Hello. My Fiancé Is Turning 40 This Yr. She Recently

hello. my fiancé is turning 40 this yr. she recently has some minor health issues that lead to the discover of some lumps and nodes on her thyroid... aver the last six to nne months she hass experienced several changes in her physical, emotional, and mental life... she has grown more depressed, she has been tired non stop for months, regardless of the amount of sleep she gets, she has been frequently constipated, she has had unexplainable mood and decision making swings that are very extreme.. she has began experiencing cramps and severe discomfort in her left sdide of her abdomen and in her lower chest below the breastbone.. these cramps and pains typically are stimulated by intercourse, but continue for a day or two afterwards..