Menopause Matters Forum
		Menopause Discussion => All things menopause => Topic started by: CrispyChick on April 13, 2024, 05:09:58 PM
		
			
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				Ladies. 
It's been a hell of a long six years in peri for me do far. And I'm only just about to turn 48. 
Hundreds of posts from myself on my various trials - mini pill, coc pill, hrt, bhrt prog only. 
And, quite frankly, I'm done. Nothing works to help my fluctuating estrogen. And now, I've got a horrific internal stomach pain that surges whenever I try new things. I've spent £1000s chasing my solution. And ended up right back at the start. 
So, the decision is to live and accept it. 
How do I do this??? Thoughts please? 🤣
			 
			
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				Think back to how your periods were and how they waxed and waned: as well as which symptom U wanted to ease.
Some people don't require HRT.  Acceptance is difficult.  
			 
			
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				Hi, I know this sounds very simplistic,but for me it was a case of So much upheaval and mental stress going bone, hormonally, life and other health issues, that at some point I just said to myself, - accept it. 
Because the additional mental strain of beating myself up over stuff I just  could not change was just adding the pressure on.  I kind of stopped fighting against it and worked with it if that makes sense?
I'm in a better times hrt wise right now, seems the right combo and a tiny dose of AD for mood swings. And talking therapy.
When I look back at the unbelievably dark moods and physical peri symptoms I am kind of surprised I got here. My health is quite honestly atrocious and getting worse with non peri things, but hard as every day is, I need to work with it all.
Hope you can find a way x
			 
			
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				I don’t know the answer, but somehow we find a way to accept the new “ normal”.
I now live with secondary breast cancer and a menopause from hell. 
No solutions, just solidarity and support, chocolate and nice things to make you feel better 🌺
			 
			
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				Always chocolate - part of my pudding at lunch time and either 2 squares of black or ice cream in the evening ;-)
			
 
			
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				Sorry to hear you haven't had success Crispychick especially after trying so many different things, but wondering how long you trialled the COC pill and whether you tried the ones designed for peri-menopause because they do prevent the dramatic fluctuations of oestrogen and progesterone that occur in peri-menopause. They suppress the cycle.
Also there is the Studd approach of suppressing ovulation through very high oestrogen doses which would prevent the fluctuations, but if you don't get on with very high oestrogen this may not be a solution.
An extreme one is to trial the chemical menopause which has been discussed on here in the past - at least it's reversible. I think there is an injection?
How long have you been taking nothing? It will be interesting to see how often your periods are now ie your cycle length after being peri for so long? Maybe the fluctuations are near an end if you've been peri for 6 years?
All the best
Hurdity x
			 
			
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				Accepting any change is difficult, especially change we don't want. For me I try to find the positives, however small or insignificant they may seem, and focus on them. Also not beating yourself up when you get upset or annoyed, etc about having to change against your will.
			
 
			
