Menopause Matters Forum

Menopause Discussion => All things menopause => Topic started by: Lisa1966 on June 19, 2018, 07:55:29 PM

Title: Feeling flat after specialist appointment
Post by: Lisa1966 on June 19, 2018, 07:55:29 PM
Hi ladies,just an update on my appointment today,I think I wanted a miracle,but knew deep down there wasn't going to be one. Having done lots of research on this site and other places,I knew what I should be on,and I managed to get oestrogel before my appointment,but have only been on it a week.he wants me to stay on 4pumps,and he wants me to have utrogestan,so he's going to write to my gp. He wants me to get bloods done in 2 weeks,to check levels and maybe adjust dosage. Also when he's checked my levels are stable he may give me testosterone to lift mood and energy levels.

          Lisa xx
Title: Re: Feeling flat after specialist appointment
Post by: Tempest on June 19, 2018, 08:36:39 PM
But that sounds like a GOOD outcome, Lisa! What else were you hoping for? It's just going to take a bit more time - that's the magic ingredient.😊 xxxx
Title: Re: Feeling flat after specialist appointment
Post by: Lisa1966 on June 19, 2018, 08:49:41 PM
Hi tempest,yes I am happy that he knows what I am taking and is happy with it,as I have been self medicating,my gp has no idea how much I am taking,I don't think she really cares,but I knew I was on the wrong progesterone,as was making me feel ill. It will be interesting to see what my levels are after bloods.

       Lisa xx
Title: Re: Feeling flat after specialist appointment
Post by: Daisydot on June 19, 2018, 08:50:50 PM
That's a very good outcome Lisa he's did exactly what he should have done I don't understand why your not happy with that result. Testosterone doesent work in every case and he was correct in telling you that you need to get your oestrogen levels balanced before he can start you on testosterone it's taken me 6 months to do that before I could trial it,he's also told me that after 3-6 months if no significant improvement I can just stop it and no harm done.
You have an excellent meno specialist there Lisa so be guided by him and be patient it's not going to change overnight.good luck x
Title: Re: Feeling flat after specialist appointment
Post by: Lisa1966 on June 19, 2018, 08:57:00 PM
Thank you daisydot,did u have a good holiday? I know,like I said just want this nightmare to end,he doesn't have a magic wand,and I know that,it's just the fear of going back to last year again that fuels my anxiety. He is a lovely man and I am glad that he agrees with what I have put myself on, I will be happier when I see what my levels are,then he will tell me where we go from there. I'm just too impatient.

         Lisa xx
Title: Re: Feeling flat after specialist appointment
Post by: Daisydot on June 19, 2018, 09:14:51 PM
That's good then Lisa just go with him and work with him he's an absolute gem and will look after you but don't expect testosterone to be that miracle drug for you,if it is then fab but take it one step at a time it's still early days for you and I hope it goes well x
Holiday was fab thank you xx
Title: Re: Feeling flat after specialist appointment
Post by: CLKD on June 19, 2018, 09:59:21 PM
The body doesn't often get where it is suddenly so it will take a while for the body to absorb any hormones.  Do you keep a mood/food/symptom diary so that you can chart how far you have come?
Title: Re: Feeling flat after specialist appointment
Post by: Hurdity on June 20, 2018, 06:26:51 AM
Hi Lisa1966 - thanks for the update on your visit but sorry to hear you are feeling flat as a result - but now you must have faith in what has been prescribed and take comfort in the fact that you have seen a specialist who has listened to you and will be monitoring you.

As the others have said you now need to give it time and try to find positive things to do each day towards your health ( or leisure time!) to take your mind off the HRT and how you are feeling. Maybe keep a brief diary - but perhaps not every day as it will encourage you to dwell too much on the exact nature of how you are - just smiley faces or otherwise at the end of th day - and hopefully after a few months you can look back and see how far you've come as CLKD says.

All the best :)

Hurdity x
Title: Re: Feeling flat after specialist appointment
Post by: Kathleen on June 20, 2018, 11:13:55 AM
Hello  Lisa1966.

I also saw a meno specialist yesterday and wanted to say that my experience was the same as yours and I feel just as you do now. I think it is because we are desperate to be well and fear that the regime we have been prescribed won't work.


Wishing you well and sending hugs.

K.


Title: Re: Feeling flat after specialist appointment
Post by: Dotty on June 20, 2018, 11:39:15 AM
Hi Kathleen and Lisa

I just want to say that I know exactly how you feel.  I was terribly ill last autumn / winter to the extent that I couldn't do anything as i was so exhausted.  My life ground to a halt and I was desperate for help.  I too wanted a  magical cure.  The HRT oral tablets that i took for 3 months didn't help me at all and I was getting worse.  I paid to see a  specialist who prescribed Oestrogel, Utrogetsan and Testosterone.  I wanted a miracle cure but there isn't one.  After a month I was a bit better but not much.  Three months later I was back at the gym and now I'm leading a normal life again.

