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Author Topic: Advice needed please  (Read 874 times)

MileyCyprus

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Advice needed please
« on: October 22, 2024, 12:42:37 PM »

Hi all, really not sure what to do.  Have been on Evorel sequi for 12 months now. Not sure whether to ask for a medication review? GP not very good but we live in a village so no other choice.  Last time I asked the Nurse for some advice re patches she said 'I'm not really sure how they work'!?

I've suffered with depression for my whole adulthood. I finally weaned myself of Citalopram after having DC 3 (15 years ago). Sadly then my dad was diagnosed with terminal cancer so I was put on Paroxetine to cope with the anxiety.  I take 10mg a day which is half a tablet.

Initially Evorel seemed to improve my quality of life.  My cycles range from 46 days to a couple of 19 day cycles. But are mainly stretching out longer. However, recently I am beginning to wonder whether I should be on HRT at all as a lot of my symptoms are the same as when I was pregnant 15 years ago.  I just finished the Progesterone patches (Conti?) and have had awful restless legs, breast pain, constipation, bloating and extreme fatigue.  I want to sleep all the time.  I am falling asleep by 9pm and at the weekend, get up at 8am.  My mood is really low.  :'( this weekend, I had literally no energy, feel flat, irritable and am so tearful.  I've also noticed in the last couple of weeks my hair is really thinning and unmanageable.  My MH is such that i'm worried to mess about with my medication in case it makes me worse.  I cannot find joy in anything, I feel like everything in the news is just so sad.  I have vivid upsetting dreams.  I don't want to mix with anyone which is very unlike me. 

My mum is no help, she says she 'just got on with it' and cannot seem to understand why I can't?

Not sure if this is menopause or depression related really.  Can anyone else relate?
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Mariab

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Re: Advice needed please
« Reply #1 on: October 22, 2024, 01:39:16 PM »

Hi,
I think alotnof women on here can relate,
The whole hrt/ peri/ meno is a mine field, it's very hard to get a grip on what works for you and alot of people around you will not understand what you are going through..alot of us take antidepressants as well as hrt also which is another balance to work out..the point is your not alone in any of this, ask away with questions and us ladies will help as much as we can   :)
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sheila99

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Re: Advice needed please
« Reply #2 on: October 22, 2024, 01:44:13 PM »

You can ask for a referral to an NHS meno clinic if your gp is unable to help. If you are bad on the conti patches you can change to a different progesterone such as utrogestan. Change one thing at once so you know what causes what but you may benefit from increasing oestrogen and added in testosterone.
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CLKD

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Re: Advice needed please
« Reply #3 on: October 22, 2024, 01:47:26 PM »

Hi! What is DC 3?

I would never stop my ADs now.  I also have an emergency tablet for when anxiety floors me.

Get a referral to a dedicated menopause clinic as there are waiting lists, even in the private sector. Should U not require the appt the it arrives, U can cancel.

Restless legs: I cured my sensations by eating 3/4 small bananas every day.  If they are problematic now I swallow 2 nurofen B4 bed.
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MileyCyprus

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Re: Advice needed please
« Reply #4 on: October 22, 2024, 02:01:02 PM »

Hi! What is DC 3?

Child number 3  :) thank you for reading and replying. Good to know I’m
Not alone xx
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CLKD

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Re: Advice needed please
« Reply #5 on: October 22, 2024, 03:06:57 PM »

Dear Child - got it  ;D. that's a lot of noise in one household  ::)

Let us know how you get on.
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bombsh3ll

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Re: Advice needed please
« Reply #6 on: October 22, 2024, 03:45:08 PM »

It is not possible to say whether your psychological symptoms will improve with a change of hormone therapy but it is certainly worth exploring.

Norethisterone (the progestin in the combi patch) is known for not being the kindest in terms of mood.

The patch also contains a relatively low fixed dose of estrogen (50mcg) and you are not getting any androgen replacement, which can also have a negative impact on how we feel.

I agree about the news. If I watched/listened/read it I would almost certainly be a tearful, sleepless wreck, unable to function. During COVID I made a conscious decision to limit my exposure to the news for mental health reasons, and it has done wonders for me. Beyond praying for all the people who are suffering in the world, which I do, daily, there is nothing I personally can do to influence any of the horrific events taking place, so there's no point making myself ill watching it. 
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