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				Hi CrispyChick - 
Sorry to hear you've had such an awful time.  I read some of your story in Mary G's thread recently and was hoping things had improved for you.  
i'm not absolutely clear from your post whether you've stopped everything already or if it's 'just' the acceptance you were asking about.  
On acceptance - the challenge is obviously exacerbated because one of the symptoms for me at least - and I think for many of us who have extra fluctuations or extra reactions to 'normal' fluctuations - is impaired cognition.  I HATE the term 'brain fog' because the black mud under which I was trying to operate was much less transient and dispersible / silvery grey than fog.  So I'd say as others have give yourself a break - I found it so hard when I can't make myself do things I knew I 'should', be that get up, get out or move, see the positives or eat properly ... and that makes it worse if you then start 'shoulding' all over yourself...
I'm guessing from the other replies that this isn't what you're asking, but just in case it's any help (I've had fluctuations like sub 200 to almost 2000 within 48 hours):
- if you haven't yet but are going to stop hrt totally, do it gradually - otherwise it's just another crazy fluctuation
- Have you seen an actual proper meno specialist ie a consultant who specialises in meno/HRT?  If you can do one last throw of a private appt, while you wait to crawl up NHS lists - your GP should refer you to a meno clinic if you have had this history, and you can always insist on seeing consultant when you arrive.  
There just may be an option out there (what Hurdity mentions is one, although there are other rare things to try first.  I've had years of hell too, and I too wasted some of those paying £££ to people who call themselves specialists & charge consultant prices but are simply GPs who know more than most GPs (not a particularly high bar!) - they increased my e2 which exacerbated my fluctuations ... it wasn't until I was lucky enough to end up with a proper specialist that anybody recognised my own crazy fluctuations were not 'just peri' as had been said but a very unusual uptake issue, exacerbated by stupid high doses pushing me into tachyphylaxis on the peaks.  
Good luck and keep us posted ... if you can work out acceptance I'm sure we'd all love to hear how    ;D xx
An extreme one is to trial the chemical menopause which has been discussed on here in the past - at least it's reversible. I think there is an injection?
Chem meno is available in injections and nasal sprays (at the moment, latter wasn't available for a bit but recently back on)
			 
			
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				Hello ladies.
I am very post meno so I am not dealing with my own fluctuations along with my HRT but I also find it hard to accept my new circumstances and I continue to struggle with some symptoms.
I have tried several regimes over the years and my Oestradiol levels have ranged from 600 pmol/L three years ago to 75 pmol/L today.
I envy the women who either don't need HRT to begin with or who managed to tolerate their meno issues and are now stable physically and emotionally. 
Take care ladies.
K.
			 
			
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				Thanks you ladies 
The support and wise words means a lot. 
I'm not sure how long my new 'acceptance' and staying on nothing is going to last - as I've woken with spinning head and severe nausea. These are my original, most horrific symptoms. Caused by the estrogen spikes. 
To answer a few of the questions. Other than 2 weeks, I've never been on conventional hrt. When trialled the estrogen alone poisioned me - which was the lightbulb moment of realising this is all estrogen for me. 
I've been through the NHS meno clinic years ago - their advice was to try every pill under the sun. I did. 
I have not however tried qlaira or zoley. But think harder to get in Scotland. Also. Whilst you say the coc will supress the cycle - it really doesnt suppress fully. A lot of these symptoms break through. But it is still an option I'm considering, especially after waking up so ill this morn. 
Hollyboll - I think you're right. I have extra reactions to these fluctuations. That many do not seem to experience. 
I test my estrogen regularly and I know it is the culprit. I tried the mini pill again last summer and it nicely brought my E down to 220 the first 2 months  - and this all lifted. Unfortunately it doesn't stay like that and the mini pill no longer suppresses my E. 
The bhrt clinic solution was progesterone only therapy plus estrogen detox. I could see some success with this. But my system has had enough and I'm now getting agonising stomach pain whenever I try anything. So it's game over. 
Given how I'll I feel this morning, I'm not sure acceptable is an option either. 🙈🙈🙈🙈
			 
			
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				Hello again ladies.
CrispyChick -   The fact that your bhrt clinic wanted to trial progesterone confirms your  view that oestrogen is your problem.  It must be so frustrating that you can't find a treatment that successfully lowers your oestrogen. 
For the past three months I have been using the equivalent of one pump of gel and 100mg of Utrogestan orally. As my mood swings continue I may decide to stop the gel and see if I feel better on progesterone only.
It will be the first time that I have used a reasonable amount of prog and no added oestrogen but it's worth a try!
I truly hope you feel better soon and sending hugs.
Take care.
K.
			 
			
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				Acceptance is difficult when symptoms are physical.  Anxiety hits below the belly button = nausea, although my body may lack energy and be hungry.  I don't recognise hunger.  It's happened to me more than stars in the sky, but physicality 4 me is difficult to over come.
			
