Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: discogirl on September 09, 2024, 03:03:00 PM
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I restarted hrt in march after having 3 months off due to a heavy bleed. Biopsy showed everything ok and bleed was due to unopposed estrogen as I was experimenting with cyclogest rectally and it wasn't enough for the estrogen.
I'm now on 2 pumps of gel and utrogestan 100mg orally (I take this in the mornings). A couple of weeks ago I had a very slight bleed which was very small and stopped after a couple of hours. All in all I've been okay, my sleep has been improving, however over the last few weeks, my anxiety has started to get worse.
I'm just wanting some advice, I'm wondering if the anxiety is due to my estrogen getting out of control again.
My gynae suggested increasing my utrogestan to 200mg to stop the bleeding which I haven't done yet. I don't know whether the increase in anxiety is due to the estrogen or whether it's the utrogestan.
Thanks x
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Anxiety can be caused by low oestrogen, so maybe you need more Oestrogel.
However, it can be other things too. X
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Anxiety is usually low oestrogen but it can also be from too much and a few people get it from utrogestan. If you haven't been on utrogestan before it might be worth a couple of cycles of sequi to rule out utro as the cause?
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R U able to describe how your anxiety begins and which path it takes :-\
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Hi Disco - I was the opposite of what others said. I got anxiety when I upped my oestrogen patch and figured that, if I increased progesterone (rectal cyclogest at the time) this would address it. On a 75 patch, I then increased my progesterone to 200mg daily split into 2 doses. It helped the anxiety a lot. Only reason I came off it to go on to Livial is because I’m dealing with a couple other health issues and find it hard to manage so many different HRT components. So a little experimentation might be needed. It could be that oral uteo isn’t strong enough to balance your oestrogen, maybe tey increasing that first OR take it vaginally as it’s stronger?
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Hi Everyone,
Thanks so much for the replies.
Dotty - I really don't think it's low oestrogen. Late last year when I had the heavy bleed it was due to estrogen dominance (or unopposed estrogen, as the medical fraternity preferred to call it) so I think it might be the progesterone is not enough to counter-act the estrogen. I could be wrong, but that's what I think. Hope you're okay xx
sheila99 - My hrt ride has been a bit bumpy, as at the beginning I sort of faffed around with the utro quite a bit, so I never know whether it's the utro or not. Trying out a couple of cycles of sequi is an idea to be honest. Troubling thing is, my sleep is so much better, and if it is the utro, I really don't fancy the coil and synthetic progesterone wouldn't suit me either x
clkd - my anxiety usually begins mid to late morning; its more like feelings of dread which comes in waves until about early evening when it then eases off x
Hi Furyan - Hope your ok. I was on cyclogest last year when I got the heavy bleed. I was also using it rectally and I was cutting it as well. However when I got the bleed, my estrogen levels had shot up to about 1,600 pmol. So the bleed was just the fact I wasnt absorbing the cyclogest. My plan is to try increasing the progesterone to 200mg which is what my gynae suggested following the very slight bleed I had the other week or I may even do what sheila99 said and try a couple of cycles just to see if it is the utro which is causing my issues. I did used to use the utro vaginally at night, however i cannot seem to tolerate it at night as it seems to make me a bit wired if that makes sense x
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Anxiety is usually low oestrogen but it can also be from too much and a few people get it from utrogestan. If you haven't been on utrogestan before it might be worth a couple of cycles of sequi to rule out utro as the cause?
Hi sheila99
Can I just ask doing a couple of cycles sequi. I know it means taking the utro for so many weeks, then so many weeks without the utro where you have a bleed. Can I ask how long do you take the utro for and how long do you just take the estrogen for? (I'm post menopause so I presume having a monthly bleed wouldn't cause any other issues since I had a thickened endometrium previously)
I was also wondering about whether stopping and starting the utro would cause other sort of issues as in causing my progesterone levels to shoot up and down and also I was wondering whether stopping the utro would cause any sort of withdrawal symptoms?
Sorry for the questions but my sleep is pretty much ok at the minute and I really don't want to mess that up however I cannot go on with this level of dread as well.
thanks so much x
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I'm not on HRT nor would I dare add anything to the mix but since Tuesday depression set in followed by acute anxiety :'(. No words of wonder but have a :bighug:. Thighs are weak, head feels woozy, should eat but can't ........ :-\
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Hi clkd
Did anything trigger your anxiety do you know?
With myself its more feelings of dread about nothing in particular which makes it seem worse if that makes sense.
I hope your okay xxx
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Struggling.
I felt undervalued recently
This week's calendar is busy++ = not eating properly so I gets weak and woolly
A family invite ..... on his side :-\ = booking a hotel, going away, mixing with people in a closed situation
I could go on .......... ::) Tnx.
