Hello! Thank you for asking on HCM! I understand your concern, and would explain that your symptoms seem to be related to a hormonal imbalance and anxiety. It seems you are having the menopause like symptoms. I would recommend consulting with your attending physician for a careful physical examination, a resting ECG, and some lab blood tests: - complete blood count - fasting glucose - thyroid hormone levels - sex hormone levels - kidney and liver function tests - blood electrolytes. An abdominal ultrasound should be done to examine better your uterus and ovaries. I would also advise to closely monitor your blood pressure different times during the day. Meanwhile an anxiolytic like alprazolam for a short period would help relieve your symptoms. Hope to have been helpful! Feel free to ask any other questions, whenever you need! Best wishes, Dr. Iliri