QuestionI am a 25 year old female who is having issues with extreme fatigue, weight gain, pain during and after intercourse, and I no longer have any control over my body temperature or when my body decides that it is time to start crying.
I had some labs done at the pain management clinic where I work but the doctor I work for seems to busy to be bothered by the results.
My Estradiol was around 24, and my Cortisol was just over 40.
I am just looking for some advice on what this could be and what kind of specialist I should see.
AnswerHello Rebecca from the U.S.,
At this point, I would recommend that you go see an endocrinologist. Neither of the tests you cite are abnormal, but the cortisol level actually has to be checked in a certain way, not just a random draw. Your endocrinologist can check all your hormone levels and see what is going on. It sounds like it could be a thyroid problem. In terms of the pelvic pain, that is a different issue. I would see a gynecologist for that problem. I would not rely on the gynecologist for the fatigue, weight gain, emotional lability and body temperature. That is out of their field.
Good Luck,
Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
Monterey, California, U.S.A.
for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf, and follow me on Facebook at http://bit.ly/9Iw9oV
