Worrying blood results

[AllGoodNamesRGone]

Hi all
I came here as I don't really have anyone to talk to, my DH is sympathetic but I guess he just doesn't really understand 🙃

I went to the GP because I have been having symptoms of night sweats, brain fog (so much so I just can't cope with my job), very low mood, exhausted all the time, headaches and erratic periods as in heavy for two weeks, then light for two days - last one being 7 weeks ago after being regular all my life.

I have had my bloods done, which I can view on my records and my gonadotropin (FSH & LH) is abnormal and high, B12 is abnormal, ferritin and folate abnormal, Cortisol borderline and the rest borderline with TSH satisfactory.

I know I am not a medical professional and need to see the GP. But I just can't go on feeling like this. I am pretty sure this is perimenopause and feel the sooner I start HRT I can start to move on. But I also feel that I will see the GP and they will just make me have more/other tests and I could go on like this indefinitely. It is affecting my work (I'm now on sick) and my mental health.

I saw a GP last year with some of the above symptoms (barring the periods this has only just started in the last 6 months) and was told I was too young for menopause and it won't be that. I'm 44.

Just looking for some knowledgeable advice really so I feel more informed before going to the GP.

Thank you for reading.

If you put your cortisol etc up I can check.
Have any been actioned?
Your B12 and ferritin are on the low side but Hb normal.

Being blunt and to the point @AllGoodNamesRGone , I'd ignore the blood tests (apart from asking for another look at your ferritin in case you are anaemic.)

The advice on all the other results is just complicating it all.

Just go to your GP again and insist on trying HRT.

They don't even do blood tests once you're over 45 so you're almost there anyway and a few months isn't going to make a jot of difference.

Try HRT but also ask for your blood to be tested again for anaemia.

Some of the results here are useless as they weren't done at the right time anyway.

Just to point something out - it’s very important that if your cortisol is low enough to warrant further testing (see my link further up) that you DO NOT start HRT before this is addressed as the oestrogen in HRT (all types despite what you may read) will falsely elevate the cortisol result making it completely unreliable. They will want you to be off HRT / oestrogen for 6 weeks prior to any further cortisol tests so don’t start it now if this is an issue.

Cortisol, liver function, urea and electrolytes and bone profile borderline too.

Results aren't listed as borderline usually.
They are either normal or abnormal.
Even if they are at the lower end of normal, they are normal. It's a range.
(I know there is some debate over ferritin and thyroid.)

Were these ones above flagged up as needing some kind of intervention?

Agree. A few need interpretation but in general if they are normal they are normal.
If you want to post them feel free.

Cortisol was 223 nmol/L
Blood test taken at 9:15am

Also want to add for those who mentioned 'borderline' results. I'm not saying this myself, it is what the doctor has added to the notes. Please see pic.

On all the results it either says 'Abnormal speak to GP/arrange appointment' or 'Borderline (other keep appointment with GP)' or 'Normal no further action'

The keep appointment with GP as arranged was the follow up already booked before bloods were taken.

Thank you all. Really appreciate all the replies. I don't have the brain capacity at the moment to reply individually but you've all been helpful and armed me with more knowledge than I had before.

223 is not borderline. It is abnormal. See the NICE guidelines I posted before. Many NHS trusts do not realise a morning cortisol result needs to be around 450 - not the standard 160 to 450 for the rest of the day. It is time specific. They need to refer you to endocrinology for an sst test. Google this.

https://www.addisonsdisease.org.uk/what-is-addisons-disease

Sorry for the mutiple posts - also want to point out that premature oestrogen deficiency is very common in women with adrenal insufficiency and this would also explain some of your other issues. I was diagnosed with Addisons at 36 and stopped producing oestrogen completely aged 37. This is common in the support groups I’m in.

You're menopausal, HRT will fix much of it.

That's abnormal.
For those of us who are fifties you can post a pic of the actual bone profile LFT etc if you wish.

HCP/s Drs

The average age of progesterone beginning to drop is 35 so god knows why your GP is acting as though its unusual for a woman in her 40s to be experiencing peri menopausal symotoms
That aside, if not peri menopause what Is their explanation for your symptoms or proposals to further investigate what is causing it?