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What causes insomnia, mood swings and hot flushes?

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Posted on Mon, 21 Jul 2014
Question: I' m a 34 year old female who had a total hysterectomy when I was 28, I still have both ovaries. Lately I have been very moody, have insomnia and usually I'm cool most of the times but have been having spells of very flushed face and getting hot. I had my estradiol level checked and it was 25. Please explain what this means.
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Answered by Dr. Aarti Abraham (2 hours later)
Brief Answer:
PLEASE UPLOAD REPORT.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Basically your symptoms are those of peri menopause / menopause.
Can you upload the report, as various laboratories measure estradiol in different units and have varied normal and abnormal ranges.
By looking at the report, I can tell you the inference.
Looking forward to hearing from you.
Take care.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Aarti Abraham (8 hours later)
Here are the results. Do i need to be started on a low dose hormone?
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Answered by Dr. Aarti Abraham (32 minutes later)
Brief Answer:
HORMONES SHOULD BE STARTED, GET FSH AND LH DONE.

Detailed Answer:
The report is indicative of diminished levels of hormones in your body, that is, peri menopausal symptoms.
This can be further confirmed by measuring FSH and LH levels.
To answer your question, yes, if your symptoms are severe and unmanageable, low dose hormones should be started.
Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Aarti Abraham (1 hour later)
I had the FSH done and it was 6.2 which is normal. So im really confused on how one can be low and the other normal. Please explain. Really confused. Thank you
doctor
Answered by Dr. Aarti Abraham (10 minutes later)
Brief Answer:
MECHANISM OF HORMONES EXPLAINED.

Detailed Answer:
Hello
I understand your confusion, it is only natural.
Let me try and explain.
FSH is follicle stimulating hormone, it is the hormone secreted from the brain to drive the ovaries to produce estrogen.
Now, when estrogen is normal in the body, FSH is normal.
When estrogen supply fails, when ovaries start getting inactive, the brain senses the need to push production, thereby increasing FSH levels.
THus, first estrogen levels fall, and then, as proper menopause sets in, FSH levels go way beyond high, as the brain over secretes FSH to try and stimulate the ovaries, which are now inactive, irrespective of high FSH levels.
So you are in the early stages of menopause, and after a few months, FSH levels would also rise and fit in with values in the menopausal range.
Take care, hope this helps
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6010 Questions

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What causes insomnia, mood swings and hot flushes?

Brief Answer: PLEASE UPLOAD REPORT. Detailed Answer: Hello Thanks for writing to us with your health concern. Basically your symptoms are those of peri menopause / menopause. Can you upload the report, as various laboratories measure estradiol in different units and have varied normal and abnormal ranges. By looking at the report, I can tell you the inference. Looking forward to hearing from you. Take care.