Menopause Matters Forum

Menopause Discussion => All things menopause => Topic started by: Losingtheplot on April 17, 2023, 06:43:11 AM

Title: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 06:43:11 AM
Hi Everyone,

Firstly a big huge hug to anyone out there suffering with anxiety  :hug:

I have an appointment with my GP later today that was supposed to be my 3 month HRT review but as Evorel Sequi didn't suit me as intolorent to synthetic progesterone I was advised to stop the patches 1.5 months into HRT.

My main issue with peri symptoms is morning anxiety and feelings of panic - I have been awake since 3am today struggling with the churning and knotting in my stomach.

I asked my GP to keep this appointment as she told me to just see how I go for next few months as I refused her offer of Ads - but I had a feeling all would not be well so insisted on keeping this appointment!

I suppose I am just after a few peoples opinions on what to discuss with my GP in this appointment as I am just not thinking properly.  What I have on my agenda is to ask for body identicial HRT as so far I have only tried 1 HRT Evorel Sequi.

Alongside this I would like to potential ask for an anxiety med I could take on an as and when basis when I feel I am really struggling ( which is every morning  :'( :'( :'()

I have the contraceptive implant and am considering getting that taken out to see what is happening with my periods as I don't have them on this and haven't for years.  So would be keen to know if I do actually have them anymore which could affect which HRT I take

Additionally I have no sexual drive at all and now actually  have no feeling down below!   I am waiting for an appointment with a meno specialist wait time of approx 6 months but looking at options in the interim to help me.

I am taking Ashwagandha but too early to tell if that is helping as coming up to 2 weeks.

I am just so fed up and don't want to come out of the appointment feeling like I have got nowhere and if you know what I mean.

I have made some notes to take in as I am suffering brain fog too! I know the appointment is only very short so want to make the best use out of it.  I am looking at lifestyle changes and have joined a gym to attend some exercise classes to try and make me feel better and unwind alongside cutting out caffeine as I feel this just exaggarates my panic and anxiety.

I just feel like running away and other options to help me to stop  feeling like I am - maybe I need Ad's as is this caused by lack of hormones or am I having some kind of breakdown  :'( :'( :'(

Sorry for rambling my brain is not functioning but I am trying my best  :'(

Any advice appreciated  :) :) :) :) :)

Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: SarahT on April 17, 2023, 06:49:49 AM
Whilst I have no real advice, I genuinely know how you feel and just want to send support.

You did well to insist on keeping your appt, you need some medical help here. I too feel I am doing all the right things to help myself but and really struggling. Exercising and not shutting yourself away, so positive. I do think you are doing good despite how you feel.

Refer to your notes and ensure the gp understands the physical and mental imperfections has on your day to day life.
Wishing you well x
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 06:52:54 AM
Whilst I have no real advice, I genuinely know how you feel and just want to send support.

You did well to insist on keeping your appt, you need some medical help here. I too feel I am doing all the right things to help myself but and really struggling. Exercising and not shutting yourself away, so positive. I do think you are doing good despite how you feel.

Refer to your notes and ensure the gp understands the physical and mental imperfections has on your day to day life.
Wishing you well x

Hi SarahT

Thank you so much for your kind words and understanding.  I am trying to help myself although I know the thought of walking into an exercise class already has me in a panic - where a few months back I would have had no issue at all with this.

In my defence this is a new gym I have never been to before.  So I guess most people would feel aprehensive.

I wish you the best too and thanks again for your message  :thankyou:
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: SarahT on April 17, 2023, 07:22:31 AM
Umm. Should have put physical and mental IMPACTS on your life... Am not suggesting you are imperfect!!

Brain fog anyone?! 😍

Let us know how you get on won't you? X
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 07:24:01 AM
Umm. Should have put physical and mental IMPACTS on your life... Am not suggesting you are imperfect!!

Brain fog anyone?! 😍

Let us know how you get on won't you? X

 ;D ;D ;D ;D ;D ;D

I knew what you meant lovely   - brain fog something I can relate to very well - big hugs.

And yes I will let you know how it goes thank you xxxxx
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: DottyD68 on April 17, 2023, 07:32:24 AM
Hi Losinngtheplot,

Really sorry to hear you are feeling so bad. The menopause journey can be a horrible rollercoaster for some.

I will try and keep this brief as I don't know what time your appointment is. If your appointment is short I would prioritise what you want to address first. Break things down into small chunks and deal with them one at a time otherwise everything becomes overwhelming.

