[48F] With irregular heavy menstrual bleeding and thyroid symptoms

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Hormonal Imbalance:

   • Thyroid Dysfunction: Given your family history and symptoms like feeling unusually hot or cold, changes in appetite, and weight fluctuations, thyroid issues such as hyperthyroidism or hypothyroidism could be contributing to your irregular periods and other symptoms. Thyroid dysfunction can cause menstrual irregularities, fatigue, and changes in metabolism.
   • Perimenopause: At 48 years old, you could be experiencing perimenopause, which is the transition period before menopause. This can cause irregular periods, heavy bleeding, and severe cramps.

2. Anemia:

   • Iron Deficiency Anemia: Frequent heavy bleeding can lead to anemia, which might explain your fatigue and lightheadedness. Donating plasma frequently can also contribute to lower iron levels, exacerbating anemia.

3. Other Potential Causes:

   • Uterine Fibroids or Polyps: These non-cancerous growths in the uterus can cause heavy menstrual bleeding and severe cramps.
   • Endometrial Hyperplasia: This is a condition where the lining of the uterus becomes too thick, leading to heavy and irregular bleeding.

What you can do

Irregular and Heavy Periods:

• See a Doctor: It's important to consult with a healthcare provider to determine the underlying cause of your symptoms. They may recommend blood tests to check your thyroid function, iron levels, and other relevant markers.
• Track Your Symptoms: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any changes. This information can be valuable for your healthcare provider.
• Manage Bleeding: Over-the-counter medications like ibuprofen can help reduce menstrual bleeding and alleviate cramps. However, consult your doctor before starting any new medication.

Fatigue and Lightheadedness:

• Iron-Rich Diet: Incorporate iron-rich foods into your diet, such as lean meats, beans, spinach, and fortified cereals. Vitamin C can help with iron absorption.
• Stay Hydrated: Ensure you are drinking enough fluids, especially if you are donating plasma frequently.
• Rest: Make sure you are getting adequate rest and not overexerting yourself.

Thyroid Symptoms:

• Monitor Symptoms: Keep track of any changes in your weight, appetite, and temperature sensitivity. Share this information with your healthcare provider.
• Consult a Specialist: If thyroid dysfunction is suspected, your doctor may refer you to an endocrinologist for further evaluation and management.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or Uncontrolled Bleeding: If you experience bleeding that soaks through a pad or tampon in an hour or less, seek immediate medical attention.
• Severe Fatigue or Dizziness: If you feel extremely weak, faint, or dizzy, it could be a sign of significant blood loss or anemia.
• New or Worsening Symptoms: Any new or worsening symptoms, such as chest pain, shortness of breath, or severe abdominal pain, should prompt immediate medical evaluation.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.