Hormonal Replacement Therapy Questions

Hello, thanks for the query.
I have seen the details mentioned. However, few important things are not given like: 1)current tsh, t3 & t4 levels. 2) lh, fsh & testosterone levels (if not checked, please get them done). 3) lipid profile & 4) an ultrasound examination of ovaries. These will help in identifying if there is pcod or not.
In hypothyroidism some times prolactin levels do go up. But if the levels are too high, then need to be treated with a specific drug for that.\further in pcod...more

Mr. lybrate-user, thanks for the query.
I have seen the details mentioned. However, those are very non specific. There is a need to know actual tsh & t3 & t4 levels, without which no comments can be made. So please come back with specific details. Thanks.

If you can control it willfully by increasing will power, nothing greater than this in you. You have to follow little yoga, pranayam and meditation. It will change your viewpoint. Moreover there are pacifying herbs too to balance your tridoshas which will curtail pseudo attractions.

You need to wait till atleast 14 days after stopping the tablet. Also try to reduce your weight, your periods will regularise.

Depends upon the hormones which secrete during the particular that if you don't want have androgenic component you need to maintain lifestyle modification and also we should have a proper sleep pattern.

There is no way to predict that. You can however, decrease the chances by maintaining your weight in the normal range with a healthy lifestyle and diet.

Dear please get hormonal tests done and revert reports
tests to be done are lh fsh prolactin testosterone tsh and estrogen.

Both mirtazepine and venalafaxine are good options but it depends on your age and comorbidities, details of which need further clarification. I will go for starting only one drug after finding out which will be most appropriate in your condition.

You can discuss changing mirtaz to bupropion or an ssri. Less likely to increase cholesterol facts do not increase. Mirtaz sometimes can increase cholesterol.

You need proper treatment for your depression as long standing depression can hamper your diabetes treatment.