 To me it sounds like you want a HRT to suit you (which may include talking about your implant). Getting a suitable HRT should improve a lot of your symptoms. It should help with anxiety but there is also the option of other meds in addition. Ask the GP what are your options including low dosage beta blockers for panic. Make sure you have a follow up appointment booked when you end the call.

Go and try and enjoy your exercise class. Once you are there it will be fine.

Good luck. Deep breaths X
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 07:43:40 AM
Hi Losinngtheplot,

Really sorry to hear you are feeling so bad. The menopause journey can be a horrible rollercoaster for some.

I will try and keep this brief as I don't know what time your appointment is. If your appointment is short I would prioritise what you want to address first. Break things down into small chunks and deal with them one at a time otherwise everything becomes overwhelming.



 To me it sounds like you want a HRT to suit you (which may include talking about your implant). Getting a suitable HRT should improve a lot of your symptoms. It should help with anxiety but there is also the option of other meds in addition. Ask the GP what are your options including low dosage beta blockers for panic. Make sure you have a follow up appointment booked when you end the call.

Go and try and enjoy your exercise class. Once you are there it will be fine.

Good luck. Deep breaths X

Hi DottyD68

Thank you for your advice it means alot.

My GP appointment is late afternoon after I finish work today and is face to face.  My exercise class is tomorrow evening Flex and Stretch so hope it relaxes me  :)

Yes the beta blockers sound a good option so I know there is something there to control the physical symptoms of palpatations etc.  I think I will look to start Ad's again too I was on Prozac for a number of years and stopped it a year ago with the support of my GP I weaned right down so I do have a history of depression and anxiety and feel I need my quality of life back
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: CLKD on April 17, 2023, 07:57:13 AM
My GP prescribed a betablocaka to ease early morning anxiety surges.
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: VanillaLover on April 17, 2023, 08:26:31 AM
Hi losingtheplot,

I’m really sorry you are feeling bad. May I ask how old you are etc?

I too stopped fluoxetine after being on it for years. I have to say that the anxiety and depression did gradually come right back. I restarted it but it had no effect this time (I believe this is a known thing). In the end I tried venlafaxine which made a huge improvement. I also started HRT around that time due to hot flushes, migraines, dizziness, poor sleep, and also had lengthy CBT which was amazing.

This was a couple of years ago. My troubles started when I was about 44 and had had changes to my periods for a couple of years already. I still have crazy cycles and more recently two week long periods. Nice. HOWEVER things are more stable now. I am hoping that the rollercoaster early peri stage may have been and gone and things are getting lower….and drier…..but not as fluctuating.

You are right to keep the medical support there. As PP have said, try to concentrate on your worst symptom with the doctor and focus on that. Keep asking for help. Be proactive.

It will get better. Eventually one way or the other!

Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Penguin on April 17, 2023, 08:28:29 AM
Hi. I don't have anything to add re what to discuss,  but my only advice would be not to start too many things at once. So perhaps try hrt, wait until things stabilise and then introduce an AD or vice versa. I started an AD in August and then added hrt at the end of December as it took quite awhile for the side effects from the AD to stabilise and I didn't want to make it more confusing.
It does seem there are limited options for something you can take as and when for anxiety though, i hope your GP has suggestions. The best option I've found is low dose diazepam, I have 2mg for when I really start to spiral and it does take the edge off but can't be used on a regular basis and they are very reluctant to prescribe. GP only gave me 9 last year when I had a health scare and couldn't get through the 2WW for my colonoscopy. 
A beta blocker does help with the physical symptoms of anxiety though and I think the GPs are more amenable to prescribing them.
Hope it goes well, and big hugs, I know how awful and debilitating the anxiety is xxx
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: VanillaLover on April 17, 2023, 08:29:47 AM
Ah sorry just seen your age etc in your other post
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 10:55:55 AM
Hi losingtheplot,

I’m really sorry you are feeling bad. May I ask how old you are etc?

I too stopped fluoxetine after being on it for years. I have to say that the anxiety and depression did gradually come right back. I restarted it but it had no effect this time (I believe this is a known thing). In the end I tried venlafaxine which made a huge improvement. I also started HRT around that time due to hot flushes, migraines, dizziness, poor sleep, and also had lengthy CBT which was amazing.

