when was your last period?
when is your next period due?
are your thyroid levels normal at this point?
Any fever, nausea, vomiting?
this may be an ovarian cyst...and perhaps a hemorrhagic cyst. These can be very painful and it may take several weeks for the blood in the pelvis to be reabsorbed.
If you feel as though you are in sufficient pain to require pain medication you should consider going to the ER for an exam and ultrasound.
A rare, but possible condition is an ovarian torsion where the ovary twists on itself...that would be the main concern. That could be what's going on...just very early. If progression you typically see nausea, vomiting, fever..etc.
I'd strongly consider going to the ER tonight for the US.
right..so the principle is to try to shut down the ovaries to minimize the formation of cysts....in order to do that the medication has to be strong enough to suppress ovulation.
We typically use a birth control pill to do that.
Sounds like this cream isn't working anymore...or there is something else going on.
The thyroid was simply a question as it can interrupt ovulation. I don't believe this pain is related to the Hashimotos outside of potentially being reason for not ovulating and hence a cyst.
those all require hormonal manipulation.
and any medication...hormone, natural or synthetic have potential side effects...
it's just a matter of how it's explained.
that gets into somewhat of an argument between profressions.
'natural' hormones are usually plant derivatives where the absorption and effectiveness are not well predicted.
synthetic hormones have been evaluated, studied and approved by the FDA and the affects are well know. Now, I'm not saying that some of the phytoestrogens haven't...just as a general rule that's the case.
I understand where you're coming from...and you certainly are welcome.
It is terribly confusing.
Most of traditional Ob/Gyns do not treat levels....because 'low normal' might be fine for some women while others are not...and the same can be said for anywhere in the range. So we typically treat to symptoms.
And, if you're only talking about the hashimotos as the auto immune disease that can be fairly easily controlled in pregnancy. However, it's better after the hyperthyroidism passes and becomes hypothyroidism. It's safer to use the medications to replace the hormone than the medications used to prevent conversion.
ok...no. the thyroid medication is more important than the hormones.
now, there are two phases of hashimotos...a hyper phase then a hypo phase. if you are taking thyroid supplementation you are in the hypo phase.
as far as the autoimmune problems go, it's usually antibodies generated against the thyroid gland. And while there might be other underlying auto immune disorders...it's not for sure just because you have Hashimotos.
the hormones you are using and the reasons you are using them it's fine to take daily. Usually the break is so you can have a period.
I still think you need an ultrasound and probably pain medication.
Neither I can provide for you, which is the equally frustrating part of this type of format!
I wish you the best and hope you feel better soon!
thanks and please take the time to rate my service...or it might say 'accept'