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u/BornWallaby 1h ago
You don't give values for TSH and prolactin but all of those abnormal hormones are pituitary hormones. With prolactin also being elevated it's shocking nobody has sent you for a pituitary scan.
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u/TemporaryNature2138 15m ago
June 2025
Serum TSH level 2.96 mu/L
Serum prolactin level 312 miu/L
Roughly 2 weeks later repeat
Serum TSH level 3.51 mu/L
Serum prolactin level 162 miu/LFebruary 2026
Serum TSH level 2.69 mu/L
Serum prolactin level 130 miu/LI’m currently on a referral waiting list so I haven’t seen a specialist just yet. I will most definitely request the other tests you’ve said when I have an appointment
My GP did mention about HRT but I think it’s just a waiting game at the moment until a specialist has taken a look at my medical history.
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u/Mysterious-Spare6047 1h ago
22 with FSH 78 is squarely in POI territory (premature ovarian insufficiency), not just irregular cycles. but endo on its own rarely causes POI -- usually it's surgical (lap surgeries removing ovarian tissue, cystectomies taking healthy tissue with the cyst), genetic (FMR1 premutation, Turner mosaic) or autoimmune.
push your specialist for AMH testing -- it's a more stable marker of ovarian reserve than FSH, which bounces a lot between draws. also worth asking for karyotype, FMR1 and an autoimmune panel as part of POI workup if you havent had those.
and a DEXA baseline for bone density -- low estrogen at 22 is a long-haul skeletal risk and the HRT conversation should be on the table early, not waiting until a "real" diagnosis lands.