Doctors Lounge - Gynecology Answers
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Forum Name: Gynecology
Question: Extreme Fatigue After Two Pregnancies
|mmr21 - Thu Sep 18, 2008 12:20 am||
I had two babies about 18 months apart (2004 and 2006) and since then, I have experienced extreme fatigue and other symptoms. At first I thought it was from having two small children, but it never went away, and I was recently diagnosed with idiopathic hypersomnia after a sleep study and MSLT. I constantly feel like I did the first trimester of both pregnancies - extremely sleepy for no reason, severe fatigue that seems to be worse after physical exertion, mild nausea, and rapid swings in blood sugar if I don't eat something every 2-3 hours. Since the second baby was born I've also experienced joint pain (mostly knees and ankles), burning muscle pain (mostly back, shoulders and neck) and eczema/ dry skin issues that I didn't have previously (not sure if those things are related). My doctor (FP) did some basic blood tests (thyroid, prolactin, b12, rheumatology panel, kidney function, etc.) and didn't find anything. I've also taken steps to reduce stress (yoga, bi-weekly massage therapy,etc.) in case that was causing symptoms, but haven't found much relief (although the massages DO feel great). So my question is...is there some hormonal or other imbalance that could be causing these symptoms? I feel like I never 'got back to normal' after the pregnancies, and perhaps I'm deficient in something, making too much of something, etc. I'm otherwise healthy, physically active, in good shape, 5'6" /127 lbs. I don't use any hormonal contraceptive (I have a copper IUD) in case that's relevant. This may not be a gynecologic issue at all, but I figured I'd start here. Thanks for your help. :)
|Debbie Miller, RN - Tue Oct 14, 2008 11:26 pm||
I wonder if you might be suffering from chronic fatigue syndrome. Even though you noticed symptoms following the pregnancies, as you suggested, it may not actually be related but just coincidental, or perhaps the thing that brought you to this point in what was dormant before.
Other possibilities would include an endocrine disorder such as hypothyroidism or other glad problem. I would see a doctor for a general physical exam with labwork for thyroid function, iron, etc. Women in your age range are at risk for these conditions - either of which can produce symptoms like you have.
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