 
			
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I don’t know the answer, but somehow we find a way to accept the new “ normal”.
I now live with secondary breast cancer and a menopause from hell. 
No solutions, just solidarity and support, chocolate and nice things to make you feel better 🌺
 Nas, your strength and mindset is incredible. I pray you have tons of that support and solidarity and a mountain of chocolate and other goodies to keep you going 
			 
			
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				buffy, I’ve become so resilient to physical pain and suffering, recently, that I’ve learnt to accept this is what I must go through to stay alive. 
Chocolate by the bucket full 🍫🍫🍫🍫🍫🍫
Crispy, how are you doing? 
			 
			
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				Sounds like you are very strong Nas. 
I'm still holding on to the acceptance. Just. Had a bad day full of wooziness and motion sickness and anxiety. I just need to take each day as it comes, if symptoms get worse - I'll need to go back on a pill. 
But I'm hoping things might calm a bit and I'll be further forward in my journey. Xx
			 
			
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				Fingers crossed for you Crispy, your journey has been relentless and unforgiving. 
Once things plateau out, you will get relief. Until then, as you say, treat each  day, as an acceptance day, monitoring symptoms at the same time x
			 
			
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buffy, I’ve become so resilient to physical pain and suffering, recently, that I’ve learnt to accept this is what I must go through to stay alive. 
Chocolate by the bucket full 🍫🍫🍫🍫🍫🍫
Crispy, how are you doing?
 Nas, my heart goes out to you, I hope that you have the very best care and love around you to support you 
			 
			
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				It sounds like you've been through a lot in your journey through perimenopause, and it's completely understandable to feel exhausted and frustrated by the lack of effective solutions. Acceptance can be a challenging process, but it's also incredibly empowering once you reach that point. Here are some thoughts, some of which you've covered already, on how you might approach this:
- Focus on self-care: Prioritise activities and practices that bring you comfort and peace. This could include things like meditation, gentle exercise, spending time in nature, or engaging in hobbies that you enjoy. Taking care of your physical and emotional well-being can help you navigate this period with greater resilience.
 - Seek support: Don't hesitate to lean on friends, family, or support groups who can provide understanding and empathy. Sharing your experiences with others who are going through similar challenges can be incredibly validating and reassuring.
 - Explore alternative therapies: While traditional hormone replacement therapies may not have worked for you, there could be alternative approaches or complementary therapies that offer some relief. This might include acupuncture, herbal remedies, or dietary changes. Keep an open mind and consult with healthcare professionals who specialise in integrative or holistic medicine.
 - Practice mindfulness: Learning to be present in the moment and accept things as they are can be a powerful tool for coping with difficult emotions. Mindfulness practices, such as deep breathing exercises or mindfulness meditation, can help you cultivate a sense of inner peace and acceptance.
 - Set realistic expectations: Recognise that acceptance doesn't mean giving up hope entirely. It means acknowledging the reality of your situation while remaining open to the possibility of small improvements over time. Set realistic expectations for yourself and celebrate even the smallest victories along the way.
 - Consider therapy: If you're struggling to come to terms with your situation, speaking with a therapist or counsellor can provide valuable support and guidance. Therapy can help you process your emotions, develop coping strategies, and cultivate a sense of acceptance and resilience.
 
Acceptance is a process, and it's okay to have good days and bad days along the way. Be patient and compassionate with yourself as you navigate this journey. You've already shown incredible strength and resilience, and you have the capacity to continue moving forward with courage and grace.
			 
			
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				 :thankyou:  when I feel better I forget to take care of myself  ::)
			
 
			
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				Thank you all. There are some good pointers in there. 
Right now I'm at my worst, and I suspect it's because I've just dropped all my trials. 
I can't even eat. I feel that Ill with my hormones. Crazy what affect they have. 
I am going to see a herbalist tomorrow. I know I started out there 6 years ago, but now I have a lot more knowledge and understanding of what's going on. So fingers crossed. 
Thanks all for your encouragement. It really does help Xx
			 
