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[sheila99]

I would see what your oestrogen levels are first, you're lucky they're testing it, my gp won't. If they're low tackle the gp again, there's no reason they can't prescribe 4 pumps themselves. But do see if utrogeston is the problem. I have waited 2.5 years for a meno clinic appointment though I think most are 12-18 months.

[StrictlyFan]

OK my blood test results are in. I would appreciate any feedback.

Serum Oestradiol levels 1118 pmol/L

Serum Testosterone 0.39 nmol/L

Serum free T4 15.5 pmol/L

Serum TSH 1.99 miu/L

I also had a whole list of other blood tests for Iron to Vit D to full blood counts. They have all come back satisfactory.

So, I'm at a complete loss as to why I still suffer from insomnia and periods of crushing fatigue.

Any ideas??

[SundayGirl]

Don't rely on GP's telling you that bloods are satisfactory. They may be in range, just, but they'll be marked as ok and not flagged. Please make sure you always get a copy of your results.

Assuming usual NHS ranges, try to aim for

Vitamin D - 100
B12 - 500+
Folate - towards top of range
Ferritin - 100

Low levels of any of these can lead to fatigue.