This was a couple of years ago. My troubles started when I was about 44 and had had changes to my periods for a couple of years already. I still have crazy cycles and more recently two week long periods. Nice. HOWEVER things are more stable now. I am hoping that the rollercoaster early peri stage may have been and gone and things are getting lower….and drier…..but not as fluctuating.

You are right to keep the medical support there. As PP have said, try to concentrate on your worst symptom with the doctor and focus on that. Keep asking for help. Be proactive.

It will get better. Eventually one way or the other!

Hi VanillaLover


Thank you so much for replying your words are very reassuring and comforting to me- I am 47 almost 48 years old.  And I do have a history of depression and anxiety from the age of 13 years old when I had a huge amount of stress in my life.  I tried various Ad's from age 18 onwards and had some awful experiences on some of them and eventually I tried Fluoxetine that helped so much and made me feel like the dark cloud had lifted.  So I have been on this since aged 25 until last July.  At this point I weaned myself down with the support of my GP and then stopped it completely.

I feel that I will need to go back on this medication at somepoint as I am finding the struggle harder and harder as each day goes past.  But then I feel what if it is hormonal due to peri then the Ad's won't necessarily help.

I am really pleased you found something that helped you and that you are through the worst of it hunni xxxxxx

Hopefully I get an appointment with meno specialist soon in meantime I will tell the GP which HRT I would like to try next
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 11:02:56 AM
Hi. I don't have anything to add re what to discuss,  but my only advice would be not to start too many things at once. So perhaps try hrt, wait until things stabilise and then introduce an AD or vice versa. I started an AD in August and then added hrt at the end of December as it took quite awhile for the side effects from the AD to stabilise and I didn't want to make it more confusing.
It does seem there are limited options for something you can take as and when for anxiety though, i hope your GP has suggestions. The best option I've found is low dose diazepam, I have 2mg for when I really start to spiral and it does take the edge off but can't be used on a regular basis and they are very reluctant to prescribe. GP only gave me 9 last year when I had a health scare and couldn't get through the 2WW for my colonoscopy. 
A beta blocker does help with the physical symptoms of anxiety though and I think the GPs are more amenable to prescribing them.
Hope it goes well, and big hugs, I know how awful and debilitating the anxiety is xxx

Thank you Penguin for sharing your experience with me and your very kind words too.  I do agree that it is best not to take too many things at same time  :)  I think I am just feeling so desperate now as I got a real shock at how intense and how much earlier in the morning the anxiety started as I was literally having panic attack after panic attack.

Ahh big hugs for your awful experience for your colonoscopy that must of been so scary for you.

I am torn at what to start first - I may start the Ad's after speaking to GP but I had terrible side effects when on them  xxxx
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 11:04:31 AM
Ah sorry just seen your age etc in your other post

That's ok  :)
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 11:17:07 AM
My GP prescribed a betablocaka to ease early morning anxiety surges.

Hi CLKD

Thats interesting thank you I appreciate you sharing this with me. All of you ladies are so lovely and are very supportive xxxx

So can I ask when you took the medication was it on a night to help with the morning dread or did you take it as soon as you felt it coming on?

Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Penguin on April 17, 2023, 12:42:33 PM
Hi Losingtheplot
I also had the very bad mornings, I'd wake with fear and dread with no apparent reason until my mind found something to attach it to. That sudden waking and dread / panic seemed to me linked to hot flushes / adrenaline surges and I must say, my hot flushes didn't go until I started the hrt. That said, despite the early side effects of citalopram., I did very soon (within days) get a feeling of calm wash over me from about lunchtime onwards. It's a bit of a conundrum as to what to start first, but if you think your anxiety in the morning has a hormonal origin, then you may be best to start with the hrt first and ask the GP for a beta blocker to take the edge off the mornings until it kicks in.
You have my sympathies though, I used to dread going to bed as I always felt better in the evening and knew that once I slept and woke up, I'd feel awful all over again. Will you update once you've been to the GP?
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 01:21:46 PM
Hi Losingtheplot
I also had the very bad mornings, I'd wake with fear and dread with no apparent reason until my mind found something to attach it to. That sudden waking and dread / panic seemed to me linked to hot flushes / adrenaline surges and I must say, my hot flushes didn't go until I started the hrt. That said, despite the early side effects of citalopram., I did very soon (within days) get a feeling of calm wash over me from about lunchtime onwards. It's a bit of a conundrum as to what to start first, but if you think your anxiety in the morning has a hormonal origin, then you may be best to start with the hrt first and ask the GP for a beta blocker to take the edge off the mornings until it kicks in.
You have my sympathies though, I used to dread going to bed as I always felt better in the evening and knew that once I slept and woke up, I'd feel awful all over again. Will you update once you've been to the GP?

