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Help me make the most of my private Gynae appointment 🙏🏻🙏🏻🙏🏻🙏🏻

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sue1975:
Hello everyone x I’ve been a lurker on this forum for quite some time 🙈 I am here to ask for some help, of course!

My question is, with the history I describe, what do you think a BMS consultant might offer me at an appointment and what questions could I ask?

The short version of my story is:

I am done. Finished. Exhausted. On the verge of losing my job. House and garden squalid.

I need some help! x

-severe and worsening PMS with suicide ideation

-heavy menstrual bleeding with clots and flooding, pelvic, back and leg pain and heaviness (awful!)

-severe PND with intrusive thoughts and SI

-tried Evorel Sequi for 3 months…progesterone sent me into despair

-tried Mirena + Evorel 100. This was for cycle suppression for PMDD as per Nick Panay/IAMPD. Cyclical problems replaced with Fatigue, depression, not functioning at all. Time off work, Stage 3 disciplinary + concerns for welfare after breaking down multiple times.

-removed Mirena and stopped oestrogen. Only thing in my control!

-The fatigue and depression lifted on the third day! I bled that afternoon.

-Had a few good days and cleaned my bathroom and kitchen!

-10 days in, anxiety ramping up and now bleeding again but without relief. Just a headache, pelvic cramps, back and thigh pain.

I just can’t do it any more!

I am going he will offer me chemical
Menopause with a view to hysterectomy.

If not, a trial of lutigest.

Please could you help me get the most out of this appointment with Mr Rowlands (Spire, Wirral).

Sue Ann 🙏🏻❤️

sue1975:
Sorry, I should add that I’m on Fluoxetine 20mg x

mandss:
You poor thing, this all sounds so awful to deal with.
Have you had your appointment yet?
I would love to know the outcome. I had a total hysterectomy 2 years ago and it was the best thing I have ever done. My hormones are now stable, thanks to high levels of HRT and a mild anti depressant for anxiety. Mine was done through Spire in Norwich x

bombsh3ll:
If you are a low risk surgical candidate and have been offered a hysterectomy I would grab it with both hands.

You can then take whatever dose of estrogen you need as well as testosterone and never have to suffer any kind of progestogen.

Just a thought whilst you are waiting, have you tried a suitable combined hormonal contraceptive pill to shut you down? I take Zoely, continuously. I too hate my own progesterone and don't even know I am taking a progestin on Zoely.

I also don't bleed at all on it.

sue1975:
Thank you bombsh3ll 🙏🏻

That’s exactly what I’m thinking!

No, I haven’t tried Zoely…

I had my cycle shut down using mirena + Evorel 100 as per Nick Panay guidelines for NAPMS.

Honestly, worst thing I’ve ever done….I was reassured that mirena wouldn’t affect me with the added oestrogen so have ended up enduring nearly three years of misery on it!

I’ve even had sinus surgery! It was only when the symptoms didn’t improve after 8 weeks (recovery is approx. 2 weeks) and I had the mirena removed that I felt better-no headache or fatigue!

What an ordeal, honestly! 😭

Do you think Zoely might be worth a try?

I’m just thinking that in order to use HRT in the future, I won’t be able to have progesterone so hysterectomy might be the way forward if he suggests it…I’m scared to death of the stuff now! xx

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