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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Night Sweats, Snoring, Itchy Skin On Arms, Legs, Restlessness In Legs, No Periods. On Sertraline And Omeprazole. Pre-menopausal Symptoms?

I am 38, overweight and a smoker, I do not drink alcohol, I am on sertraline 20mg and omeprazole 20mg. For the past few months I have been having night sweats where I wake up wet through! I have also began snoring quite badly, I have itchy skin on my arms and shoulders at night and terrible restless legs. For the first time ever ( other than when I was pregnant ) I have completely skipped my period. I am deffinately not pregnant! Could I be pre menopausal?
Tue, 10 Jul 2012
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General & Family Physician 's  Response
Hi,
Thanks for writing in.
Yes, you could be pre-menopausal. That is definitely a possibility we need to consider. We would need an ultrasound of the pelvis and a FSH, LH and estrogen level.
This can also be due to simply anxiety and if you are receiving sertraline for this, then probably you need a higher dose or need to switch to another drug
Hope this helps
Regards
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Allergist and Immunologist Dr. Sujoy Khan's  Response
Hello,
Just skipping one period is sometimes normal, but pre-menopausal is on the cards although a bit early.
A raised (rising) FSH & LH level will confirm this but will need to be repeated at a later stage.
Ultrasound pelvis may also be necessary.
The rash that you are describing could be secondary to the sertraline, so you could either stop this or get a prescription for long-acting antihistamines for 4-6 weeks (fexofenadine or cetirizine).
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Night Sweats, Snoring, Itchy Skin On Arms, Legs, Restlessness In Legs, No Periods. On Sertraline And Omeprazole. Pre-menopausal Symptoms?

Hi, Thanks for writing in. Yes, you could be pre-menopausal. That is definitely a possibility we need to consider. We would need an ultrasound of the pelvis and a FSH, LH and estrogen level. This can also be due to simply anxiety and if you are receiving sertraline for this, then probably you need a higher dose or need to switch to another drug Hope this helps Regards