Hi Penguin

Yes I am considering all sorts of options thank you and that must of been so awful for you and you are so right in that on an evening my mind starts to dread waking up to that horrendous feeling that takes over no matter how hard you try to fight it. I have been mulling over all the options and all the advice you lovely supportive ladies have given me and I think I will go into the GP appointment asking for HRT and beta blockers.  If after 3 months I feel no difference to my anxiety then I can explore other options - obv depends on GP input too.

Hopefully I will be closer to that meno specialist appointment too!

How are things with you now?  Of course I will update you hunni you are very kind to ask.

 I luckily don't suffer hot flashes as such but have had intermitant periods of heat coming up from my neck but few and far between and not for some time.
Was one or two occasions where I ended up totally soaked when I was out bowling with my son and then felt so uncomfortable.

I am really pleased you found something that eased the hot flushes for you.

I feel that the best option for
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Penguin on April 17, 2023, 02:03:01 PM
In general my anxiety is a lot better but it still flares up if I have a health symptom that is unexplainable or which lasts longer than I think it should. Mornings are generally my better times now though. I will be posting soon about my latest health worry, which nobody is worried about apart from me, but I just need the time to sit down and word it properly and I can't do that until the kids to back to school tomorrow!
I think your idea or trying something for three months is a good one. I've seen lots of people on here say you need to give at least three months for hrt to stabilise. The GP I saw when we were in Australia last year also happened to be a menopause specialist and she said her approach is always to give hrt for three months, then add in an SSRI-type AD if that hadn't got the anxiety under control. The good thing about beta blockers though is that they work when you tale them, eg in bringing your heart rate down, and it sounds like you need something which is quick acting to get you through the short term. When is your appointment?
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 02:11:50 PM
In general my anxiety is a lot better but it still flares up if I have a health symptom that is unexplainable or which lasts longer than I think it should. Mornings are generally my better times now though. I will be posting soon about my latest health worry, which nobody is worried about apart from me, but I just need the time to sit down and word it properly and I can't do that until the kids to back to school tomorrow!
I think your idea or trying something for three months is a good one. I've seen lots of people on here say you need to give at least three months for hrt to stabilise. The GP I saw when we were in Australia last year also happened to be a menopause specialist and she said her approach is always to give hrt for three months, then add in an SSRI-type AD if that hadn't got the anxiety under control. The good thing about beta blockers though is that they work when you tale them, eg in bringing your heart rate down, and it sounds like you need something which is quick acting to get you through the short term. When is your appointment?

Ahh big hugs and please do share your worries with us all when you feel you are ready too as that must be a huge weight on your shoulders and to off load is a help to me so hopefully will be to you too.

My appointment is in 30 mins and i am feeling hopeful as to what I want to ask for once I explain my situation to the Gp.

Thanks again for all the advice to each and everyone one of you. You have really helped a fuzzy headed emotional woman and I am so so grateful
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 03:39:39 PM
In general my anxiety is a lot better but it still flares up if I have a health symptom that is unexplainable or which lasts longer than I think it should. Mornings are generally my better times now though. I will be posting soon about my latest health worry, which nobody is worried about apart from me, but I just need the time to sit down and word it properly and I can't do that until the kids to back to school tomorrow!
I think your idea or trying something for three months is a good one. I've seen lots of people on here say you need to give at least three months for hrt to stabilise. The GP I saw when we were in Australia last year also happened to be a menopause specialist and she said her approach is always to give hrt for three months, then add in an SSRI-type AD if that hadn't got the anxiety under control. The good thing about beta blockers though is that they work when you tale them, eg in bringing your heart rate down, and it sounds like you need something which is quick acting to get you through the short term. When is your appointment?

Update on GP appointment
Been prescribed oestrogen gel and Utrogestan for 3 months and an anxiety med too. Gp has referred me for a pelvic scan and to have bloods taken.

