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Author Topic: Should I wait?  (Read 3928 times)

Babsm67

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Should I wait?
« on: September 19, 2016, 01:56:58 PM »

Hi,  Last month, I tried Oestrogel during 2nd half of cycle but had to stop as it became evident that I was reacting to it (rash, itching) & it also caused a nasty surge of anxiety in the mornings.  Since then, after getting a cancellation at the clinic, I have been advised to try Evorel 50 for first half of cycle then 200mg Utrogestan for days 14-28.   I applied my first patch (on day 5 of my natural cycle) & I have become anxious again (it wore off when I stopped the Oestrogel).   Now it is there all the time and I feel 'not with it' - the best description I can come up with is it is like being drunk but with added anxiety!
I now have two interviews in the next week (I'm terrified of returning to work) & feel I cannot go through with them  (feel incapable of doing any job right now).  The irony is that I would normally feel much better during this stage of my cycle as my mood lifts around day 8 (now on day 9) but it hasn't happened - if anything, I feel even worse 😞. Has anyone else had this problem when starting hrt?
I know we are meant to give it 3 months but I am seriously thinking of just using local oestrogen to keep atrophy at bay until further into menopause as I am in early peri, still having periods each month on a slightly longer cycle and have various other symptoms (insomnia, mood swings, depression etc)  but no proper hot flushes yet.  I haven't even started the Utro yet and dread to think what that might do as I cannot afford to feel even more 'not with it'. From what I have read on here, this stage of peri is very hard to treat - should I wait until further down the line or is this anxiety & 'foggy' head likely to clear shortly? Sorry to bother everyone again  :( X
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Taz2

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Re: Should I wait?
« Reply #1 on: September 19, 2016, 04:01:39 PM »

Hi MadBloss - what meno symptoms were you prescribed HRT for?

Taz x :hug:
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Babsm67

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Re: Should I wait?
« Reply #2 on: September 19, 2016, 05:53:52 PM »

Hi Menomale , thank you for your kind wishes - it is so hard to know what to do for the best. Yes, changing hrt so quickly might not be a good idea - maybe I should have a longer break.  I am pretty sure anti-depressants would stop the anxiety but the biggest problem for me is the insomnia I suffer whilst taking them (I seem to be prone to this). 
 SSRI's & similar drugs keep me awake all night yet make me feel lethargic during the day thus worsening the depression. A few years ago, I could sleep at night whilst taking them - until peri kicked in.  In my last year of taking my old antidepressant, I was on sleeping pills every night & I felt like I was just existing, not enjoying life.  In the end, I developed an intolerance to the ADs & couldn't take them anymore hence my mental health going rapidly downhill resulting in me leaving my job.  Since then, I have struggled to get by on the odd diazapam tablet (very rarely) and have taken Amitriptyline, a tricyclic antidepressant, once in a while to help me sleep (it makes me too groggy the next day though!).
I think the fact that I have had three jobs (two temporary) in the last year has made me afraid of persevering with treatment that makes me feel rotten in case it jeopardises my chances of finding another job and possibly staying there/being kept on.
 I just want to feel 'normal' again. Xx
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Babsm67

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Re: Should I wait?
« Reply #3 on: September 19, 2016, 06:57:25 PM »

Hi Taz,  thanks for the hugs  :). Two years ago, aged 47, I was referred to the Meno clinic as I was having very heavy periods with spotting in between - the spotting in between went on for a few months then stopped.   The meno gp prescribed Oestrogel alone for the first month then Utrogestan was to be added during the 2nd ha!f of month two. However, after initially feeling fantastic, I bloated up everywhere & looked about 5 months pregnant, along with having a terrible ache in my left leg, extremely sore breasts & vulval swelling.  I was advised to cut down the dosage but the symptoms persevered so I had to stop.  In the meantime the spotting had stopped but resurfaced one year later. 
In Sept 2015 I was seen by the Consultant for the possibility of ablation & was found to have a very small fibroid.  I was advised to try Mirena but decided against it as I had tried it before when I was around 40 & didn't get on with it. I know I cannot tolerate norethisterone as well (tried mini pill).
My symptoms are:  insomnia, severe mood swings, anxiety, depression, bladder problems, food & chemical intolerances, increased hair loss, flooding, occasional acid reflux, flushing when anxious/angry & after drinking alcohol,  being very hot at night during 2nd half of cycle (hardly any actual sweats as yet), the beginnings of vaginal dryness (now have Vagifem) & recently, a noticeable lack of energy (now on multivitamin supplement containing high levels of vitamin D, B6 & B12).  After trying Oestrogel four times over two years (and reacting last time), I was switched to the Evorel 50 patch which I was happy to try but even in these last few days, I now seem to have even less energy but have become more anxious & tearful - not how I would normally be at this stage in my cycle. 
I am shortly due to be assessed for ablation again as I still experience flooding but my cycle has lengthened by a few days after three years of shorter cycles.  Last month (before Oestrogel), my oestrogen level was 73 (low).  Sorry this is so long-winded! Xx
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soniad

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Re: Should I wait?
« Reply #4 on: September 20, 2016, 02:41:34 AM »

Hi MadBloss,

So sorry you're going through such a hard time.

I am peri as well and my primary symptom is insomnia. When I started the patches the insomnia got much worse - but I stuck it out and after 2 weeks it settled down. I am now in month 2 and so far I'm doing okay.

For some people, symptoms get worse before they get better when starting HRT.

Take care
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Babsm67

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Re: Should I wait?
« Reply #5 on: September 20, 2016, 02:46:26 PM »

Hi Soniad,  Thanks for your kind reply - it is very encouraging to know that you are feeling better after initially feeling worse with the patch.  It makes me think that it is worth persevering with it (and I do like the convenience of it).  The insomnia is horrible & makes things much harder to cope with but I am hoping that it will settle down soon.  The anxiety was quite bad this morning but I feel a bit better after going out with my husband (he is off work this week) & I have cancelled one of the interviews as I realised that my heart was definitely not in that type of work anymore - that alone is a huge weight off my shoulders!  I am hoping that I will be one of the ladies who feel 'chilled' on Utrogestan when I start it next week!

Thanks again  :) xx
« Last Edit: September 20, 2016, 10:36:07 PM by MadBloss »
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Binbon2

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Re: Should I wait?
« Reply #6 on: September 20, 2016, 09:19:24 PM »

Hi Madbloss.

I know how you feel. My main peri symptom is also insomnia. I have been off work several months now. My insomnia started in February. I started HRT around April time. I used Elleste duet 1 mg for 3 months. It stopped my hot flushes almost at once, but didn't help the insomnia at all. I then tried Elleste duet 2 mg. I have just finished 1 month of that , and the insomnia still hasn't gone. I am starting with Everol 50 patches tonight. Am in two minds as I only used the 2 mg tablets for 1 month, but really want to try and resolve the insomnia. Fingers crossed for us all that the insomnia gets resolved.
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Babsm67

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Re: Should I wait?
« Reply #7 on: September 21, 2016, 12:04:56 AM »

Hi Binbon2,.  Thank you  :)   I'm so sorry to hear that you are suffering -  the insomnia has such a knock on effect on everything else & trying to hold down a job when you can barely function can be too much.   I am currently not working and  hope that the hrt will calm everything down to a point where I will feel confident enough in the workplace again.  Yes, here's hoping the patches work! Xx
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