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[CLKD]

Correct VA treatment is unlikely to cause extreme reactions Ms_london76.  Your GP should follow up these 'sessions' correctly.  We shouldn't blame everything on menopause.  Also U may be putting too much preparation into and around the vagina/vulva - I suggest from my experience to stick to dedicated VA treatment internally.  When I am dry I use KY Jelly or a smear of estriol on the outer labia.

It have been a panic attack. Or hot flush.  At which point of the examination did U experience these symptoms?  Drawing blood can cause wooziness.

Kaz78 - U can ask away on here, mayB start your own thread?  That way responses are unlikely to become lost.  There are a lot of threads about VA etc. so U R not alone.  How often do U use VA treatment internally, every night is necessary for many sufferers!

[Ms_london76]

@Kaz78 I  just started divigel (systemic estrogen) in Saturday. I only have been on that for 5 days. But literally noticed an improvement in my overall mood and mental clarity. I have been already on progesterone (bio identical) for a few months. I feel sharper and less foggy, more energy. The dr said this just means my body needed estrogen. I feel like a new person overall. 

I often suspected my episodes (of almost passing out) were due to something. I have been tested for everything diabetes, iron, d, b12, nothing has shown up in my blood work.

@CLKD it was not a hot flash. It was I was going to pass out. It happens very quickly light headed, exceptionally dizzy, than I start sweating things got visually swirly and at that point I knew I would hit the ground. I have had hot flashes before it was not the same. Low blood sugar maybe. It was not right after the blood draw, I walked out of the office. Went to a store and circled back for the ultrasound, sat in waiting room for a few minutes. Than went to room for ultrasound. I felt pretty relaxed as it was just my shoulder. So maybe just low blood sugar.

As far dedicated treatments it is just estragyn cream (estrogen) Imvexxy and yes OB for lubricant. I cannot seem to use water based at the moment.

I suspect all the sitting in hard surfaces plus the table for ultrasound (where my feet were not touching the ground and put all the pressure on my pelvis. Those tissues are still healing in chairs I can lean to one side and prop a leg up. But in the table I had no option to do that. During the episode the body went into flight or fight mode and prob just made my symptoms 100% worse. 

[CLKD]

When had U last eaten?  Years++ ago we would have a cooked breakfast B4 setting out on cycles, within 20 mins I would be on the floor.  Gut couldn't digest breakfast and cycle 

[Ms_london76]

I guess I had eaten early and modified work outs. I thought I had enough in me meaning I had a banana and a small granola bar on the way to the drs office.

I have always been mindful to have snacks with me due to past episodes. And being now gluten dairy free and vegetarian and bladder sensitivities

  It makes it harder to stop and grab food. The blood draw may have been the reason….

[Ms_london76]

So at the 4 month mark I am still experiencing discomfort, especially after I pee or sit too long.

I do get the tissues are healing and this can take time. And most likely in the rebuilding phase which can take the longest .My Gyneo was unwilling to change the frequency  of use neither did my GP want to change it from 2 x week.

I will give divigel 2 weeks before I play with my dosing.

[dangermouse]

Could the lightheaded episode be linked to your shoulder injury? I overstretched a tendon in my neck/shoulder area a couple of years ago and it kept making me come over dizzy, sweating as if I would pass out. I did weekly sessions with osteopath which helped reduce the episodes but they didn’t go until a few months had passed when the tendon healed and tightened back up.

Could also have been your brain adjusting to the higher dose oestrogen.

[Ms_london76]

It’s a shoulder strain, the ultrasound didn’t hurt. Seeing that I have been dealing with since December.

This most likely was the blood draw and low blood sugar.

I did not start divigel until the next day so it was not that.

[Ms_london76]

Hi friends.

I started divigel last Saturday only .25mg daily on my thigh. I started divigel because I was not sleeping well, night sweats, hot face. Brain fog low energy, depression, severe mood swings and vaginal issues.

I am also on Imvexxy twice a week and estragyn cream once a week plus progrestrone. For about 4 months now.

Last Sat Imvexxy all was good Sunday with mild discomfort pockets.

Tues night Imvexxy was okay on Wednesday.

On Thursday I had a good day no burning at all just using yes OB all day (have not had that at all since I started)

Thursday night, I used estragyn cream mixed in with yes OB. Woke up to pee at night and had burning which took awhile to settle.

Friday I had some mild discomfort thru the day.

Sat, I had severe discomfort. Eventually settled. I used Imvexxy at night.

Sun am I was okay and used yes OB in am, but went to the bathroom again I had severe discomfort. To a point where I felt I was back at the beginning. I washed the area down and did a sitz bath. And used a little yes OB. I didn’t leave the house at all

I have no idea what is causing the flare up?

I read in ChatGPT that the addition of systemic estrogen can actually overload me with estrogen!? Or too many things down there. The dr had advised to stop using the cream but I thought I would try one more time. (There was a time in Feb where I used estragyn cream and the next day I felt great) but have not had that since. I am learning that estragyn can actually delay the release of estrone cuz it gets converted to estrodial. And it can release a few days later which is something I did not know. So combine that and used Imvexxy last night it’s very angry today.

I already did one sitz bath and may do another if it doesn’t calm down.

So I am not really sure what is wrong? I know the tissues are still healing but what I experienced today terrified me cuz I felt like I back at the beginning again.

Any thoughts? Too much product at once? Too much estrogen? The cream? I have not had a flare like this over two days ever.

[Dierdre]

Just use one product at a time to identify which is causung the burning. It seems to have started with the cream but was that because it interacted with the oil base YES? Try using everything on its own or at least a few hours apart. Anything oil based is going to cause a barrier and make it hard for the cream to absorb into the skin.

[Ms_london76]

According to my diary I seem to have reactions post estragyn use. I do space everything out but maybe the cream is the issue.

I will try something milder by the naturopath who can give me a script for a compounding pharmacy. With estriol as the base that way I can use it more often

For the time being I will shelve the estragyn cream. And stick with Imvexxy 2x a week plus I added divigel this week. And yes OB for the time being.

It was terrifying to have that experience I could not walk, could not drive. Had no idea what triggered it

[Dierdre]

Hopefully the divigel will start to make a difference and you might not need the cream. Just been looking at the side effects of estragyn cream and it mentions irritation. It's also estrone not estriol or Estradiol, I've not heard of estragyn before, is it new?

[Ms_london76]

I am in Canada. It is supposed to be a milder form of estrogen. But also learned that estrone can have delayed release of estrogen which I felt is why I had irritation the next day and even two days later. Estrone converts to estradiol and lingers longer in the vaginal tissues due to this conversion and slower release.

Which I found rather interesting…

I have tried this cream for quite sometime only once a week at a small dose (pea sized) my body may not agree with it or I have allergy to something in it.

[Dierdre]

Estriol is milder than Estradiol so perhaps just use that for a while on its own and see how it goes. I use Estriol cream every night externally.

[Lime]

Dierdre,

When you have flare ups of atrophy pain,
what number on a scale of 1-10 would you say they are?