So fingers crossed this HRT suits me better and anxiety meds help.
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: DottyD68 on April 17, 2023, 03:52:57 PM
Thanks for letting us know. Hope it all helps with your symptoms. Do you feel better know the appointment is over? X
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Pippa52 on April 17, 2023, 03:53:55 PM
I absolutely empathise as am struggling with the most awful anxiety/panic like attacks/ fast heart rate etc it used to be just at night and early morning but it has been all day today.  Am sticking rigidly to my dose of Estradot patches now but its getting worse not better so I really understand where you are at.  Just when you think you have levelled off it all goes to pot again :(   It really scares me at night and has just made me feel so ill today with a cracking headache on top but I know I have to stick this out to hopefully get to the other side.  I don't have any advice really I just wanted to say I am so sorry you are suffering too and I do hope your GP appointment will give some help.  I would be very interested in knowing what anxiety med was available to take on a when you need it basis as I don't want to be on permanent anti depressant therapy as they really don't suit me unfortunately. Sending hugs x
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Kathleen on April 17, 2023, 04:00:36 PM
Hello Losingtheplot


Thank you so much for updating the forum. It is so frustrating to follow someone's story but not know how things progressed.

I am glad that you found your GP appointment helpful and I hope the regime works well for you. Can I ask what anti anxiety meds you were prescribed? I am sure other ladies will be interested as well, especially as anxiety is such a common symptom of the meno.

Wishing you well and take care.

K.





Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: SarahT on April 17, 2023, 04:03:40 PM
Glad you had a positive result from your doctors appt. You must be relieved to be taken seriously.

And by you writing the original post is helping others too, as you can see from the responses.

So many of us are struggling. Seeing a 'result' to a members post really helps, some of us can maybe see a different way forward to help symptoms.

Wishing you well
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Penguin on April 17, 2023, 04:54:30 PM
Oh I'm so glad your GP was helpful, it makes such a difference.  I have a helpful GP too.. Did he advise you to start on a low dose of the estrogel? I started on just one pump as he said it would make any side effects less,  although I know a lot of people start on two and are fine. I hope the combination works well for you amd you feel better soon x
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 05:56:07 PM
Thanks for letting us know. Hope it all helps with your symptoms. Do you feel better know the appointment is over? X
[/quote

Hi DottyD68

Thank u hunni

I do, totally feel like a weight has been lifted as I was so anxious about the appointment and actually feel calmer knowing I have something else to try and my anxiety meds on stand by should I suffer a bad attack again.
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: DottyD68 on April 17, 2023, 06:06:01 PM
Glad you are feeling calmer and happier. Look after yourself X
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 06:22:32 PM
I absolutely empathise as am struggling with the most awful anxiety/panic like attacks/ fast heart rate etc it used to be just at night and early morning but it has been all day today.  Am sticking rigidly to my dose of Estradot patches now but its getting worse not better so I really understand where you are at.  Just when you think you have levelled off it all goes to pot again :(   It really scares me at night and has just made me feel so ill today with a cracking headache on top but I know I have to stick this out to hopefully get to the other side.  I don't have any advice really I just wanted to say I am so sorry you are suffering too and I do hope your GP appointment will give some help.  I would be very interested in knowing what anxiety med was available to take on a when you need it basis as I don't want to be on permanent anti depressant therapy as they really don't suit me unfortunately. Sending hugs x

Hi Pippa52

Firstly a massive big hug to you and thank you for sharing. My GP was lovely and the anxiety med she prescribed is Propananol. She has me on a low dose and has told me to take a tablet when i feel i need it. (can take up to 3 tabs a day)
My GP also said these meds are not addictive which I was pleased to hear. I was same on Ads they did help me massively but the side effects were bad at times.  Maybe make an appointment with your GP to discuss other options.
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 06:28:54 PM
Hello Losingtheplot


Thank you so much for updating the forum. It is so frustrating to follow someone's story but not know how things progressed.

I am glad that you found your GP appointment helpful and I hope the regime works well for you. Can I ask what anti anxiety meds you were prescribed? I am sure other ladies will be interested as well, especially as anxiety is such a common symptom of the meno.

Wishing you well and take care.

K.

Hi Kathleen

Your welcome I like to share with you all like you all do too.  This is forum is such a lovely welcoming and supportive group of amazing ladies all wanting to help each other.
I haven't tried the anxiety meds yet so too early to say if they have helped.

The meds prescribed are called Propananol so I really hope they do help me. I will have a glass of water beside my bed with a pill should I need it as the anxiety/panic attacks/churning of stomach  at 3am this morning were the worst so far.

