Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: Booroo on May 01, 2025, 04:55:11 PM
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Well having 3m hrt review tomorrow and w@need ideas please as continue to be in the hrt circus.
Have tried lots different combos and either work to start with like current one then massive anxiety or random bleeding or monthly periods on conti!
Tried Evorel sequi flooding ,the conti really depressed
Utro couldn’t stick it
Mirena fell out
Double dose mini pill spotting
Am almost 53 both ovaries small ,2 1/2 years of this and wanted to relieve anxiety and palps which it did but just can’t find right balance and unsure if hrt is the culprit and whether I would have been ok or not but had to do something at time.
Thanks for reading
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Hi. My GP prescribed betablockas to ease the anxiety surges which worked well. Which symptoms did U want to relieve with HR?
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Hi booroo
Were you peri menopausal when you start HRT or post menopausal?
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Hello Booroo
I am sorry that I don't have the answers but I did want to sympathise.
I began HRT in post meno and I have never got the balance right. I am on a daily mood rollercoaster with some vaginal dryness on a medium dose but any higher and I have breast pain, spotting and then full on bleeding.
I came off all HRT about five years ago and within a few weeks I noticed a return of night sweats, flushing, increased vaginal dryness and then more mood changes with crying spells. After a while I returned to HRT but now I wish that I had tried to be HRT free for a little longer.
My trusty meno book says that most of these symptoms resolve when your body adjusts to the new lower levels of hormones. Apparently VA problems can persist but topical treatments can be used for that. I know several women who never used HRT and only one has needed topical oestrogen.
I am so sorry that I can't be of more help but I completely understand how hard it is to keep going when nothing seems to work.
Hopefully your review tomorrow goes well and please let us know how you get on.
Wishing you well and sending hugs.
K.
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Hi booroo
Were you peri menopausal when you start HRT or post menopausal?
Peri
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Hello Booroo
I am sorry that I don't have the answers but I did want to sympathise.
I began HRT in post meno and I have never got the balance right. I am on a daily mood rollercoaster with some vaginal dryness on a medium dose but any higher and I have breast pain, spotting and then full on bleeding.
I came off all HRT about five years ago and within a few weeks I noticed a return of night sweats, flushing, increased vaginal dryness and then more mood changes with crying spells. After a while I returned to HRT but now I wish that I had tried to be HRT free for a little longer.
My trusty meno book says that most of these symptoms resolve when your body adjusts to the new lower levels of hormones. Apparently VA problems can persist but topical treatments can be used for that. I know several women who never used HRT and only one has needed topical oestrogen.
I am so sorry that I can't be of more help but I completely understand how hard it is to keep going when nothing seems to work.
Hopefully your review tomorrow goes well and please let us know how you get on.
Wishing you well and sending hugs.
K.
Thank you so much for that almost made me cry xx someone listened,
So just had call and going for 1 utro and 75 Evorel see how I go xx
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There's nothing wrong with bleeding on HRT, as long as you schedule it. The objective of being bleed-free post-menopausally and also having enough estrogen for the full health benefits isn't realistic. If you take enough estrogen for its growth-promoting effects (cell turnover and effects on mitochondria) then your uterine lining will also grow. The only way to avoid that is to take a dose which is too small and drown yourself in progesterone to downregulate the estrogen receptors. For more info on that, look up Dr Felice Gersh on YouTube and her presentation on estrogen dosing.
Booroo, have you tried being on sequential with utrogestan? Or only continuous? If you are in peri and trying continuous it's not going to work because your own body is still producing estrogen. If you are post-meno and on continuous expecting to be bleed-free, this often doesn't work either and it's better to schedule the bleeds....
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My personal experience is that it can be difficult to get the dose right in peri as your own hormones are fluctuating, wildly at times. I still don't understand how HRT can be balanced in peri. I understand how it can work better post meno when there should be no/fewer fluctuations. If your own estrogen is high and you are on a high dose of oestrogen then surely you are going to get symptoms of high oestrogen (in my experience).
After 3.5 years of trying I could never get the balance right. I stopped over 3 months ago and although some symptoms have returned I generally feel better all round and I'm not continuously stressing about the higher/lower debate. I'm just trying to let my body regulate itself and see where I'm at. If I have to go back on it I will do but it will be reluctantly.
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There's nothing wrong with bleeding on HRT, as long as you schedule it. The objective of being bleed-free post-menopausally and also having enough estrogen for the full health benefits isn't realistic. If you take enough estrogen for its growth-promoting effects (cell turnover and effects on mitochondria) then your uterine lining will also grow. The only way to avoid that is to take a dose which is too small and drown yourself in progesterone to downregulate the estrogen receptors. For more info on that, look up Dr Felice Gersh on YouTube and her presentation on estrogen dosing.
But both ovaries are small how can I produce anything?
Booroo, have you tried being on sequential with utrogestan? Or only continuous? If you are in peri and trying continuous it's not going to work because your own body is still producing estrogen. If you are post-meno and on continuous expecting to be bleed-free, this often doesn't work either and it's better to schedule the bleeds....
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Hello again ladies.
Booroo - thank you for the update and I wish you well with the new regime.
I'm sorry that my post almost made you cry but I hopefully that was in a good way! You are certainly not alone on this difficult journey.
DottyD68 - I appreciate that beginning HRT in Peri menopause must be challenging due to natural fluctuations however I was three years past my last period and I still haven't found a good balance. Perhaps it's something about me?
The last time I came off HRT several symptoms returned but I agree that at least I didn't have to worry about the hormones that I was adding.
I am considering taking another break from HRT and see if I can push through the likely return of symptoms and finally reach an even keel. That is the dream lol.
I am pleased that you are doing well and I hope you continue to feel better.
Take care ladies.
K.
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Booroo, the amount of estrogen your ovaries produce doesn't have anything to do with their size. Where did you hear that?
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Hello again ladies.
I wonder if Booroo is suggesting that her ovaries are almost atrophied and therefore not functioning.
At my first scan post meno the sonographer located my ovaries and confirmed that they were completely atrophied as expected.
Take care ladies.
K.
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Booroo, the amount of estrogen your ovaries produce doesn't have anything to do with their size. Where did you hear that?
Had scans and was told
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Hello again ladies.
I wonder if Booroo is suggesting that her ovaries are almost atrophied and therefore not functioning.
At my first scan post meno the sonographer located my ovaries and confirmed that they were completely atrophied as expected.
Yep that’s it
Take care ladies.
K.
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Yep that’s it Kathleen
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Oh well that's a bit different, rather than just size...
But that also doesn't really have much to do with HRT. I mean, there isn't a need to assess how much you are producing in terms of what to replace with.... It's about symptom-control and having a high enough serum level for health benefits (whether that total amount comes from just HRT or HRT and you...)