Hi Tc,
While I was on Diana 35 and Yazz I felt every day of my cycle ike you describe, PMT and migraines, also night sweats and flushing even when I was only in my twenties. Most of the perimenopause symptomps were there. I didn't recognize them as such as I was on the pill so that wasn't possible as my gyno sad.
When I took Microgynon 30 it surpressed my cycle almost completly,most symptoms went away and no more migraines. I still can't figure it out because Diane 35 had a 35 dose estrogen while Microgynon has a 30 dose estrogen. I think my own estrogen and progesterone were lower at that time as I was 48 and maybe because levonorgestrel in Microgynon and Mirena has a less potent progesterone and some androgenic properties. I tried Microgynon 20 but all symptoms came back so it had to be low estrogen.
I also tried carbamazepine, amytriptyline, every kind of anti- depressant and morphine for migraine/ CH but nothing worked.
Urtrogestan is a potent progesterone and has no other properties, unlike progestins, and, very important I think, progesterone has a anti- estrogenic effect . It's possible that's why your migraines are worse on Urtrogestan especially if your estrogen is already low.
Yes, migraines and CH returned almost immediatly on HRT, on patches, gel and oral. I went through the roof on Urtrogestan. And since HRT I also have spotting on a lot of days. I do have the same as you; all over the place with symptoms coming and going but if still coincides with my cycle.I kept a symptoms diary since my first experience with HRT and I have the same symptoms on almost exactly the same days of the month. Migraines when estrogen drops or is low. The pill doesn't surpress my cycle anymore.
I think the pellet just isn' t working for you. And I think Mirena, like every progesterone of progestin should be counteracted by enough estrogen. Otherwise you will have too much side- effects.
Besides the pellet do you take additional estrogen?
Alicess XX