			
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				How long since you used HRT or similar?  
What makes you unable to eat?   I suffered with nausea prior to each period   .......    so it's instant for me  :-\
Let us know how you get on.  Do remember that herbalist preparations are not always tested thoroughly.  When I went that route in the 1980s I was going along quite well with the suggestions until he told me not to use anything minty with the 'tea' that he had prepared  :o but couldn't back this up.  
Remind me which symptom you would like to ease?  [meno brain here  :-\]
			 
			
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				I would most likely to ease the feeling of poision that is running through me. 
My head is spinny and vile, my back aches with it. I almost feel it running through my veins. Motion sickness from the spinny head. When like this, E always tests high for me. It makes me feel so ill I completely lose my appetite. 
Hrt only tried once 2 years ago. The estrogen part made me feel my poision. That was the lightbulb moment. 
I have however tried progesterone only therapy over the last two years, via bhrt clinic. But just can't sole these E spikes. And now got terrible stomach issues that are preventing me using the progesterone. 
All a very sorryy state of affairs. 
			 
			
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				 :bighug:  
Head spinning is awful.  I have a nerve in the back of my neck which sometimes when I move suddenly, it's enough to make me go 'OH!' causing light headedness.  I've had vertigo which is awful, I know when I open my eyes in the morning that it's there.
Adrenaline gives me the 'running through the veins' sensations, like hot water.  Scared the life from me initially, now I do recognise it ........ I have to sit until it calms.
Let us know how you get on.
			 
			
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Hollyboll - I think you're right. I have extra reactions to these fluctuations. That many do not seem to experience. 
I test my estrogen regularly and I know it is the culprit. 
Given how I'll I feel this morning, I'm not sure acceptable is an option either. 🙈🙈🙈🙈
Lots of great tips on this thread - I hope they, acceptance and the herbalist help between them.
It was a great consultant who said that to me about fluctuations - unfortunately there's so much chat around about 'in peri everyone has fluctuations' that people forget not only that some people have larger than others but as he pointed out that even the same fluctuations have different effects on different people ... makes total sense as hormones are like any other drug and nobody would suggest everyone reacts the same to starting, increasing, decreasing or stopping any other drug.
If you want to be at 0 estrogen, I don't think the chemical meno is a starter - although I've not researched it fully as I'm not there yet, my understanding is that it's only short-term before any responsible doctor 'adds back' estrogen, so it's more for dealing with fluctuations.  
Finally, fwiw, same great consultant has been clear with me that what worked (or didn't) or what my levels did even 18 months ago is no indication of what's going on and what might work now - things change a lot in our bodies over this horrible adventure!
xx
			 
			
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				Hormones aren't a drug though  :-\ 
			
 
			
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Hormones aren't a drug though  :-\
Depends on your definition ... how would you class insulin? xx
			 
			
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				Thanks hollyboll, that's really useful. 
So from what you're saying, you take her, but the high doses were fairing problems along with your own spikes? 
It's all very true, unfortunately I'm finding out the hard way that what worked before no longer works. I retried cerazette, mini pill and it can no longer bring my E levels down. Yet the mini pill is renowned for keeping E at early follicular levels. Not me. Not this time. It worked previously, but gave me awful pms. 
I honestly feel right back at the start. As bad as I did when all this started 6 1/2 years ago. So demoralising. 
I'm trying to accept it, but the last few days have been absolute hell. I have changed a lot though, so I'm hoping time helps. 
Is your specialist someone worth me seeing???  ;D
			 
			
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				Totally different, for those who require it in order to live.  Natural Hormones are not a drug.
			 
