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Author Topic: First-Timer Saying Hi  (Read 3490 times)

MrsFitz

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First-Timer Saying Hi
« on: November 02, 2015, 04:59:12 PM »

Hi

Just thought I would post and introduce myself. I've currently been in the black hell of peri-menopause for around 4 years now (I'm 47) My cycle is still regular but I do have all the other symptoms - night sweats a few days before TOM kicks in, hot flushes when I'm stressed or upset, brain fog, easily irritated, tired all the time but only sleeping 4 or 5 hours a night - all the usual really. My libido is non-existent and my weight is spiralling out of control.

The most upsetting aspect of it all is that I was diagnosed with Rheumatoid Arthritis 2 years ago, which sent me in to a flat spin. I know, after researching the living daylights out of it, that RA is because of the peri-menopause and I'm still somewhat miffed that the link seems to be generally ignored (but I won't get on my soapbox with regards to that particular issue! :cuss:)

Anyway, I have spoke to my GP on several occasions and he just refuses to prescribe HRT etc. His reasoning is that, due to my age, I could be going through this for many years. He doesn't want to prescribe HRT long term, especially as I could end up coming off HRT due to length of time of being on it and then going through everything I'm going through now in later years...mmm...My GP has been absolutely excellent in every other respect when it comes to my health but won't budge on this. 

I've tried all sorts of alternative remedies with varying degrees of success but nothing seems to work long term, so now it's more a case of chucking down a multi-vitamin and high strength vitamin D every day and gritting my teeth. I don't have the money to hunt down private help so I'm a bit non-plussed generally right now! I think the thing that has sent me over the edge is that my hubby has recently been diagnosed with low testosterone and has just started TRT - swine. Whilst both our libidos have been rock bottom, things have been fine (in *that* dept anyway) My concern is that, should everything go OK for him, he will want be at it like a Duracell bunny and I would rather stick rusty pins in my eyes.

Sorry, waffling on now! Anyway, hi from me

MrsFitz
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Dorothy

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Re: First-Timer Saying Hi
« Reply #1 on: November 02, 2015, 05:23:27 PM »

Hello & welcome.  Sorry you are having such an awful time.

I don't understand your GPs thinking, since it is actually more important to have HRT while you are younger, as you are replacing what your body would normally have anyway at that age.  My GP has prescribed BCP for me and advised I should stay on it until 50 (I'm 40 now) to protect heart, bones etc, at which point we can look at my symptoms & whether or not it is worth continuing with some form of HRT. 

Have a look at the various menus - there is a lot of information available which you can arm yourself with for your next GP visit.  You certainly shouldn't have to suffer this way unless there is a medical reason not to take HRT.  But a lot of GPs seem to be fairly clueless when it comes to menopause...
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Joyce

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Re: First-Timer Saying Hi
« Reply #2 on: November 02, 2015, 05:45:58 PM »

Hi there & welcome.

 :welcomemm:
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Trufflecat

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Re: First-Timer Saying Hi
« Reply #3 on: November 02, 2015, 06:29:10 PM »

Hi. I am new too!  My GP has fessed up to not knowing much about HRT but at least has the Grace to check things out and get back to me.   I do think that your GP needs to be more sympathetic. Could you ask around and find a GP who is prepared to help you?  Is it the policy of your surgery not to prescribe it?
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Kathleen

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Re: First-Timer Saying Hi
« Reply #4 on: November 02, 2015, 07:04:34 PM »

Hello MrsFitz and welcome to the forum.

I suppose your GP is thinking that after five years on HRT the risks increase but I'm pretty sure that idea has been discredited now. Even so, if you started HRT and were on it for five years that would still only take you up to 52 and the average age for menopause is 51. Some of us were still menstruating at that age, my periods didn't stop until I was 54.

I agree that you should do some more research and maybe speak to another GP. And as for your hubby getting hormone replacement that is so not fair! I'm wondering what the symptoms of low testosterone are for men and could they be any worse than low oestrogen is for women. I'm no scientist but I bet they're not, in fact is your husband being treated for the "male menopause "?

I hope you get the help you need and let us know how you get on.

Take care.

K.
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CLKD

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Re: First-Timer Saying Hi
« Reply #5 on: November 02, 2015, 07:11:13 PM »

 :welcomemm:

1st question: would this GP prescribing TRT for your husband the same as refuses HRT 4 U?

