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Author Topic: Doctor isn't sure what's wrong with me: says maybe peri-menopause?  (Read 12088 times)

Diabolique

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Hello,

New here. So, I am 40. I have been have increasingly short periods since I was 37. Before this, my periods were every 28 days, lasted five days long, I used about 7-8 "regular" sized tampons per day, and I had no PMS symptoms (I know that's lucky; I had these as a teenager, but after giving birth 16 years ago, they stopped). I also had severe ovulation pain each month that, as my periods decreased over three years from five to three to one days of light periods, and this pain worsened to the point that I could not get out of bed. I've had ovarian cysts in the past, one of which was grapefruit-sized and ruptured, and this felt like I had one of those every month. I did not go to the doctor because they were unconcerned and often credited my problems to "stress," encouraging me to take antidepressants when I was not stressed out or depressed.

For the past six months, I have stopped being able to exactly always tell when I have my period at all since I bleed more or less lightly all month -- not red blood, but brown thick blood -- I might stop bleeding for a week sometimes, and I might bleed more heavily on a particular day. This is accompanied by SERIOUS PMS symptoms that never go away, like extreme water retention which has caused me to gain ten pounds, extremely painful breasts and swelling, swelling around my eyes and face and belly, a complete loss of libido (it sounds gross to me to think about sex after no reason for this at all; I am happily married for a while), and some cramping that can be severe but then produces nothing more than a scanty thick brown blood. I'm barely using pads. Occasionally, I've had a day-long period that comes on thick and clotted in a big, big way, but it will go away in a day. Thus said, two days later, and it might come back.

It's completely crazy to me.

My medical history is a little hard to convey, but basically, I had thyroid cancer 27 years ago, had it removed, am in full-remission, and take a full replacement dose of thyroid hormone. I also had my gallbladder removed. I've had one child, but I've also had an addition five miscarriages :/ This was reportedly due to a "touchy cervix" but not sure what that means. He was born healthy. I've never been pregnant again despite using no birth control, but I think my spouse may be infertile since I used to get pregnant easily.

My health history is fine: I am 5' 2", Jewish, 40 years old, 113 lbs (I used to be much skinnier, like naturally ballerina thin without dieting), no formal exercise but I work on my feet during the week, I drink plenty of water, do not smoke or take drugs, have one glass of white wine per day, and do not eat red meat. I mainly drink herbal tea and eat yogurt and fruits and vegetables. Sometimes I eat sushi as well. I am pretty stress-free in that I am my own boss.

I went to the gynecologist three years ago at the start of this and was very dismissed.

I went again today, and she heard me and took some blood work and ordered an ultrasound for next week to rule out fibroids. She wants to also rule out endometrial something and cancers. One involves a test that is too painful, so she wants to check everything out first. She thought I may be in perimenopause.

I feel too young to be in perimenopause, and also, don't you have hot flashes? I have not had those? If it is perimenopause, how can you treat it without side effects (medication, like the pill, give me unacceptable side affects, like vomiting every day).

I called my mother, and she said she only had her periods get lighter. She had hot flashes. Concentration problems. But no extra PMS like I am having almost the entire month now.

Has anyone had perimenopause with these kinds of symptoms. My bloodwork will be in next week, and a pelvic ultrasound as well, but the doctor said she did not anticipate finding anything this way since hormones fluctuate so much in pre-menopause. She said she might try me on progesterone, and I'm nervous it will make me vomit like the pill has.

Thanks so much for your thoughts!
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Dancinggirl

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #1 on: January 16, 2016, 09:24:49 AM »

Hi and welcome to MM Diabolique
Sounds like peri menopause to me.  My peri meno started in my mid 30s and it is certainly not unusual. It's good they are checking everything out - often the womb lining thickens if you are not ovulating and this can cause erratic bleeding as you are experiencing.  You are too young to oestrogen deficient so HRT may be appropriate if you have entered the meno - HRt will protect your heart and bones for the long term.  HRT is different to BCP (these days it's more natural hormones) but you often have to try different ones to find the best option.  Do browse around to get clued up - we're here to support you.  DG x
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limpy

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #2 on: January 16, 2016, 10:55:17 AM »

Hi Diabolique
Love the name!
Welcome to MM  :welcomemm:

Sounds like peri to me too. 
I had very similar symptoms from my early forties but didn't know I was anywhere near meno at the time.
It was only looking back, when I was actually post meno, that I realised what it was  ::)
I didn't get hot flushes till I was post meno, during peri it was the feeling very crabby and totally non lustful that stick in the memory.