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Sequi is 200mg x 12 days (days 15-26). You carry on with your normal oestrogen all the time. They told me long term sequi gives you a slightly higher risk of endometrial cancer but I can't see it making any difference for a couple of cycles (we've done it that way for 30+ years after all). Some people get withdrawal symptoms for a few days but I don't think it's very common.
Hope you're OK CLKD, at least you have the hotel to escape to.
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Clkd don't feel under valued!, I obviously do not know your personal life but you are a world of support on here and I thunk thays amazing.. :-*
Disco girl...
I do feel for you and know also how you feel...the dread feeling and the constant juggling of symptoms and hrt and meds it's exhausting..I have only had 1 week out of 8 feeling semi normal...now trying splitting my gel to morning and night... and upping my AD to see if it helps...
Its very very hard to fine the solution. X
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Spelling mistakes! ::) sorry
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:thankyou:
My lap top has lost the ability to correct spelling mistakes :o
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Struggling.
I felt undervalued recently
This week's calendar is busy++ = not eating properly so I gets weak and woolly
A family invite ..... on his side :-\ = booking a hotel, going away, mixing with people in a closed situation
I could go on .......... ::) Tnx.
Hope your ok clkd.
I hope the time away helps a little xx
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Sequi is 200mg x 12 days (days 15-26). You carry on with your normal oestrogen all the time. They told me long term sequi gives you a slightly higher risk of endometrial cancer but I can't see it making any difference for a couple of cycles (we've done it that way for 30+ years after all). Some people get withdrawal symptoms for a few days but I don't think it's very common.
Hope you're OK CLKD, at least you have the hotel to escape to.
thanks sheila99, its something to keep in mind x
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Clkd don't feel under valued!, I obviously do not know your personal life but you are a world of support on here and I thunk thays amazing.. :-*
Disco girl...
I do feel for you and know also how you feel...the dread feeling and the constant juggling of symptoms and hrt and meds it's exhausting..I have only had 1 week out of 8 feeling semi normal...now trying splitting my gel to morning and night... and upping my AD to see if it helps...
Its very very hard to fine the solution. X
Hi mariab,
It is really hard to figure out what's causing it sometimes as well;
I have found MM an amazing site and it helps just to know your not alone sometimes doesn't it xx
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Hey, I went on hrt back in july last year and thought for some reason (I don't even remember why) that I'd stop it!? After a few days I started experiencing the WORST and most disproportionate anxiety I've ever had. I've been able to deal with anxiety all my life but this oof.
I then decided after a month of that I would go back on it, and have been on it 3 months today, but my body has sort of shut down, my mind as well, in this time - I can't eat, sleep well, or be sociable without getting anxious, even walking down the road has become a huge chore. I wondered if I should up my estrogen from 2 to 3 pumps a day?! This is horrible D:
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Hi abarthsister
I'm so sorry you're feeling like this, its' really awful.
I'm not very experienced really so hopefully someone more experienced will come along and help.
But you're not alone in this and I really hope you feel better soon xxx
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Sequi is 200mg x 12 days (days 15-26). You carry on with your normal oestrogen all the time. They told me long term sequi gives you a slightly higher risk of endometrial cancer but I can't see it making any difference for a couple of cycles (we've done it that way for 30+ years after all). Some people get withdrawal symptoms for a few days but I don't think it's very common.
Hope you're OK CLKD, at least you have the hotel to escape to.
Hi sheila99
I think I might do a couple of cycles just to see if it is the utro that's causing this, so just to check I'd be doing it right.
As I'm post meno, would I just basically pick a date to start this? So I would basically take the oestrogen and utro 200mg for 12 days so say 1st to 12th October I would take the oestrogen with 200mg of utro, then after the 12th day I would stop the utro and continue with the estrogen until say the end of October, then come the 1st to 12th November I would take the utro again and then stop the utro after the 12th day continue with the estrogen and then on 1st December to 12th December restart the utro?
Sorry if I sound thick but my mind just doesn't work anymore xxx
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Better to be sure! Oestrogen is taken all the time, it's only the utrogestan that starts and stops. If you stop utro now you should bleed in 2-3 days. The first day of the bleed is day 1 and you take utro days 15-26. It's possible your lining is thin enough at the moment there won't be enough for a bleed in which case I would call day 1 three days after you stopped utro. Let us know how you get on.
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Hey, I went on hrt back in july last year and thought for some reason (I don't even remember why) that I'd stop it!? After a few days I started experiencing the WORST and most disproportionate anxiety I've ever had. I've been able to deal with anxiety all my life but this oof.
I then decided after a month of that I would go back on it, and have been on it 3 months today, but my body has sort of shut down, my mind as well, in this time - I can't eat, sleep well, or be sociable without getting anxious, even walking down the road has become a huge chore. I wondered if I should up my estrogen from 2 to 3 pumps a day?! This is horrible D:
I think increasing is a good option. Insomnia can be a symptom of low oestrogen too. You may like to split it so you get a more consistent dose.