hot flashes, hair loss, fatigue perimenopause

Hello,

I'm 48 and in the perimenopause stage. I am really struggling right now, so would really appreciate any help I can get.

Below is the history and breakdown of current symptoms. Thank you so much for reading.

Anu

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Brief history: On medicine for hypothyroid. Major troubles began in january 2021 with excessively heavy bleeding leading to anemia. In September '21 I got a d&c. In December '21 I got hot flashes, which went away in January '22. I've had about four periods in the last twelve months, varying from heavy to scant. Last period was two months ago.

Since the last month, July '22:

1. Hot flashes returned. Mostly dry heat, some sweat that tends to smell sour. Flashes are any time in the day or night. Heat and sun makes it worse. Emotion makes it worse. Fresh air feels better. Flashes begin in the chest and radiate upwards and out through the arms and hands. Most frequent in the early hours, though present during day as well. Hot flashes alternate with feeling chilly.

2. Sleep is very disturbed. Do not feel rested in the morning. Big energy dip by afternoon.

3. Hair loss. Hair drops from head in diffuse pattern. If I run my fingers through my hair I come away with many strands. Hair on pillow on waking in the morning. Even light combing results in more hair fall than usual. Scalp feels tender and itchy with small bumps in places. Tendency to dandruff.

4. Fatigue, mental fog. Difficulty concentrating on mental tasks. Feel tired all the time. Too tired to exercise.

5. Skin on face is reddish, rough around nose and cheeks, prone to breakouts. Eczema breakouts on shins. Vaginal dryness. Dry eyes, dry skin overall.

6. Feel uncomfortable in tight clothes, can only wear light, loose pure cotton.

7. Emotions: quick to tears, quick to upset. Worry a lot, like life has passed by and I don't have ability to cope with daily pressures. Feeling of depression.

8. Get constipated very easily. Cannot tolerate heavy food. Burning point of pain in stomach area just under the ribs. Cannot lie on right side at night because acid comes up.

9. Urinary symptoms also present with post-void dribbling.
[Edited by imisanon on 2022-08-23 02:07:10]