Additionally, removal of the ovaries involves loss of sex drive, lowered resistance to infection and extreme fatigue. After a tubal ligation patients experience PMS symptoms due to the blood supply being altered to the ovaries. Patients can feel normal on natural progesterone therapy Treatment of Perimenopause Perimenopause is defined as the years leading up to menopause usually beginning in the early 40's. The progesterone level has declined but the estrogen level has not and is still functioning. This causes a condition of estrogen dominance.
Patients can feel normal on natural progesterone in the two weeks before the period.
Treatment of Wilson's Syndrome Wilson's Syndrome is the inability to convert T4 to T3. Patients are treated with a timed release T3. Patients can feel normal on timed release T3 and no longer experience the symptoms of hypothyroidism. Measures can be taken to arrest bone loss before it becomes too severe.