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[Losingtheplot]

So this morning upon waking I felt ok then had palpitations for about 10 mins. Felt like my heart was gonna beat right out my chest. Felt a wave of panic and dread then just flat.

I know my body is probably getting used to the recent increase. I do feel less anxious but its still there. My negative thoughts appear less. But I have an empty feeling.

[dangermouse]

Remember you have your own cycle going on in the background so you may be getting oestrogen volatility that’s causing the sudden palpitations on top of your higher dose.

Keeping a diary of symptoms can be helpful as it can show patterns, such as a dramatic symptom repeated 28 days later. Then you feel more in control as you know when to expect it and it doesn’t mean you chop and change what you’re taking, as may not be related to that.

The empty feeling could be depression. which can be from too high progesterone versus your oestrogen. Could also be the ADs as that is a whole other minefield but you can probably judge that yourself the best, based on how they usually affect you.

[Losingtheplot]

Remember you have your own cycle going on in the background so you may be getting oestrogen volatility that’s causing the sudden palpitations on top of your higher dose.

Keeping a diary of symptoms can be helpful as it can show patterns, such as a dramatic symptom repeated 28 days later. Then you feel more in control as you know when to expect it and it doesn’t mean you chop and change what you’re taking, as may not be related to that.

The empty feeling could be depression. which can be from too high progesterone versus your oestrogen. Could also be the ADs as that is a whole other minefield but you can probably judge that yourself the best, based on how they usually affect you.

Hi Dm,

I don't bleed due to having the contraceptive implant so unsure if I actually have periods anymore.

I know on a trans vaginal scan 3 years ago I was told my left ovary was no longer visible and that things look shrivelled up like they are when someone has gone thru menopause.

The Ad's don't usually make me feel empty especially after being on them for several weeks at which point any side effects have calmed down.

My irrational thoughts I feel are hormonal as in the past the Ad's have helped me. I do understand that they can stop.being effective and I have taken them on and off for a number of years.

I guess time will tell if the increase in gel has been the right thing.  I do feel some slight improvement in my mood at times and outlook too. Way to still go yet. Still early days.

[dangermouse]

The cycle I am referring to is a neural one   (hypothalamus) that continues as the brain still acts as if your ovaries are viable many, many years post menopause (the most volatile for 10 years post meno). Even my aunt in her mid 80s gets a monthly mood change!

For early post menopause (I am about 5/6 years since last period) mine is very strong with oestrogen crashing about and a very clear Day 1 when hormones plummet back down. I also get a nausea migraine mid-cycle.

[Losingtheplot]

The cycle I am referring to is a neural one   (hypothalamus) that continues as the brain still acts as if your ovaries are viable many, many years post menopause (the most volatile for 10 years post meno). Even my aunt in her mid 80s gets a monthly mood change!

For early post menopause (I am about 5/6 years since last period) mine is very strong with oestrogen crashing about and a very clear Day 1 when hormones plummet back down. I also get a nausea migraine mid-cycle.

Ahh right I see.

I just seem to feel the same everyday. Wake up with morning dread and doom and gloom feeling then anxiety throughout the day.

Fight or flight feelings more intense at times. This has been my pattern since October.

I took a propananol this morning in preparation for the palpitations. I still got them but not as intensely and for a shorter period.

Its total guesswork with what is going on with my body.

Day 6 on 1.5mg Sandrena and I do feel some slight improvements. I think I will stick with this for 3 months and then revalve how things are.

I feel the Ad's maybe helping but had hoped for more improvement. My mood swings are still here. I feel that the menopause is the main driver of my anxiety. Negative thoughts there everyday. More intense at times although I wouldn't ever act on them.

In the past if I have had bouts of anxiety they have lasted 3 or 4 weeks then I have come out the other end.

Onwards and upwards just have to try and manage as no alternative.

I have Gp appointment tomorrow and honestly don't know what to say.

[dangermouse]

From my experience, it seems to be that we start to have the odd bad day in early peri that stretches into days, then weeks with relief each time it stops.

Then in mid-peri it’s pretty much constant.

In post it starts to ebb out again with weeks of it and a few days relief, and hopefully that will stretch back to more relief days than bad days.

I have never taken antidepressants but I learnt alot as my parents did and I had to help them manage the switching and withdrawals. For them, there was no upside to them but may be worse tolerated as you age, as most meds are.

Hopefully you are on the right track with your HRT and that will help smooth the transition.

[Losingtheplot]

From my experience, it seems to be that we start to have the odd bad day in early peri that stretches into days, then weeks with relief each time it stops.

Then in mid-peri it’s pretty much constant.

In post it starts to ebb out again with weeks of it and a few days relief, and hopefully that will stretch back to more relief days than bad days.

I have never taken antidepressants but I learnt alot as my parents did and I had to help them manage the switching and withdrawals. For them, there was no upside to them but may be worse tolerated as you age, as most meds are.

Hopefully you are on the right track with your HRT and that will help smooth the transition.

Thank you DM.

Only time will tell. These Ad's have helped in past with anxiety/ dep. But don't appear to do a great deal when it is hormone related. The only way from here is up as I feel I may have been thru the worst and like you say hopefully the increased HRT is enough to make my days more good than bad. Like I say I do feel some improvement  in a few days of increasing so hope it continues.

[Lucoley]

Anxiety is by far the worst symptom for me. Im in Citalopram longstanding for anxiety and have managed beautifully on it. Jan 24 when I was around 12 months post meno anxiety started. I tried HRT but honestly for me it crucified my mental health and I stopped the offending progesterone and am still weaning slowly off the oestrogel.

My anxiety is up and down. I can have a couple of weeks when Im feeling great, no anxiety, motivation is back. Then Ill feel back to square one. Mornings are the worst. I cannot put into words how much I have come to detest them. I dropped my gel dose 2 weeks ago and this last few days have been the pits. I have alot of sympathy because it is exhausting, lonely and miserable.

I will say going back to work has actually helped me. It doesn't make me less anxious but the routine and focus means my anxiety goes quicker. Ive really struggled this week being off through xmas.

Any stress at all, any unforseen event will tip you over because in meno we just have really low stress tolerance. Don't drink alcohol if you can, this is a huge trigger for me, not just the following day but for days after. Don't lie in bed anxious, get up.  Breathing exercises with long exhales help the adrenaline.

It won't last for any of us. Not forever. And it does come in waves. Harder to do but try and be gentle with yourself. Im the worst for beating myself up for being like this.

Sending hugs ladies xx