Change your GP! however 'good' he has been regarding your medical problems, he is stepping out of line by not considering HRT. His attitude is old fashioned and sexist.  Also, he took the Hypocrathic Oath (which I must look up  ::)) …… and is being paid to serve his patients - of course, any treatment comes out of the Surgery Budget so ask for an appt. to a menopause clinic!  Look up on your local Hospital web-sites to see which Gyanecologists support womens health; if necessary, ring their secretaries and ask how they support menopause.  If you don't ask you don't get!
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MrsFitz

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Re: First-Timer Saying Hi
« Reply #6 on: November 02, 2015, 07:40:20 PM »

Many thanks for the welcomes  :thankyou:

Yes, it is the same GP who referred hubby on :( I know hubby has had various symptoms for years but we just thought they were all linked to the underlying medical problem he has plus having to take high doses of morphine daily. However from seeing the GP, being referred on to the hospital and then getting his grubby little mitts on his gel was a grand total of 2 months!!! I've had a proper whinge at hubby at the bloody unfairness of it all but, if nothing else, it has made him a damn sight more sympathetic to my plight! I know the symptoms of low testosterone in men are different to the symptoms of low oestrogen in women and, being fair, it's been a crap, distressing 18 months while hubby has been trying to figure out what was wrong (thought it was depression coming to join his particular party) I know all this but I'm feeling anything but fair at the moment...

Anyway, I'm going to make an appointment with the GP this week and take hubby with me. I've been quite a few times asking for HRT, the pill, cream to try and kick-start my libido, anything in fact, but it's always a no. As far as I know, there isn't any underlying health issue that would negate treatment. I'm on meds for RA but they started after so it can't be that. I can't keep feeling that my life is over and done with at 47 and that's just madness.
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CLKD

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Re: First-Timer Saying Hi
« Reply #7 on: November 02, 2015, 07:52:10 PM »

I would be changing my GP Practice!   :bang: :bang: :bang: - obviously your GP is aware that men might suffer but women don't  :-\

See your Practice Nurse?  Often they are more sympathetic.  First thing that your husband needs to ask is why the GP is refusing HRT treatment and ask for written 'papers' etc. to back his refusal.  Explain that there are new Guidelines for GPs about to be published by NICE.  Which discount most of the health concerns related to HRT from the past.

It is well known that hormones can cause RA particularly during pregnancy.  I would by-pass the GP and ask for a referal to a Gynecologist. 
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honeybun

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Re: First-Timer Saying Hi
« Reply #8 on: November 02, 2015, 08:22:17 PM »

Welcome to the forum.

I agree change your GP or at the least ask for a referral. Either that or really emphasise the hot flushes and sweats. That for some reason ticks a box and then they will consider HRT.

A very unfair situation..

Hope you manage to get things sorted. You can of course email our own Dr Currie (see home page ) for a small charge and then show the email to your GP.


Honeybun
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Hurdity

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Re: First-Timer Saying Hi
« Reply #9 on: November 03, 2015, 04:06:55 PM »

Hi MrsFitz

 :welcomemm: from me too!

It's a tricky time working out what to do for the best at your particular stage. If you are still having regular periods ( ie no cycle changes) with approx the same flow, but you are experiencing some menopausal symptoms - it's difficult to work out what's going on hormonally.

Before even the "official" peri-menopause begins ( which is defined as when cycle changes begin) some hormonal changes begin to occur even if they are not usually measured - which cause symptoms to a greater or lesser extent or not at all! You say you have been "peri-menopausal" for 4 years but your cycle is still regular (all this time?) - so you possibly haven't got there as such? I know I experienced symptoms in my late 40's - especially pre-menstrually (migraines & exhuastion) before I had even heard of the peri-menopause - but my cycle was like clockwork.

I suggest you read this article about peri-menopause which explains about the hormone fluctations etc http://www.menopausematters.co.uk/article-perils-of-the-perimenopause.php and this easy to read press article (Daily Mail) which makes suggestions about how to cope at this point - even before HRT is appropriate.
http://www.dailymail.co.uk/health/article-2800760/should-women-hrt-menopause-experts-say-s-best-way-ease-symptoms-avoid-long-term-health-problems.html

While you are thinking about what to do and making appointments now is the best time to start planning to make lifestyle changes to help you through this next phase and enable you to have better health as you enter the next half century! As you will see from the article, limiting caffeine, smoking and alcohol as well as making sure you exercise regularly are all recommended as well as eating a healthy diet with fewer processed carbs, and maintaining (or acheiving) a healthy BMI. http://www.menopausematters.co.uk/diet.php
http://www.menopausematters.co.uk/weightgain.php

Because it may well be the dramatic fluctuations in hormones that are giving you symptoms at this point - HRT may not help - as some other women (on this forum) have found - at the same stage as you. It may be that controlling the cycle and preventing the oestrogen dip just before your bleed, would be better at your age and stage. As I'm sure you've read there are some women who have decided to opt for the pill at this point, for that purpose - and there is a fairly new one - Qlaira - which contains the bio-identical estradiol, although the progestogen is synthetic.

As I understand, changes in libido can be due to drop in oestrogen as we approach menopause ( but this may not apply to you yet) and decrease in testosterone which happens steadily as we age - and some women are lower than others in this naturally.

