My labs came back and my T3 and T4 levels were damn near perfect. That same night I had devastating hot flashes. At 2am I emailed my doctor, saying that I had seen my lab results and knew my thyroid levels were good, but was still getting crazy hot flushes pretty much all day long. Since the hot flushes started with the other thyroid symptoms (and since Dr. Google confirmed hot flushes were a symptom of hyperthyroidism), I assumed they were caused by the hyperthyroidism and felt frustrated that they had not resolved. I explained I was emailing before she checked in with me about the lab results because I was leaving for a trip on Friday, and didn’t have a lot of time to communicate with her before then.
There were other reasons I assumed the hot flushes were associated with my hyperthyroidism. Not only did they start with the other symptoms, but after four weeks of taking the thyroid medication they had all but vanished. It was only when I halved the dose that they returned. Also, I had seen other lab results suggesting I was fully menopausal (post-menopausal?), but I thought hot flashes were something you got ON THE WAY to menopause – that they were a perimenopausal symptom I should be done with by now.
Bwahahahahahaha! Silly me.
She called me back this afternoon. We decided to go down to 2 pills of my thyroid medication instead of 3, so not entirely halving it like we did before (I appreciated that because splitting the pills was pretty much impossible). Then we talked hot flashes.
She confirmed I am in menopause. This felt revelatory, because it feels like a statement doctors are unwilling to make about me, I assume because I’m in my mid-40s and my wonky reproductive system denies me the signature guidepost (twelve months without a period). I must say, I was really appreciative of her just flat out saying it.
Then she explained that 44 was young to be fully menopausal. She said that our bodies were designed to have those cycle hormones until the age of 50 (or around there), and it wasn’t great for my heart, brain and bone health to be without estrogen for so many years.
I admitted that I had read the same thing, but that my OBGYN had dismissed my concerns, saying that if I were in my 30s she’s push HRT, but not in my 40s. Now, to her credit, I was solidly in perimenopause at the time and perhaps she thought I’d hang out there for the rest of the decade. I’m not sure what she would say if she knew I was menopausal now, just shy of 45.
My endocrinologist explained that she is certified (this may be the wrong word) to treat menopausal women, and had just been to a conference about it two weeks ago. I was thrilled to hear this, as I have always felt my OBGYN (who I otherwise really like), has been somewhat dismissive of my concerns around the effects of being in perimenopause so young (osteoporosis is something I’m especially worried about) and I appreciated being able to talk to someone else about it.
I voiced my concerns around my mental and emotional health on MHT, citing mood swings and a general inability to manage my emotions during previous stints on birth control, and she assured me that the dose she was suggesting was less than anything I would have received with birth control. She even offered to start me on an even smaller dose, but when she mentioned that the full dose would probably resolved my hot flushes in a matter of days, I said, I’ll start with that.
So tomorrow I’m picking up Estrogen patches to wear for three day intervals (but always I believe) and Progesterone pills to take at night. The progesterone might even make me sleepy?! What a lovely side effect that I would embrace enthusiastically.
I have to admit, I’m still a little shell shocked that I am doing this. I was convinced the hot flushes were a symptom of my hyperthyroidism and not menopause (and she said they could have been triggered initially by it, or the Graves Disease might have been connected to the menopause or something else because our female bodies are not even remotely understood by Western medicine – emphasis mine, she worded it more diplomatically) and I’m still a little shocked that I’m taking this step. But! I appreciate her response to me being fully in menopause by 45 (is this post menopausal, I’m so confused. If perimenopause is what you experience leading up to menopause but post-menopausal is when you’re definitely in it, is menopause a thing you even experience? If so when?)
Anyway, I’d love to hear about people’s experiences with MHT (Menopause Hormone Treatment)/HRT (Hormone Replacement Therapy). Why did you take it? What did you take and for how long? If you’re no longer taking it, what are your thoughts in hindsight? I guess I’m just wondering what your experience had been, if you don’t mind sharing it.























