erectile dysfunction or amenorrhea? *Any history of postural dizziness/recurrent low BP / recurrent admission for low sodium/ increased tiredness? *Any history is goiter/constipation/ facial edema/leg swelling/slow mentation/ memory loss/dry skin/ yellowish tinch of skin? *Any milk like secretion from breast/ infertility/ no periods? Any thigh or arm muscle weakness/ hump in the back/ moon face/ any reddish pink marks on stomach towards the side - not referring to stretch marks? *Do you feel like your hand or foot size is increasing/ your nose is becoming bigger/ changing dress size? *Associations Any history of bone pain/ abdominal pain/gastritis/constipation/depression/renal stones Have you checked your eyes? that s just the beginning of ovarian insufficiency. first estrogen gets low then FSH gradually increases.