You are not alone  :)
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Dorothy

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #3 on: January 16, 2016, 11:58:19 AM »

Sounds like peri to me too, though it's good your GP is checking other things too.  I started at 35 (now 40), and my first symptoms were period fluctuations, tearfulness, weight gain, mood swings, tiredness.  Closest I got to a hot flush at the start was just feeling a bit 'warmer' than usual & not being able to wear thick jumpers like I used to as I got too hot.  It was a while before I had a 'traditional' hot sweat & even now, I tend to have fairly 'dry' flushes most of the time.
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Taz2

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #4 on: January 16, 2016, 01:54:08 PM »

Hi Diabolique - welcome from me too.

Peri-menopause can last between eight to ten years and as the "normal" age of menopause is put at around 51 then you can see that peri (which only means before menopause anyway!) would usually begin at around 40.

As for hot flushes - a lot of women don't begin to suffer from these until their periods have almost stopped as the oestrogen levels become low enough to trigger them. It's best to hang on to your periods for as long as possible in my experience as they can keep lots of meno symptoms at bay.

Taz x  :welcomemm:
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Dorothy

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #5 on: January 16, 2016, 02:47:12 PM »

It's best to hang on to your periods for as long as possible in my experience as they can keep lots of meno symptoms at bay.

You mean we can choose when they stop?  ;D  Do tell me how!  ;)
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blossom60

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #6 on: January 16, 2016, 03:05:11 PM »

Hi Diabolique

Trouble is everyone is different. Some get their worst symptoms post meno, and others like me suffer during peri.  I actually improved no end post meno.

It's brilliant that your gp is checking you out properly though.  There is no substitute for peace of mind.
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Taz2

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #7 on: January 16, 2016, 03:37:01 PM »

It's best to hang on to your periods for as long as possible in my experience as they can keep lots of meno symptoms at bay.

You mean we can choose when they stop?  ;D  Do tell me how!  ;)

Wouldn't that be good!!  ;D  I should have said don't wish them away too quickly I think!

Taz x  :burn:
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Taz2

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #8 on: January 16, 2016, 03:38:53 PM »

Hi blossom60. It's really great to hear from women have have improved post-meno. Welcome!!

How far post-meno are you and do you mind saying which symptoms have improved? I'm especially interested in how quickly hot flushes and vaginal symptoms improved once your periods stopped.

Taz x
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blossom60

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #9 on: January 16, 2016, 05:04:37 PM »

Hi Taz2

I'm about 3 year's post meno.  I would say flushing is much improved as are general energy levels. The only thing that has stayed the same is intermediate anxiety.  However, as I have had a particularly bad year with family trouble's, it's hard to say if the anxiety is meno related. Luckily had so far avoided viginal problems.

Hope that helps

PS. Have joined mainly for female chat, but am happy to pass on my meno experience.
« Last Edit: January 16, 2016, 05:07:08 PM by blossom60 »
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Lizab

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #10 on: January 16, 2016, 05:20:17 PM »

Hi. It does sound like it could be peri. I'm 39, so I understand the feeling of being too young and worry that it must be something else. It sounds like your gynecologist is running the same tests mine did. And for peace of mind for you, the biopsy is nothing compared to the pain of a cyst bursting. Nothing. If I remember correctly, I took ibuprofen before I went in, and the painful part of it lasted only a few seconds, maybe like a burn but it doesn't continue to throb afterwards. You and your doctor may decide that knowing it is hormonal and should eventually settle on its own is enough for you. This seemed to be the path my gynecologist was taking, but later I decided I needed help and went to my gp to beg for hormones. I could never do the pill in my 20s, it screwed up my otherwise clockwork cycles and  healthy libido. The hrt isn't causing me any problems so far, so you may still be able to do it. As you can observe, you're body has changed from how things used to be. Ultimately, it's your choice and may take some trial and error to figure out what's the best way for you to get through this stage. This board has been a great resource for me as I'm just getting my feet wet in this peri business too.
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CLKD

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #11 on: January 16, 2016, 09:15:58 PM »

 :welcomemm:  both

Rockhopper - even if thyroid function tests are 'within normal limits' with the symptoms you complain of, your GP should request further blood screening! To check that your thyroid isn't borderline out of control: am sure someone will be along who has thyroid problems!

 Or you may have Reynaud's syndrome? there is a good web-site so it may be worth your while having a look-see there?  Do let us know! 

I had a few years when, after my bath and after I had taken my evening medication: Anti-depressnat (AD) and Beta-blocka (BB) I would have an all over 'sheen' from behind my neck to my waist line.  It would feel as though water was running down my back  ::)Tamoxifen caused cold flushes  :-\ …….. but many ladies don't have hot flushes but many GPs *still* say that a lady can't possibly be peri/menopausal if they haven't had flushes  >:(!