			
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				Not so long ago I accepted that nothing can help me to get out of my post meno hell caused by low estrogen and progesterone symptoms. My hot flashes and night sweats stopped themselves very unexpectedly, I just woke up one morning and realised that I slept deeply all night and didn’t have any single hot flash. I thought my meno hell was over, my last blood test came with very low estrogen and progesterone, probably my body somehow managed to balance them and hot flashes with night sweats stopped. But strangely I started wake up in the morning feeling very tired and with severe nausea, which lasted all day. After a couple of weeks permanent torture to my body with severe fatigue and non stop nausea I had to except that my body would not be able to function anymore and because no NHS treatment is available for me due to my “estrogen poisoning symptoms”, it means I am disabled person now. I had to make a very hard decision to give up my job, stay at home and meditate in the garden if the weather is good, if not just stay on the sofa for whole day like a plant in the pot. I felt very ill and my mood went down, I was scared of that. My GP gave my 6 weeks off work sick notice and I started my resignation.
At work I was offered further adjustment if I wanted to stay at work, but I couldn’t function like a human, I was “a plant in the pot”. So I refused. 
Eventually I found how to keep my symptoms away, I am back to my normal life now, I stopped my resignation at work and was back to work much earlier than 6 weeks.
Sometimes we need to except things as they are, but we need to remember that in the future everything can be changed. 
CrispyChick don’t lose your hope. Your very unique and individual treatment is somewhere near you, you just need to find it.  :)
			 
			
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				Thank you Angela. 
Dare I ask what your solution was for the 'poison'????
Or is that when u got the mirena???
			 
			
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Thank you Angela. 
Date I ask what your solution was for the 'poison'????
Or is that when u got the mirena???
My body hates estradiol, which actually is the main ingredient to all NHS HRT treatments . I discovered it when I was looking for VA treatment and Gina nearly killed me. It reached me from vagina and poisoned my whole body.  :o
I was prescribed very weak estriol gel and within 2 hours suddenly nausea and fatigue disappeared.  :o This is how I found out that estradiol was too strong for my post meno body, I don’t need such a big amount of estrogen to function properly, I need just a very little dose and estriol is perfect for me. 
			 
			
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				Crispy, I wonder if you could approach it as women with endo do (since endo is caused by high E and especially spikes of it and unstable E)... 
They have an injection which puts them into chemical menopause, a gnRH agonist: https://endometriosis.org/treatments/gnrh/ 
Then you add back in stable steady hormones via HRT without your own fluctuations... 
			 
			
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				Angela - very interesting. 
I know it's very early days did me (still  ???) and right now I just want my estrogen to do one. But I'm well aware that doesn't mean I won't get low E symptoms post meno. 
I'd already clocked u could buy estriol creams. So that's interesting to hear. 
Do you get your estriol gel prescribed by NHS??? Is it a vaginal gel used by many fur VA? Or is this different? Where do you stick it. 
So. To clarify, you were estrogen dominant through peri, then post meno your E dropped and you were symptomatic with nausea and bad fatigue - which were low E, but only required weak estriol to resolve??? 
Thanks joziel. It's been mentioned a few times on this thread. I'm going to raise it with my GP - if I could get an appointment. Not sure how much support I'll receive since I've not been badgering the NHS. Been away down the private route for the last few years. 
Also, like some of the woman say, and then Angela's experience, I might not tolerate the add back. 😬
			 
			
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				You might not tolerate the add-back but... I don't think you have much to lose. I mean, in a few years to come you will be post-meno and if you can't tolerate 'add back' estrogen then, you'll be going estrogen-less then anyway. Hopefully it is about the fluctuations and you'll be able to have a steady dose, even if not super-high... 
			
 
			
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1. Do you get your estriol gel prescribed by NHS??? Is it a vaginal gel used by many fur VA? Or is this different? Where do you stick it. 
2. So. To clarify, you were estrogen dominant through peri, then post meno your E dropped and you were symptomatic with nausea and bad fatigue - which were low E, but only required weak estriol to resolve??? 
1. I use small dose of Blissel gel prescribed by GP for VA and also Wellsprings face serum.
2. That’s right.
I didn’t have nausea when I was in peri, I was very dizzy and wobbly.
			 
