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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hot Flushes Post Hysterectomy In A Woman With Multi Nodular Goitre?

I am constantly feeling hot and cannot tolerate heat. My face feels like I have a fever all the time. I had a total hysterectomy 5 yrs so. I also have a multi nodular goiter. Last tsh was .8 my current dr told me to start drinking soy milk maybe that will help. What do you think could be wrong?
Thu, 21 May 2020
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General Surgeon,  's  Response
Hello,

As per my clinical experience, hot flashes after total hysterectomy (which involves both of the ovaries ) is surely related to estrogen deficiency most likely. As the latest thyroid stimulating hormone report is of 0.8, there can be borderline alteration in thyroid hormone levels as well, which requires evaluation wit free T3 and free T4 for further correspondence. The issue sounds to require hormone replacement therapy with correction of thyroid status if any alteration in thyroid hormone levels as well.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Hot Flushes Post Hysterectomy In A Woman With Multi Nodular Goitre?

Hello, As per my clinical experience, hot flashes after total hysterectomy (which involves both of the ovaries ) is surely related to estrogen deficiency most likely. As the latest thyroid stimulating hormone report is of 0.8, there can be borderline alteration in thyroid hormone levels as well, which requires evaluation wit free T3 and free T4 for further correspondence. The issue sounds to require hormone replacement therapy with correction of thyroid status if any alteration in thyroid hormone levels as well. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon