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Author Topic: Utrogestan vaginal dose increase and depression onset  (Read 11812 times)

meno-mel

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  • No ovarian function & I bleed cyclically on conti!
Re: Utrogestan vaginal dose increase and depression onset
« Reply #45 on: June 20, 2023, 09:20:37 AM »

How you feeling now LilBebel?
Did you change your progesterone dose?

I'm reading all this with interest. Lilbebel hasn't popped in for a few days, so I hope she doesn't mind me using her thread to ask if anyone has ideas for me, I'm listening and I need advice, do I need more or less progesterone?

I had my first migraine during my second pregnancy then had them premenstrually occassionally after that, right up until my periods stopped.

By the time I was getting hot flashes, the migraines were distant history. Apart from hot flashes and waking drenched in sweat freezing cold, I felt far better than ever before.

My libido went through the roof, I felt confident and secure in myself, relieved of the ups and downs of my cycle, my mood was very stable and I was happy.

I asked for HRT to relieve the sweating, especially at night, I needed more than one bed a night as I soaked through every pillow, sheet and duvet.
My mood post meno and before HRT had never been better since childhood, as far as I remember.

Then I started Evorel Conti a year post meno. The night sweats eased off but after a few weeks my mood had crashed through a hundred floors and landed me in a very dark place where death looked like my best option.

For about a year I made do with vagifem and clonidine, then a new doctor agreed to try me with Evorel50 and provera instead.

She also told me to give myself a couple of months on Evorel50 before starting provera.

Those weeks on Evorel50 only were sort of ok, not bad, not great, just ok. Sweating a bit less, feeling ok in general, small differences.

Then I had provera 10mg, a few hours later I was crying into my dinner. By day 4 I was off work sick, I was encouraged to continue to day 12 so I halved the dose to 5mg per day, I stopped getting worse but was still too ill to work, the fatigue was really crippling, I could barely get off the sofa never mind get washed, dressed and out to work.

The next month I got switched to utrogestan 100mg for 25 days a month instead of provera 10mg for 12 days a month, but I refused it because of the longer time on it.

Then I got a doctor to agree to utrogestan for only 12 days, but the dose needed to be 200mg.

I thought utrogestan would be a game changer, I'd heard great things about it and it was certainly different from provera like night and day, but better? Not sure.

I'd taken provera in the evenings because it made me super sleepy. Utrogestan woke me up, I was wired, no sleep until 3am, I switched to morning times and was buzzed for three or four days before I crashed into a weeping suicidal heap again.

This last month my period started the day before I was due to start the utrogestan, it's finishing now, day6 and it's little dark spots only. I didn't take utrogestan because I thought it might mess up my period, besides I didn't want to take it at all.

Now I really don't know whether to take the utrogestan or not. I've been trying to speak to a GP since Friday, I'll try again tomorrow, they only have a few call slots a day and I'm not very good at tech, I don't know how to auto redial on my current phone, so I don't get through as one of the first callers of the day  :'(

« Last Edit: June 27, 2023, 03:30:06 PM by meno-mel »
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Teresa

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Re: Utrogestan vaginal dose increase and depression onset
« Reply #46 on: June 27, 2023, 02:20:56 PM »

Hi Meno-Mel,
 Sorry to read all that you’ve been through - have you thought about a Mirena coil?
I was on Utrogestan 100, orally fir over a year, but had breakthrough bleeding ( thought now to be due to too low oestrogen) but I was told to double the Utrogestan to 200 orally a day and I could only tolerate it for 6 weeks. My anxiety went through the roof and I had zero energy.

It was suggested I take 10 mg provera instead, but I refused and had a coil fitted instead. So far ( apart from some bleeding, which is getting better) all has been well and anxiety much improved…is it so something you could consider?
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meno-mel

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  • No ovarian function & I bleed cyclically on conti!
Re: Utrogestan vaginal dose increase and depression onset
« Reply #47 on: June 27, 2023, 03:35:19 PM »

I had a mirena coil fitted once. I remember how low I felt at the two month review when I asked her to remove it because it was making me feel really tired and depressed. Her refusal was a kick in the teeth for sure. I got used to it after a year or two, but I'd never ever trust them again.
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