			
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				Thanks Angela. 
I'm very dizzy and wobbly here in peri. But I also get nausea, mostly in the form of motion sickness. 
I've learnt so much on this journey. But still can't find a solution. 
Unfortunately my acceptance hasn't lasted long. Me on nothing = vertigo all last night. It's just not sustainable.  >:(
			 
			
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Thanks Angela. 
I'm very dizzy and wobbly here in peri. But I also get nausea, mostly in the form of motion sickness. 
I've learnt so much on this journey. But still can't find a solution. 
Unfortunately my acceptance hasn't lasted long. Me on nothing = vertigo all last night. It's just not sustainable.  >:(
Does that mean your estrogen has dropped, is that why you are getting vertigo?
			 
			
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				Well, it's always been high. I've been testing (at great expense) a lot over the last 2 years. 
But actually, I'm now wondering if there are two issues - poision with high E, and vertigo feeling really ill...low??? 
Fluctuations???!!!!!! 
Is your take on it vertigo would be low E??? 
			 
			
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				I wonder if it is a big and sudden drop? Is it positional, like when you roll over or turn your head? Have you looked up BPPV, benign paroxysmal positional vertigo as that can be caused by low hormones. 
			
 
			
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Me on nothing = vertigo all last night. 
I had vertigo when I was prescribed Evorel 75 patches 1.5 years ago. I remember I woke up in the morning, opened my eyes and my bedroom was spinning around me like a merry go round, I was so scared and that put me completely off HRT for another year. 
			 
			
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				Hmmm well all my other symptoms are high E. So given Angela's experience - I'll stick with high E. 
Horrific. 
			 
			
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Hmmm well all my other symptoms are high E. So given Angela's experience - I'll stick with high E. 
Horrific.
If you have just high E why progesterone only treatment does not help you? How do your periods behave at the moment?
			 
			
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				Periods are pretty normal. 
Progesterone only did help at high enough dose, but low doses of natural progesterone stimulate your estrogen.  
I couldnt get on high enough as it makes he really woozy and aggitated. 
Just hasnt worked. 😢
			 
			
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				Is it definitely linked to oestrogen levels? You can get similar symptoms from inner ear issues.
			
 
			
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				Yeah defo hormonal. All ear stuff was investigated early doors. 
Goes away on pill, for example.  :o
			 
			
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Periods are pretty normal. 
Progesterone only did help at high enough dose, but low doses of natural progesterone stimulate your estrogen.  
I couldnt get on high enough as it makes he really woozy and aggitated. 
Just hasnt worked. 😢
Synthetic progesterone? Simple Mirena? 
For me very low dose was enough to treat all symptoms. 
Did you try Ona’s? 
			 
			
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				I tried desogestrel mini pill. It no longer controls my system so I felt worse. It's not real prog. 
Yes. Tried onas. As well as compounded. I think It had potential, but the guidance I was given wasn't great. Now my body won't tolerate any p cream - getting severe stomach issues. It all needs to calm. 
Do you mean very low dose onas treated all your symptoms? It's just not worked for me. It stimulates my estrogen more. It's possible in time and consistency if would work. But I can no longer go there. 
			 
			
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				Hello again ladies.
I think I struggle with acceptance as I feel  crap so much of the time!
I have been on 100mg Utrogestan orally for three months and I wondered if the progesterone was actually a calming hormone for me. To test this theory I have recently reduced my oestrogen gel.
Unfortunately the mood problems continue but the last few days the burning and itching from VA has started up again! It seems to come on in bursts. I was out having lunch yesterday but needed to leave early. I am so glad I did because if I had been in a restaurant when the VA symptoms started I don't know what I would have done!
I am now increasing my oestrogen gel again in the hope that the VA symptoms settle down.
I have been on this hormonal rollercoaster for a very long time and I hate it so much. I just want to feel normal again but my body and mind won't let me!
Sorry to moan ladies, it seems that acceptance is still a long way off for me.
Take care everyone.
K.
			 
			
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				Crispy when you say your E has always been high, how high? What is the range? 
And with P, have you tried taking it rectally at high dose? Does that still make you woozy? That's not done very much in the UK but in the US lots of woman take utrogestan rectally... 
			 
