Prolonged Hypotension in Medicine / Internal Medicine — 32yo Woman | Endocrinology | SMLE Q#17589

SMLE Question #17589

Medicine / Internal Medicine Endocrinology

Objective: OBJ-ADDISON-DOSE-1

Last updated: February 2026
Three months after delivery complicated by massive postpartum hemorrhage with prolonged hypotension, a 32-year-old woman has fatigue, cold intolerance, constipation, inability to lactate, secondary amenorrhea, and decreased libido. Examination shows dry skin and delayed relaxation of deep tendon reflexes. Laboratory results suggest hypopituitarism. Before starting levothyroxine, what is the most appropriate approach to assess and monitor her thyroid status?

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