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Can Hypothyroidism Lead To Fatigue?
Question: 50 and female, hysterectomy in 2009, no oophorectomy. For the past week, I've been in a flare up for Chronic Fatigue. If I force myself out of bed, I will soon start yawning, and my coordination goes out the window, I'm noticing a reliance on autocorrect on my computer, and when the fatigue/exhaustion takes over, my eyes will literally cross from the effort to stay open and focus. Since Christmas, I've had the respiratory flu, sinus infection with plugged painful ears, and dealing with seasonal allergies. I take armour thyroid for hypothyroidism, medroxyprogesterone for endometriosis control, citalopram for anxiety and depression, Tramadol and Meloxicam for spinal arthritis and DDD and a few other arthritic joints. I also have sleep issues and take Melatonin to make my brain quiet. Really tired of being tired and basically feeling like this.
Thank you and I will forward this to my individual doctors.
Thank you and I will forward this to my individual doctors.
Brief Answer:
Causes of fatigue
Detailed Answer:
Hello,
There are few things that have to be considered in your case for the fatigue you are experiencing
-Hypothyroidism: Since you are on thyroid supplementation, inadequate supplementation can cause fatigue.
Even if you have been on the same dose for long periods of time, dose requirements can change from time to time. T3, T4 and Tsh evaluation can assess thyroid status.
Thyroid requirements can increase during the time.of illness like flu, sinusitis etc.
-Depression: Worsening Depression can present as fatigue. If that is the cause the dose of citalopram needs to be adjusted or switched to another antidepressant.
-Nonfunctioning ovaries: Since you are around menopausal age, your ovaries must have likely stopped producing estrogen which can contribute to fatigue. LH/FSH levels, serum estrogen levels will assess the function of ovaries.
Detailed physical and mental evaluation, Hb levels, complete metabolic profile, Thyroid function test, lh, FSH levels and estrogen levels are recommended at this point.
Please be advised to follow up with your primary care provider for necessary evaluation. It is difficult to give you a definite answer right now without the detailed evaluation.
Hope I have answered your query.
Take care
Regards,
Dr Lekshmi Rita Venugopal, General & Family Physician
Causes of fatigue
Detailed Answer:
Hello,
There are few things that have to be considered in your case for the fatigue you are experiencing
-Hypothyroidism: Since you are on thyroid supplementation, inadequate supplementation can cause fatigue.
Even if you have been on the same dose for long periods of time, dose requirements can change from time to time. T3, T4 and Tsh evaluation can assess thyroid status.
Thyroid requirements can increase during the time.of illness like flu, sinusitis etc.
-Depression: Worsening Depression can present as fatigue. If that is the cause the dose of citalopram needs to be adjusted or switched to another antidepressant.
-Nonfunctioning ovaries: Since you are around menopausal age, your ovaries must have likely stopped producing estrogen which can contribute to fatigue. LH/FSH levels, serum estrogen levels will assess the function of ovaries.
Detailed physical and mental evaluation, Hb levels, complete metabolic profile, Thyroid function test, lh, FSH levels and estrogen levels are recommended at this point.
Please be advised to follow up with your primary care provider for necessary evaluation. It is difficult to give you a definite answer right now without the detailed evaluation.
Hope I have answered your query.
Take care
Regards,
Dr Lekshmi Rita Venugopal, General & Family Physician
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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