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[Jnine]

Hello Ladies
I am in need of advice, I am 52 and been on hrt for 1.5years. I take utrogestan x 12 days and the estrodial gel daily 1 pump. I don't have any hot flushes or night sweats thank goodness but I do have terrible pmt, raging anger and sadness most of the time. (I am also taking citalopram 20mg which I have been on for around 20 years for anxiety)  I have terrible pmt starting around 8 days prior to my withdraw bleed. I went to my doc late last year to discuss my hrt regime and I realised I was not taking the correct dose something more like 1 pump split between 2 arms. I felt hesitant to swap to patches as the doc said not all hrt works and you need to find the one that does so said I will apply correct dose and see what happens. during this time I was also traveling long distance so I didn't actually get a withdrawal bleed for 3 months and was panicking that I was somehow pregnant! I wasnt and the bleed finally came 3 months later. to get to the point I am still not feeling better mood wise and I have just had a bleed but I still have 5 days worth of utrogestan to take so not sure what's happening to me?  I feel scared to go back to doc to change my hrt  or even increase the estrodial as I don't want to suffer further upheaval but I feel so miserable!!

[CLKD]

Which symptom did U want to ease B4 beginning HRT?   MayB it's time to give your body a break if you have all these symptoms. 

How is your diet overall?  Sometimes eating little and often can help, certainly with PMT.  I was given that advice by the National Association for Pre-menstrual Syndrome [NAPS], every 3 hours 24/7.  Keeps energy levels even is important. 

[Jnine]

thank you so, much for your reply! I started on hrt to ease my anger and mood symptoms as they are acute, the hrt has not worked for me as I would have liked. I have a good diet eat well but maybe drink too much wine  I am going to make an appointment with my doc!! I thought going on hrt would be beneficial  was I have heard that you can suffer from bone density problems if your not on hrt amongst other health issues that arise as with age.

[CLKD]

Brisk walking can ease any bone issues.  It can also relieve some anxiety.  Me: I used to kick doors    and throw things, though nothing of value  . It was certainly pre-menstrual for me, issues that I could deal with suddenly generated extreme anger.  Once the bleed began the anger would go.  PHEW!

Eating every 3 hours can keep blood sugar levels even, a dip in energy may well affect moods.  Think of small babies/toddlers that we see in supermarkets around lunch time, bawling and screaming.  HUNGRY and they want feeding now.

Whilst HRT may protect heart and bones, a good diet and regular exercise should be enough especially if 1 doesn't smoke.  Some find that they have to give up alcohol due to side effects or that the taste alters  .  Could you go alcohol free for 4 weeks?  U don't have to justify yourself to any1 ;-).