I think that I was about 43 when my periods became erratic ……..
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Diabolique

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #12 on: January 16, 2016, 11:50:50 PM »

Hello again! Thank you for your many replies! I am very happy to have found such a warm and active forum here. What a wonderful place.

So, my blood work is in today -- they send it online (no anticipation to see the doctor there, sigh…). It doesn't give me reference ranges for the first three, but here's what it says… also I am currently lightly bleeding and have been for what seems like ages, but I am unable to say for sure when I last had a period anymore. I am also having serious PMS symptoms like breast pain and water retention. So it's hard for me to understand where I really even am in my cycle right now.

Here are the numbers from my blood work if anyone can tell me what they could possibly mean? I have tried to look these up online but really can't understand them since I just do not know where I am in terms of my period. Does anything stand out or look off?

FSH - 2.6 mIU/ML
Estradiol - 154 pg/ML
Progesterone - 5.4 ng/ML

They checked my thyroid too, which is good. I am on thyroid pills already and used to having this checked. It was really perfect -- although I wish that was what was off since it would explain my weight gain. They checked my TSH, T3, and T4 since I have a pre-existing condition here. They also checked my iron, which was okay. They also of course checked to see if I was pregnant, which I am definitely not.

If anyone knows more about the FSH, Estradiol, and Progesterone #'s, I would be very grateful to not sit around all weekend wondering about them. I wish the doctor's didn't send the lab results to my email before I could talk with anyone about them.  ::)

P.S. thanks for the "name" like! I was so unsure of what to use! I have hardly felt like much of a femme fatale lately, given that I am a bloated, weird, miserable mess, so I thought it might lift my mood  :)
« Last Edit: January 16, 2016, 11:55:17 PM by Diabolique »
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Dancinggirl

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #13 on: January 17, 2016, 12:10:46 PM »

Hi Diabolique - I am certainly no expert but your results seem a bit baffling/contradictory!!!
You FSH level is low which I believe indicates that your ovaries are working well so doesn't indicate menopause - usually if the FSH is high this can indicate menopause even if the oestrogen levels are reasonable.
However, your oestrogen level is very low!!!!! As blood tests for hormonal levels are notoriously unreliable I would hope they might repeat these tests once or twice more over the next few weeks to get a better picture of what is going on. To be that low on oestrogen is not good at your age and the fact you are getting erratic bleeding indicates something is not right - possibly very early peri meno ???!!!
Hopefully somebody with a more scientific back ground will be along with advice and support.  DG x
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Mary G

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Re: Doctor isn't sure what's wrong with me: says maybe peri-menopause?
« Reply #14 on: January 17, 2016, 02:00:32 PM »

Hello Diabolique and welcome to MM!

Sorry that you are having problems but you are not alone.  Looking back, I now realise that my hormones starting dropping off when I was 35 which was ten years before menopause although I didn't know it at the time.  It was only subtle changes but nonetheless, that is what it was.  The good news is you are only 40 and therefore you can start taking oestrogen to combat future problems.

Re your blood tests results, I have just looked through my huge pile of test results and set out some of my details which I hope are helpful. 

I am 54, about 9 years post menopause and take two pumps of Oestrogel every day.

My test results in December showed my oestrogen level at 238 pg/mL while taking two pumps of Oestrogel every day. 

If I up the dose to 3 pumps of gel, it shoots up to 291 pg/mL.

When I was taking Angeliq with an oestrogen patch top up (oral continuous combined hrt) it was only 75.4 pg/mL which was completely useless. 

When I didn't take any HRT at all for a year and had a blood test, my level was 20.0 pg/mL which is exactly the same as it was when I was post menopause so my base level hasn't changed at all. 

I have to make sure my level does not go below about 190 to avoid any symptoms. 
 
Just found this and tagged it on:

Normal estrogen levels

The range of normal varies widely depending on a person's age. For those between 20-29, the average is 149 pg/ml and will increase to 210 pg/ml for females 30-39. The level falls back to 152 pg/ml for women over 40 who are not yet in menopause.

Low estrogen levels

Severe deficiency of estrogen can result in levels as low as 10-20 pg/ml and produce a variety of symptoms including fatigue, night sweats, vaginal dryness, and memory impairment. Some women will experience irritability, mood swings and feel drained and exhausted.

High estrogen levels

Excess estrogen levels are typically noted when estrogen is in excess of 200 pg/ml.


Opps, looks like mine is too high!

Hope that helps.
« Last Edit: January 17, 2016, 03:41:12 PM by Mary G »
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