It's so hard.  But have faith that you will get your life back. xx
Title: Re: Feeling flat after specialist appointment
Post by: Lisa1966 on June 20, 2018, 01:45:33 PM
Hi Kathleen,it's a very difficult time isn't it,trouble with me is I'm impatient and want to feel better yesterday,although that isn't possible. I have suffered for 261/2 years with anxiety and depression,on and off,which has ruined my marriage and taken away what should have been the best years of my life. I have been divorced for 16 years,and on my own for 6,I have resigned myself to the fact that I will spend my autumn years alone,as I don't go out anywhere,so no chance of meeting anyone,and what do I have to offer anyone anyway. It's been a ...t life,I just want to be able to cope,god knows what I will do when my children leave home. I'm sorry to unload, I am just so lonely 😭

           Lisa xx
Title: Re: Feeling flat after specialist appointment
Post by: CLKD on June 20, 2018, 01:55:18 PM
You shouldn't be lonely on here ;-).  Also if you went to the Appt. rearing to go and expecting opposition, there may well be a feeling of flatness after especially if the Consultant listened  ::)

Anxiety ruined my Life at times  :'(.  I offered DH 'out' but he stuck with me  :-*.  Without a loving husband, a good GP and medication, I wouldn't be here.
Title: Re: Feeling flat after specialist appointment
Post by: Lisa1966 on June 20, 2018, 01:59:41 PM
I wish I wasn't here at the moment xx
Title: Re: Feeling flat after specialist appointment
Post by: CLKD on June 20, 2018, 02:01:18 PM
Why?   I went through that a few years ago.  My GP helped a lot.
Title: Re: Feeling flat after specialist appointment
Post by: Lisa1966 on June 20, 2018, 02:07:13 PM
No friends,no life,I don't like myself,but I never have,I'm fat and ugly and lots of financial problems.
What's to live for xx
Title: Re: Feeling flat after specialist appointment
Post by: Daisydot on June 20, 2018, 02:26:47 PM
I'm your friend Lisa and life is there for living we all have shitty days I'm having a few right now but you have to learn coping strategies you just don't know what's around the corner,18 months ago I had such a severe head injury on top of all this meno crap that I thought I'd never recover,I couldn't even walk in a straight line but I know life is really precious after losing my mum and sister so you keep going,you find things that improve your quality of life and things that make you get up in the morning,after a lot of physio to re-educate the brain I'm doing very nicely now and slow but sure my confidence is climbing but I take each day and deal with it as it comes and live it in a kind thankful way,you need to get out and make those friends or try putting something back into your community that makes you feel needed there's so many people out there who need you.Your children will move on and rightly so they have wonderful potential ahead of them as every generation does so don't you lag behind ,grab it by the chuckies and find something to enrich your mind.It doesent matter if you don't like yourself but you need to learn to turn things around in a positive way,there's tons to live for Lisa x
Title: Re: Feeling flat after specialist appointment
Post by: CLKD on June 20, 2018, 02:28:17 PM
Hey! US!

Friends can be a burden  :-\ as can family.   My family expect me to 'conform' - I can't be myself and anything out of routine I have to justify the whys and wherefores.  Friends are OK until something goes wrong in their own Life, I have had several disappear off my radar when they have problems and some haven't stuck around when I was very ill in the 1990s. 

Financial problems can be sorted.  Either via the Bank, I believe that there is assistance at Citizens Advice Bureau, or a Financial Advisor.  Debts can be stretched out if necessary so that 1 pays less each month, a good advisor will tell you how.

Fat and ugly are your perceptions right now.  But from here, it don't matter what you look like  ;)
Title: Re: Feeling flat after specialist appointment
Post by: SueLW on June 20, 2018, 02:44:47 PM
It's the hormones talking Lisa.

To me you sound like you have the sort of slump that comes from being keyed up about something important when its over.  You were desperate for your appointment.  But it's been and gone and you have slumped.  It's OK. Tomorrow is another day.  And you have a new regime to work with so that's good news.

Fat and ugly are usually only in our heads.

Get outside into the fresh air and open spaces and look really hard at things.  Look at the grass and plants and trees.  Really look.  There's loads to live for.  You didn't fail your husband with what happened to you.  He failed you.
Title: Re: Feeling flat after specialist appointment
Post by: Mary G on June 20, 2018, 06:28:06 PM
Lisa, like the others, I think this is a very positive outcome but at the same time, I really do understand how you feel.  I don't suffer with hormonal depression but over the years and during my many experimentations with HRT, I have found myself feeling extremely flat and every time without exception it has been because my oestrogen levels are way too low.  If you are suffering from reproductive depression, don't underestimate how low you can feel when your oestrogen levels tank.  It will take time for the 4 pumps of gel to take effect but once you get there, you will suddenly feel a lift.

From what I have read on here, your specialist has prescribed the best possible HRT regime for hormonal anxiety and depression but I also know that it takes a while to kick in and that is the difficult part.  Until you get your oestrogen levels high enough to override your cycle, you will feel flat but at least you know what the problem is and can look forward to a light at the end of the tunnel.  Remember how long it took GypsyRoseLee to finally get there?