I hope you manage to find something that helps you xxx
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: DottyD68 on April 17, 2023, 06:30:37 PM
My GP has recently prescribed the same on the same basis. As and when required. She said just having them to hand often helps even if you don't use them.
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 06:35:55 PM
Glad you had a positive result from your doctors appt. You must be relieved to be taken seriously.

And by you writing the original post is helping others too, as you can see from the responses.

So many of us are struggling. Seeing a 'result' to a members post really helps, some of us can maybe see a different way forward to help symptoms.

Wishing you well

Thank you hunni
You have all helped me so much today by supporting my post and taking the time to reply to me by providing very good and useful advice so I had every intention of sharing what happened in the GP appointment :)

My Gp is lovely I am a little unclear as to whether the scan I am being referred for is a DEXA scan or a pelvic scan.

I think it may be DEXA bone density as I mentioned aches and pains in joints but also mentioned that I never have had periods on the contraceptive implant.

So I guess I will find out once I get the hospital appointment letter.
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 17, 2023, 07:43:25 PM
Oh I'm so glad your GP was helpful, it makes such a difference.  I have a helpful GP too.. Did he advise you to start on a low dose of the estrogel? I started on just one pump as he said it would make any side effects less,  although I know a lot of people start on two and are fine. I hope the combination works well for you amd you feel better soon x

Hi hunni sorry it's estrodrol gel ( think that's correct spelling) ive been prescribed on a low dose yes 0.5. So 1 sachet which ive started tonight for 14 days  And then 2x 100 Utrogestan tablets for 14 days. Which I hope I tolerate.   Ahh we are lucky to have helpful GPs.

Thank u I hope it works for me too
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 18, 2023, 07:47:46 AM
Glad you are feeling calmer and happier. Look after yourself X

Thank you you too xxxxx
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 18, 2023, 07:53:37 AM
My GP has recently prescribed the same on the same basis. As and when required. She said just having them to hand often helps even if you don't use them.

Hi DottyD68,

Yes I felt a lot calmer knowing I had these to help me should I need them.
This morning my stomach didn't feel as churned and knotted initially but then after a period of 30 mins or so I could feel the palpitations starting and the churning getting worse and the panic setting in so I took the anxiety med and did feel things calm down pretty instantly.
I noticed a hour or so after I got a really bad headache but unsure if this is linked to a side effect of the med or just a tension headache.  Time will tell.



Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: DottyD68 on April 18, 2023, 11:03:08 AM
What dosage did the GP give you?

I have been getting a buzzing/jittery sensation at night in bed. I took one the other night and I don't know if it was my imagination but it did subside after 30 mins or so and I had a good night's sleep. I have 10mg.
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 18, 2023, 11:25:35 AM
What dosage did the GP give you?

I have been getting a buzzing/jittery sensation at night in bed. I took one the other night and I don't know if it was my imagination but it did subside after 30 mins or so and I had a good night's sleep. I have 10mg.

10mg Gp said I could take it up to 3 times a day.
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 18, 2023, 11:44:53 AM
What dosage did the GP give you?

I have been getting a buzzing/jittery sensation at night in bed. I took one the other night and I don't know if it was my imagination but it did subside after 30 mins or so and I had a good night's sleep. I have 10mg.

I am pleased you started to feel better regardless of whether it was the meds  :)
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Penguin on April 18, 2023, 01:42:01 PM
Good to hear the anxiety meds helped already. With the headache, you've probably thought of this already, but perhaps try drinking more water? I find with any medication I take, I benefit from more water. There are some odd random side effects from these drugs, eg citalopram causing dry mouth, progrsterone making you pee more etc. Good luck with the gel too, I am on the one that comes with a pump dispenser, I did find it quick to have some impact.
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 18, 2023, 06:04:59 PM
Good to hear the anxiety meds helped already. With the headache, you've probably thought of this already, but perhaps try drinking more water? I find with any medication I take, I benefit from more water. There are some odd random side effects from these drugs, eg citalopram causing dry mouth, progrsterone making you pee more etc. Good luck with the gel too, I am on the one that comes with a pump dispenser, I did find it quick to have some impact.


Thanks for the advice the headache did settle a little after I drank some water. I have just had a experience that was so awful. I stupidly joined a local gym online a few days ago without visiting it but I have driven past it many times.
I went along for 1st time tonight for a fitness class. Anyway I felt flustered as soon as I got to the gym couldnt figure out how to get in! As its a 24 hour gym so doors protected by a code.

