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Questions worth asking at your next appointment

I wrote these for my own patients. Print the sections that fit your situation and bring them to any doctor — including me. A visit goes better when the right questions are already on paper.

— Dr. Zuleikha Tyebjee, MD, Board-Certified Family Medicine

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Hashimoto's & thyroid

Beyond TSH, will you check free T4 — and does my antibody history change anything?
Could perimenopause explain why I feel worse even though my thyroid labs are stable?
If I start estrogen therapy, when will you recheck my thyroid and adjust my dose?
How do you decide whether my weight change is thyroid, hormones, or something else?
What symptoms should make me call you rather than wait for the next lab draw?
Who is coordinating my thyroid care with my menopause care — you, or nobody?

Read my full page on Hashimoto's & thyroid →

After a hysterectomy

Were my ovaries removed, left in place, or partially removed — and is it documented?
If my ovaries were kept, how will we recognize menopause without periods?
Do I need a progestogen at all, given I don't have a uterus?
Given my age at surgery, what should we be doing about bone and heart health?
Does the reason for my hysterectomy change whether hormone therapy is on the table?
What symptoms in the next year would change this plan?

Read my full page on After a hysterectomy →

Early menopause & POI

Do my labs actually meet criteria for POI, or is this one borderline result?
Should I be tested for causes — autoimmune, genetic, or related to past treatment?
What's your plan for my bone density, starting when?
What estrogen dose am I on compared with what someone my age typically needs?
How does this affect contraception — and what if I still want a pregnancy?
Until what age do you recommend I continue hormone therapy, and why?

Read my full page on Early menopause & POI →

PCOS after 40

Given my PCOS, when were my glucose, A1c, and lipids last checked — and what's the plan for them now?
How will we recognize perimenopause in me, since my cycles were never regular?
Does my PCOS change which menopause treatments make sense for me?
Is my weight difficulty being treated as insulin resistance, hormones, or both?
Should my history of hormonal contraception change how we interpret my current symptoms?
What happens to my androgen symptoms — hair, skin — through menopause?

Read my full page on PCOS after 40 →

High blood pressure

Is my blood pressure controlled enough to add or continue hormone therapy?
Why this route — oral or transdermal — for my situation specifically?
How often should I check my blood pressure at home once we start, and what readings should worry me?
Could my menopause symptoms be contributing to my blood pressure numbers?
How do my blood pressure medications interact with anything you're prescribing?
If I lose weight, who adjusts my blood pressure medication — and when?

Read my full page on High blood pressure →

ADHD in midlife

Could my attention problems be new — or a lifelong pattern that finally ran out of cover?
How much of this could be sleep, and what would we fix first to find out?
Should my stimulant dose or timing change during perimenopause — and who decides, you or my psychiatrist?
Would treating my menopause symptoms plausibly help my focus, and what's the honest evidence?
Have we ruled out thyroid, mood, and the other mimics before adding any new label?
Who is coordinating between my hormone care and my ADHD care?

Read my full page on ADHD in midlife →

Blood clot history

Was my clot provoked or unprovoked — and how does that change my options?
Should I be tested for a clotting disorder before we discuss hormones at all?
Why would transdermal estrogen carry different risk than pills in my case?
Do you want a hematologist's input before prescribing — and if not, why not?
Which progestogen would you use with my history, and why?
If hormones aren't wise for me, what exactly is the non-hormonal treatment plan?

Read my full page on Blood clot history →

Migraine with aura

Is the estrogen rule you're applying to me from birth control or from menopausal therapy?
Does my specific aura pattern change which options are reasonable?
Why transdermal rather than oral, in my case?
Could my worsening migraines be perimenopause itself — and will they likely improve after?
How do my other stroke risk factors change this decision?
Will you coordinate with my neurologist before we change anything?

Read my full page on Migraine with aura →

After breast cancer

Which of my symptom options are compatible with my specific endocrine therapy?
For my oncologist: is low-dose vaginal estrogen a conversation we can have, and under what conditions?
Am I on the antidepressant that works with — not against — my tamoxifen?
What's the plan for my bones while I'm on an aromatase inhibitor?
Is my weight change after treatment something we treat medically, and how?
Who coordinates between you and my oncology team — and will you actually talk to them?

Read my full page on After breast cancer →

GLP-1s + hormones

Is there any reason my GLP-1 and my hormone therapy shouldn't be taken together?
Should my hormones be transdermal rather than oral while I'm on a GLP-1?
What are my protein and strength-training targets while losing weight — actual numbers?
Should my bone density be checked, given my age and weight-loss pace?
Which of my other medications need watching as my weight drops?
Are you managing both prescriptions — or am I the only person who sees the whole picture?

Read my full page on GLP-1s + hormones →

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This page is general education, not medical advice, and printing it creates no doctor–patient relationship. Treatment decisions are made during an appropriate clinical visit.