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[rebeccalockwood]

My mum went through the menopause at 40. i am 45 and have had the mirena fitted for 11 years. i'm now on to my third as it was recommended that i use this alongside evorel 100 patches which ive been on for the past 6 weeks. Blood tests show up as normal and i haven't had a period since 2010 but i have been on the coil so have no idea whats going on! I had PND and have been suffering on and off with depression since the kids were young. I saw a lovely doctor (200 miles away!)who told me that my symptoms were perimenopausal...brain fog, low mood, zero libido, no self esteem. I was a teacher for many years and now feel that I can't even cope in my role as a TA (part time ..FFS!). I have complete social anxiety and just feel like the person i was has disappeared. In fact, I feel as though i am close to having a breakdown. I could sleep all day, I can't plan ahead for anything and Christmas fills me with panic.
I actually feel worse on Evorel 100 and I'm starting to think that  I maybe have too much oestrogen...I'm bloated, achy boobs, tired all the time. I really don't want to go back on to citalopram but I'm struggling to get through each day.
I'm seeing the Doctor tomorrow and I'm hoping she will be able to help. Perhaps I'm not perimenopausal and just bloody depressed! She suggested testosterone. Anyone else tried it?
So sorry for rambling, I just feel that I'm losing the plot and I guess I just want someone to say that they have felt or are feeling the same. Not that I would wish this feeling on anyone.

[Dancinggirl]

Hi and welcome to MM
It could be worth reducing the oestrogen - I felt awful on too high a dose.  Maybe try a 50mg patch instead - it's often better to start lower and only increase if needed.  100mg patch is a very high dose!!!!!
If you had a new Mirena fitted 6 weeks ago then you may also be getting a big hit of progesterone, which can often happen initially, and this can have a sedative effect - this should settle in the next few weeks.
Have you had your Vitamin D and iron levels checked?  Deficiency in Vit D and magnesium will bring low mood, fatigue, aching joints etc.!!!!
Some women need a SRRI alongside HRT to really control anxiety and low mood - if things don't settle in the next few weeks then discuss this with your GP.   DG x

[dazned]

 

I ttoo think it would be better to start lower dose and build up if you feel your symptoms are still are not controlled . Good luck.

[Hurdity]

Hi rebeccalockwood

 

It is tricky to know where you are in menopause if you have had a Mirena for a long time as it tends to stop periods. This makes it difficult to adjust how much oestrogen you need.

When you say blood tests show up as normal - what did you have measured and what were the exact readings - doctors often say normal - but normal for what?!

Also have you had your thyroid levels tested? If you are also finding it difficult to avoid weight gain and feeling cold then this could be a factor.

Do you know if your depression was hormone driven ie was it cyclical - PND is certainly thought to have a huge hormonal component and some gynaes treat women with oestrogen rather than ADs or other drugs. Also have you thought whether the Mirena side effects could be a cause of some of your symptoms over the years (not counting the recent peri-menopausal ones)?

Let us know how you are....

Hurdity x