			
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				Oh Kathleen. 
I'm so sorry you are still struggling. It's awful when we cannot find balance. My heart goes out to you. Xxx
Joziel. My E is not always specifically high. It can measure 350 pmol and I am poisoned. It is never lower than that and I need it to be. Highest recorded was 2089! 
When previously on the mini pill, it measured 229 pmol. I felt no poision. I felt well in myself. But moods were horrific. 
And no, I've never tried utro rectally.  ;D. I know plenty in states do. To be honest, I dont think utro works for me. I've been with a bhrt clinic, so had lots of P options. I struggled with them all. Even cream makes me really woozy. But that's not my main problem now. The progesterone now triggers an immediate excruciating stomach issue, which only calms when I stop it. It's like I've sensitised my body in some way. It all needs to calm.  :( but thanks for the thoughts xx
			 
			
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I tried desogestrel mini pill. It no longer controls my system so I felt worse. It's not real prog. 
Yes. Tried onas. As well as compounded. I think It had potential, but the guidance I was given wasn't great. Now my body won't tolerate any p cream - getting severe stomach issues. It all needs to calm. 
Do you mean very low dose onas treated all your symptoms? It's just not worked for me. It stimulates my estrogen more. It's possible in time and consistency if would work. But I can no longer go there.
When I say very low dose progesterone was enough to treat my symptoms I mean Mirena. I don’t know and probably nobody knows how much progesterone goes in blood stream from uterus, but it is very low amount and that amount of P was enough to put E/P balance in right. It’s E/P balance causes the symptoms and if balance isn’t reached symptoms remain.
I tried Ona’s in post meno and it was great for me, but unfortunately low concentration Ona’s products were sold very quickly and I had to buy high concentration, which was 200. I divided one dose into about 8 or 10, but still it was too strong for me, after 2 weeks of using it I started feeling too much.
To be honest I don’t know what to suggest, peri can last for years and make changes on the way. The body can rebalance the hormones one day and that will help. Unfortunately NHS does not recognise estrogen dominance until periods become more like uncontrollable heavy bleedings and the only option they offer is the Mirena. At least they didn’t offer me something to choose, but to be fair it was the right treatment for me.
			 
			
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				Yeah, I had to come of HRT (the doctors said), long chain of events ... I'm interested in what you say about vertigo, I had repeated bouts of this and labyrinthitis when on HRT, never tied the two together previously, perhaps they're not related.  I was also interested when you said you were going back to your herbalist as this is generally how I sort my symptoms - extreme fatigue, hot flashes, volcanic temper, insomnia, lots of aches and pains.  HOWEVER, I do have osteoarthritis and this is linked to low oestrogen and I did end up practically lame for 3 months back in late 2022, so these pay offs aren't for everyone and many would doubt that I'm doing the right thing.  It's right for me though, probably because a lot of my stuff appears to be psychological rather than physical - although obviously the two aren't really separate.
Acceptance.  I dunno.  I'm still in weekly therapy after nearly 5 years.  Increasingly, I can't really afford it, but I end up in such a state without it.  I just don't seem to be able to regulate myself.  That's probably made the most difference, because things seems a bit more under control, or I'm in control, or something.  I think I've got into the headset of changing what I can change and just ignoring the rest of it.  I also madly did a bunch of stuff that I'd assumed I was too old for, e.g. kicked in my job, retrained, bought a massive motorbike, etc.  This was because I had an dog who was on his way out, then got a puppy, and the old boy suddenly got a new lease of life.  I pretty much thought if he could do it, then so could I.
			 
			
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I also madly did a bunch of stuff that I'd assumed I was too old for, e.g. kicked in my job, retrained, bought a massive motorbike, etc.  This was because I had an dog who was on his way out, then got a puppy, and the old boy suddenly got a new lease of life.  I pretty much thought if he could do it, then so could I.
This is heartening, animals are the stuff of life and well done for your radical re-think; wish I could (had the guts to) do the same