Menopause Matters Forum
General Discussion => New Members => Topic started by: JoRicho on July 26, 2015, 10:20:38 AM
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Hi, please help, 2 yrs post surgery meno via bi lat spalpandectomy (yes I have read the website a bit! to say the least) but now I need to ask a question, crashing fatigue WHAT DO I DO? I am on tibalone which is great for me, I have thyroid [under +75mg daily] but so knackered every night, some nights after work come home and just want to go to bed but try not to, some nights in month not too bad {poss old cycle??}, but not a active and therefore the weight is going on and on and on!! and NEED to get rid of some, so thinking more energy feeling MAY = more exercise therefore hopefully more weight loss and a better life, smaller clothes or wearing some I already have. So ideas please ladies, see my Doctor this Wednesday and he said tell me what you want, so HELP PLEASE any idea taken seriously I promise, thanks in advance. Fed up of Rotherham. xx
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Crashing fatigue is the pits! I'm lucky I don't work as I'd never have coped. Even normal everyday things can leave me exhausted, but I can give into it & have a nap. However, I did try & push myself to do things, still have to on occasion.
Tell your doctor about the crashing fatigue. Maybe he could give you something to make sure you get a decent night's sleep. Mine did that a number of years ago. I went to see him about something else totally unrelated & he said I looked completely shattered, which I was. I got a course of Amitriptyline, which helped loads & I was able to come off them successfully too.
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that's quite a low dose of thyroxine, are you sure your levels are well balanced. Just a small degree out can make you feel terrible, I know from experience. My dose has to be checked quite often and if I am under stress of any kind I need to up my dose for a few days.
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Hopefully things can only get better. Thyroid before meno and just checked and changed down!! from 100mg, will ask about amitrip as had before. Any more options please keep adding ladies.
Thanks
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:welcomemm:
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Hi, thanks for the welcome. x
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Hi JoRicho
Hopefully your Dr will be to suggest something when you see him, perhaps tweak your thyroid meds?
I have big problems with fatigue, I have MS, it comes with the territory. Now don't hit me, but what helps me with fatigue is gentle exercise. I stress the gentle and being very careful to to do too much. Counter intuitive I know, but it really helps.
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its ok exercise is not a dirty word in our house just a bit difficult at times, going back to swimming in 3 weeks when my gym membership expires not sure if it will expire first or or I will, not sure sometimes, but will keep trying with it. Any medication helps?
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When I was working, my neurologist put me on Prozac to liven me up. It didn't work for me, I got really ratty, oh and couldn't sleep. The not sleeping wasn't especially helpful given we were trying to sort fatigue out in the first place!
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thanks will watch out for this, ratty enough as it is!! Seeing Neurology soon for something else so will ask them also. Keep it coming ladies it is all helping, it really is making me feel better on the inside that I am not the only one suffering out here.
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Hi JoRicho
:welcomemm:
Sorry to hear about your fatigue.
I haven't heard of splapandectomoy and it doesn't come up on Google - do you mean salpingectomy? Sounds more like it I think? If so you will have been plunged into surgical menopause so you won't have a cycle any more at all if no ovaries (as far as I understand).
I agree with babyjane about the thyroid - I certainly wouldn't go rushing out to get extra meds (such ADs or sleeping pills) to deal with the fatigue when it sounds like a hormone problem. Some oral HRT also intereferes with thyroid meds although Tibolone isn't quite the same type of HRT as the others.
You haven't said how old you are but I would suggest trying a different HRT - especially if you are still youngish - which would actually replace oestrogen properly - but then you would need to take a progestogen too. A transdermal ( ie patch or gel) preparation might be better if you are on thyroid meds. I would also get your TSH and T3 etc (whatever they normally measure) levels done regularly.
The other thing is tibolone is very low dose so it probably isn't nearly enough oestrogen replacement after sudden menopause - many members in your position seem to need much higher doses than this. However the fatigue and weight gain really does imply thyroid out of balance so I would start with this and maybe later change HRT too?
There is a lot of info about the different types of HRT on this site (under Treatments/HRT preparations - top menu) which I expect you've found but do ask if we can help any more.
Hurdity x
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Having more tests wed am so will update, thanks all for info will keep on, keeping on.
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the trouble with thyroid tests is that if they are requested by a GP only the TSH will be done and the T4 and T3 will not be done unless the TSH shows a problem. In order to get the T4 and T3 readings the tests have to be requested by a consultant. When I asked why I was told it is down to the cost of the individual tests >:( .
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Hi and welcome
You have been given great advice already and I can relate to crashing fatigue
Karma well and truly hit me hard as I was (and still am) a believer that energy does create energy BUT crashing fatigue is different ! It got me bad, it's not just tiredness, I feel like I've suddenly been drugged, or like I've been given GA and I'm fighting it, sometimes it's a soothing nap I go into but sometimes it's a scary one, like I'll not wake up! I can't describe it any other way, and when it happens I have to ride with it and my vision goes terrible (double/extra extra blurry)
It's less frequent for me these days but still on a weekly basis, and i think it may be due to introducing supplements, iron , all the Bs, with extra B12, and C&D.
I'm sure I read thyroid fluctuates a lot during this phase of our lives
I have neurological symptoms coming out lately and GP has referred me to see a specialist, I live in hope that something (treatable) suggests why I get this fatigue but I don't hold my breath, as it's such a difficult set of symptoms and so many reasons for them
I hope you get to the bottom of it
Low estrogen is never the reason for me as I've been on maximum dose since my hysterectomy 16 years ago at age 32
Annie xx
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I remember my Mum sitting down suddenly and dropping off to sleep, selfish teen that I was it made me really angry and quite worried. Then crashing fatigue hit me and I understood.
Get the Thyroid function tests done, all of them. That will give you a base-line from which to work. Let us know how you get on.
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I was warned by my endocrinologist that when I hit menopause it would be harder to keep my thyroid levels stable and that has been the case especially over the last 18 months but things do seem to be settling down a bit better now :)
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So maybe your GP should refer you to an endocrinologist Jo? One to talk over at your next appt.
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brill thanks all keep them coming I am feeling much better than I did this morning and it is all down to you lovely ladies, now really looking forward to seeing my doctor this week not dreading it, looks like its going to be a try it and see but any body else out there please give my your thoughts, ideas, suggestions all welcome. thanks again ladies. It is now more of a :) than a :( that was this morning. x
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Make a list to take. Symptoms, diet, thyroid blood tests to include …….. ;)
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CLKD you may have hit the nail on the head as the saying goes, will defo ask, oh boy is my doctor going to hate me!! Armed with knowledge and fire, I will get sorted!!
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thanks all got to go, sort tea and stuff out will check in later, thanks again no tears tonight. x
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Problem shared and all that: It helps to talk etc. ;)