As I have said before, you have been stuck in the HRT halfway house with only moderate symptom relief but hopefully this will change very soon.  Having a blood test is a excellent way of finding out how well you are absorbing the gel and in your case you will be aiming for a level somewhere in the 800s.

Please don't give up hope.
Title: Re: Feeling flat after specialist appointment
Post by: paisley on June 21, 2018, 04:29:53 PM
Lisa
Could you possibly see a counselor provided for by the NHS.
I was feeling like you when I had PND years ago & I found it very useful & helpful to talk to someone on a weekly basis & to air all my frustrations to someone else who doesn't judge you. Xx
Title: Re: Feeling flat after specialist appointment
Post by: Tempest on June 21, 2018, 06:10:17 PM
Good advice, Paisley! Whilst estrogen can help to alleviate depression in peri. menopause (Studd et. al. state that this does not appear to be the case in post menopause), it can't replace negative thoughts, expectations or life experiences. Working things through with a counsellor can certainly help that, as a compliment to your HRT regime .

Never be afraid to reach out for all and any help you may need. xxxx
Title: Re: Feeling flat after specialist appointment
Post by: Lisa1966 on June 21, 2018, 07:13:43 PM
Hi ladies,thank you for being there for me,I am ashamed of myself for posting yesterday,whilst bawling my eyes out,it was a stupid thing to do,I should have kept my feelings to myself. So sorry

        Lisa xx
Title: Re: Feeling flat after specialist appointment
Post by: Dotty on June 21, 2018, 07:23:28 PM
Lisa, you did the right thing . Don't feel ashamed. Everyone on here wants to help and we will be here no matter what x
Title: Re: Feeling flat after specialist appointment
Post by: Lisa1966 on June 21, 2018, 07:28:39 PM
Thank you dotty xx
Title: Re: Feeling flat after specialist appointment
Post by: Tempest on June 21, 2018, 08:27:23 PM
Not at all, Lisa! We've all been there - and are still there, a lot of us! Please don't be afraid to reach out. Sending hugs. xxxx
Title: Re: Feeling flat after specialist appointment
Post by: Wilks on June 22, 2018, 07:18:56 AM
Hi Lisa,
Hope you're feeling a bit better today? Keep reminding yourself to give it time for the hormone regime to get working, but if you feel like you did a couple of days ago get yourself to the doctor or to A&E. If you want something meaningful in your life, do you feel up to learning something new at an evening class, maybe?
I was in a bad place last autumn and winter, exhausted and suicidal but the change in HRT plus testosterone and an antidepressant gradually got me out of it.
There is hope x
Title: Re: Feeling flat after specialist appointment
Post by: Hurdity on June 22, 2018, 07:55:26 AM
On a day that you are feeling better Lisa - why not sit down and write down the things about yourself or your life that you want to improve or change? As the HRT gradually makes you feel better you will feel more like doing things and taking positive steps.

For example if you really are fatter than you would like to be or than is healthy - then have a really good look at your diet, what you are eating and when and try to make very small changes that are manageable - and set yourself small weight loss goals or permanent changes in your eating habits? Write it all down (or on your phone!). We can help if you need any suggestions.

Along with that - not sure what exercise you take but have a think about how active you are and whether you could be more active - keep muscle strnegth up is important when we reach menopause as our metabolism slows, and cardio workouts improve your heart health.

Like Wilks said - are there activities you can do where you can get out and meet people, or voluntary work?

Your appearance - what is bothering you? Try to find something positive about each day or that you plan to do each day that will make you feel good ( I think I might have said that) and make yourself and your face relax and smile if you can. Do you need a more flattering haircut or clothes - charity shops/car boot sales are a great resource if funds are low ( even if they are not!).

These are probably all very obvious but hopefully you can decide to work on something - and once you are feeling happier and more confident about yourself - that is a major step to socialising and feeling confident and happy generally around other people.

Take care and do keep posting - start new threads on specific topics if it will help - as you can see there is always someone around to help and give support and a real wealth of knowledge and tips about all sorts of stuff :)

Hurdity x
Title: Re: Feeling flat after specialist appointment
Post by: Lisa1966 on June 22, 2018, 08:18:01 AM
Thank you tempest,wilks and herdity for your kind words and support,I really appreciate it,am so glad I have you to talk to. I am feeling a bit better today. Thank you 😊 xxx
Title: Re: Feeling flat after specialist appointment
Post by: Daisydot on June 22, 2018, 08:24:14 AM
Morning Lisa glad your feeling a bit better today,you've got a week of sunshine apparently so that should help to keep your spirits up.enjoy your weekend xx
Title: Re: Feeling flat after specialist appointment
Post by: Lisa1966 on June 22, 2018, 10:19:16 AM
Thanks daisydot,enjoy your weekend,unfortunately I'm working xx