Then when I did get in I was overwhelmed by how many people were in working out. It gets worse..... I looked across the room and saw an area in corner of the gym where the exercise classes were held in full view of the entire gym! So I calmed myself down by going into the changing rooms only then to realise I had come too early for the class  :'( :'( :'( :'( :'(
I had 40 mins till it started. So start of a panic attack. One part of me was saying just stay your here now the other part was screaming get me out of here now!!!
So.... I left  :'( :'( :'( :'( I feel I have let myself down and just been so pathetic.

I broke down when I got home what is happening to me.

Hubby ran me a nice bath which was lovely but I am so disappointed in myself.
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: SarahT on April 18, 2023, 06:19:41 PM
Oh sweetie,
don't be too hard on yourself. You have had a hard time of things lately and should be proud of what you have achieved this week.

It's early days in your new regime, maybe it's all just been  a bit much  all at once. Give yourself some time to settle. It's a good thing to even think about starting a new gym class whilst working with your anxiety. Take small steps and be encouraged at the good things you have done for yourself this week.

Lovely that your  husband understood and was there to lend some comfort and support.
You've done a lot not good this week, don't lose sight of that.

Hugs to you x

Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 18, 2023, 06:33:14 PM
Oh sweetie,
don't be too hard on yourself. You have had a hard time of things lately and should be proud of what you have achieved this week.

It's early days in your new regime, maybe it's all just been  a bit much  all at once. Give yourself some time to settle. It's a good thing to even think about starting a new gym class whilst working with your anxiety. Take small steps and be encouraged at the good things you have done for yourself this week.

Lovely that your  husband understood and was there to lend some comfort and support.
You've done a lot not good this week, don't lose sight of that.

Hugs to you x

Thank you SarahT. You are such a lovely person with the right words that I needed to hear and have found comforting  Xxxx I will take one step at a time.

I think I have put too much pressure on myself and know that exercise helps me unwind and feel better but its been too much as my logical brain would have arranged a visit to the gym first but I am going to take your advice and try and go easy on myself.

I considered cancelling the membership last night but I will try and attend the next class I am booked in for now knowing what to expect when I get there!

Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 19, 2023, 07:37:03 PM
Oh sweetie,
don't be too hard on yourself. You have had a hard time of things lately and should be proud of what you have achieved this week.

It's early days in your new regime, maybe it's all just been  a bit much  all at once. Give yourself some time to settle. It's a good thing to even think about starting a new gym class whilst working with your anxiety. Take small steps and be encouraged at the good things you have done for yourself this week.

Lovely that your  husband understood and was there to lend some comfort and support.
You've done a lot not good this week, don't lose sight of that.

Hugs to you x

Made it to the exercise class today  ;) ;) ;) so proud of myself what a difference to how I felt yesterday.

Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: SarahT on April 19, 2023, 07:56:22 PM
So happy for you. I know exercise helps me a lot. Walking into a new class takes a fair bit of courage.
You nailed it girl!  Good to hear some happy news

Xx
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: DottyD68 on April 19, 2023, 08:22:35 PM
Well done Losingtheplot. What a great achievement. Just save that feeling in your head and next time you have a bad day, remember tomorrow is another day and tomorrow can be great. Really chuffed for you X
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 20, 2023, 04:36:43 AM
So happy for you. I know exercise helps me a lot. Walking into a new class takes a fair bit of courage.
You nailed it girl!  Good to hear some happy news

Xx

Thank u  :) :) :) :)
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Penguin on April 20, 2023, 05:28:15 AM
Oh gosh I missed your earlier post where you'd had a bad first attempt. Well done for going back, that's excellent news and very brave given how you've been feeling. Go easy on yourself x
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 21, 2023, 08:56:24 AM
Oh gosh I missed your earlier post where you'd had a bad first attempt. Well done for going back, that's excellent news and very brave given how you've been feeling. Go easy on yourself x

Thank you hunni I will xxxx
Title: Re: GP Appointment to discuss HRT/Ad's/Anxiety meds
Post by: Losingtheplot on April 21, 2023, 08:58:22 AM
Well done Losingtheplot. What a great achievement. Just save that feeling in your head and next time you have a bad day, remember tomorrow is another day and tomorrow can be great. Really chuffed for you X

Thank you appreciate the kind words - this is how up and down our hormones/anxiety/panic attacks can be - so unpredictable!  What a pain