Hello, I am happy to try and help you with this question.

So the symptoms that you are describing include:

1. breakthrough spotting
2. check tightness and breathing difficulty
3. dizziness
4. headaches
5. heat / cold intolerance

This is all in the setting of age 39, elevated FSH, and a history of endometriosis - just to summarize.

In terms of the attempts at conception, your age, endometriosis, and FSH are definitely issues, and it sounds like you are going to go through IVF which sounds like a decent idea. There are a combination of factors that are at play that are reducing your chance of conception and this will probably work for you. Regardless, though, you need to check a pregnancy test to make sure that this does not explain some of you symptoms.

With regard to you other symptoms, I know that you are thinking that this might be related to undiagnosed thyroid disease. If this has not been checked within the last 6 months, then it needs to be rechecked.

With regard to symptoms #2-4 above, though, this all might be normal, but it all might point to something else completely unrelated to fertility, such as heart disease, lung disease, etc. What you need to do is to go in to an XXXXXXX Medicine doctor and have the perform an exam and discuss testing to determine the cause of some of these other systemic symptoms that are hard to explain as a GYN cause since you have had an otherwise normal workup.

I am sorry that I cannot completely answer your question, but perhaps this gives you some direction. If you have more questions, please ask! Please don't forget to rate this question!!

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The elevated FSH is related to a drop in ovarian function. It is unlikely that this is related directly to thyroid disease. With thyroid disease, you can have irregular cycles, but this is related to not ovulating, NOT related to a drop in ovarian reserve.

The endometriosis is completely unrelated to all of the above. It is related to endometrial cells from the lining of the uterus going to an area where they do not belong and causing pain with your cycles.

The bleeding between periods should be evaluated with an ultrasound to rule out polyps within the uterus. Otherwise, it usually is best controlled with birth control pills (which might not be your best choice if you are trying to get pregnant)

I don't believe that the vitamins are related to your abnormal bleeding. Abnormal uterine bleeding is likely related to either irregular ovulation or some anatomical changes, like polyps.

I hope this helps!

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