For some of us who are late peri- or post-menopausal - testosterone has been prescribed (usually by a private gynae) but only while oestrogen is also prescribed as part of HRT. In your case I wonder if a private doc would prescribe T on its own (as you are still menstruating regularly) - I can't remember reading about this on here? I use a petit-pois sized blob of Testogel daily.....

As honeybun says a £25 consultation with Dr Currie might help with your GP visit?

Anyway I'm rambling again - some of this is my own surmising based on others experiences and what I've read - but hope it helps!

TOM?

Hurdity x



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MrsFitz

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Re: First-Timer Saying Hi
« Reply #10 on: November 03, 2015, 05:54:28 PM »

Thanks all for the advice - lots to think about!

My cycle fluctuates between 3 and 4 weeks - a few months they're every 3 weeks and then a few months at every 4 then repeat the cycle. Hot flushes - not that many thankfully, just when I get myself completely stressed out over something and then I feel like I'm burning up, the back of my head is totally soaked (this is why I keep my hair short now) and I feel light-headed. The night sweats seem to kick in around a week before my period is due and they are full on to the stage where I have to change the bed etc. I hate those the most - yak.

Tiredness is pretty much all the time and my internal thermostat is broken and has been for a couple of years now. It's very rare I stick the central heating on, regardless of how cold it is. I'm fine with it but hubby and kids complain. My answer is that they can always stick a jumper on whereas I can't run around naked to cool down! If it gets too bad I take myself off to bed and lay there with the fan on. I generally sleep with the fan on at night too. We have a summer quilt on but hubby piles blankets on top of his side to compensate! Oddly enough, I can go on holiday to hot places and I cope fine, it's just here where it all goes Pete Tong!

I know about the lifestyle changes and I did take steps towards this a few years ago (before being diagnosed with RA) I lost 7 stones in weight, had a really healthy diet, was a regular at the gym 4/5 times per week etc. I was then diagnosed with RA in my hands and feet and it all fell by the wayside. Trying to get my med regime on an even keel took a good 18 months, coupled with being completely at a loss and bloody angry generally. Needless to say, I've put on almost everything I lost and have struggled trying to get back on a diet ever since. On a more positive note, my RA is now under control and isn't getting any worse. I have a full set of blood tests for my RA every 3 months and everything comes back to show I'm maintaining as I should.

Again, this is where my GP came in to his own as he pushed for me to get seen at the hospital after my initial blood tests came back fine. I have the negative version of RA that doesn't appear on the bog-standard tests. It is just this one thing where I feel I'm not getting anywhere with him.

I'm actually quite happy to go back on the pill (I did research this initially after being refused HRT) I can pretty much cope with all the symptoms at the moment but not the lack of libido. I am feeling down and have been for a long while but I'm not interested in anti-depressants (a personal thing) That does seem to come in cycles but things at home contribute to that which are making life difficult to deal with generally. 

I go to the pub once a week and I do smoke (please don't advise me to stop, I know all the dangers but it really isn't going to happen right now!) My diet is shocking, I know. But, regardless of whether I was making healthy life-style changes or not, my peri symptoms have remained just the same.

Oh, TOM is time of the month  :)
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CLKD

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Re: First-Timer Saying Hi
« Reply #11 on: November 03, 2015, 07:18:41 PM »

Your diet you can adjust - add a few healthier options each week.  Or make one meal each day 'healthier' ……. read a few menus and make a list - do a big shop if you don't have stuff to hand.  You may find that you feel less tired if you drop any junky stuff and add fruits and veg. ……...

Have you had thyroid function tests recently? an upset gland might well be contributing to your not feeling cold? 
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Skyflier67

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Re: First-Timer Saying Hi
« Reply #12 on: November 04, 2015, 02:10:48 PM »

Hello from a newbie too.  I don't understand your GP not prescribing HRT for you.  I have only been taking it for 5 days and already I'm starting to feel more human. I hadn't realised how bad I felt until I am coming out the other side.  I'm 48 and had been perimenopausal for about 3 years and now in full blown menopause.  I hope you manage to persuade your GP to at least try something for your symptoms.  They are no fun.,
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Hurdity

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Re: First-Timer Saying Hi
« Reply #13 on: November 04, 2015, 05:53:26 PM »

Hi again MrsFitz

Just to say it sounds amazing that you managed to lose all that weight - 7 stones is a massive amount so that must have taken a huge effort! The fact that you've put it back on again does suggest you should have thyroid tests because an underactve thyroid does cause weight gain (but of course doesn't make you feel hot!). Have you had blood tests recently aside from the RA ones - and if so what was your TSH reading? Just a thought.

Hurdity x
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CLKD

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Re: First-Timer Saying Hi
« Reply #14 on: November 04, 2015, 09:31:00 PM »

Also - if you have managed to lose the weight, you will be able to do so in future.  If your blood tests don't show anything untoward then in the New Year  ;)
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