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[SeekingCalm]

I'm due a catchup with my private menopause specialists, but want some advice from the community first. I have a history of pmdd, principally mood swings. I started HRT in June because of brain fog and lack of confidence principally. Like I wasn't me anymore. I've been put on 100mg Utrogestan continuously and 0.375 estradot patches. I was maybe a bit more stable, but I found I still have severe brain fog where I just couldn't concentrate at work or express myself. And I wake up groggy and a bit depressed. And my hair has been falling out for the last month or two. So I tried taking Utrogestan vaginally last week, and I get seething rage and then insomnia. Followed by spotting. Is that lower progesterone in my system now or more that's having that effect?  Previously not enough oestrogen caused the mood swings, which is when I upped it to 0.375. So I thought let's try upping the oestrogen to 0.5, but that just made the imsomnia worse. So I'm back to oral utrogestan and 0.5 oestrogen. But I'm not back to where I was, I'm still in a seething rage. I know I should let things settle before changing my regime, but I just couldn't bear it and it wasn't fair on my little kids. What do you suggest I do? My doctor will say go on Slynd, but I don't want to shut my natural system down as I'm concerned about the long term health impacts, and I've heard it can make you flat, moody, brain fog, and cause hair loss. The Mirena terrifies me as if I hate it I can't get it out quickly. What do I do...
Stick this out and hope I return to the more stable but fuzzy headed lethargy I was in on my previous regime (0.375)?
Keep the oestrogen at 0.5 and Utro orally and ride this out in the hope things will improve and the oestrogen will help with the lethargy and brain fog?
Take the Utro at a different time of day?
Try vaginal Utro again and try to ride out the symptoms of changing delivery mode?
Do I ask to try testosterone?
Do I try different meds?
Or give up altogether and admit HRT just doesn't work for me?
Any advice gratefully received.

[CLKD]

 

[Furyan]

Hi - took me a while to work out just how sensitive I am to the side effects from progesterone, but I have your symptoms when I have too much progesterone drowning out the estrogen. I know an imbalance of both can cause these symptoms but, for me, a high imbalance of progesterone causes me insomnia and extreme agitation. I’d be interested to hear what other ladies say x

[KatyVic]

Hello,

For me the problem was the utrogestan. I couldn’t tolerate it any way I tried it. I now use Cyclogest which suits me much better. GP won’t prescribe it so I get it through a private meno dr. It has taken a bit of time to get used to it as it made me quite drowsy to begin with. But no low mood!

You could also try femoston. The progesterone in it is much gentler and also gave me no mood problems. I can’t remember the name of the progesterone off the top of my head but I think I read that it will soon be available as a separate progesterone.

For me, when I have tried to go up to a 75 patch it also causes some physical anxiety symptoms so I have settled on halfway between 50 and 75.

Good Luck!