Vicky, I saw your pm and I’m responding here and not on your new topic, hope that is ok?
Vicky, how long has it been since you restarted the Slynd? I’m really sensitive to progestins myself too and I did have a lot of fatigue and a headache for the first 2 weeks on Drovelis (which has drospirenone, just like Slynd and Yasmin).
I started another progestin 3 days ago (dienogest) and I’m again very very tired and have a bad headache. These particular side effects do get better for me usually within a few weeks and will be totally gone after about a month I think.
I only went 9 days in between Drovelis and adding the dienogest, but it also has an effect on my uterus anyway, because I also have some menstrual cramps. I’m hoping my cycle is still suppressed with so little time in between, but I’m expecting a bit of hormonal fluctuation anyway for the first 2 months. Complete suppression did take more than a month for me with Drovelis, at about 6 weeks I was feeling more stable. The reason I quit with Drovelis, wasn’t because it wasn’t working (the estrogen was too low, but I could of course supplement) btw, I thought the drospirenone was agreeing more with me than any other progestin I’ve tried so far. However, the diuretic effect was giving me side effects that I didn’t expect. So, I chose to switch to dienogest, which is a progestin of the same generation and I’m hoping it will agree with me mood wise too.
All this to say that I understand you want to get relieve, but with hormones it takes time and that is so frustrating, I definitely understand that. I really believe that if you give it more time, things like fatigue will probably improve. I think it’s probably ok to cut the Slynd for the first few weeks, but I would be hesitant to do that myself, as with pills that aren’t meant to be cut, you can’t be sure each half contains the same amount. This doesn’t really mean a problem for endometrial protection, but it can mean that suppressing you will take longer (because getting a steady dose is important for suppression. So, I would only cut them if you really need to function this week and can’t with the current dose. I’m pretty annoyed that I’m this tired and have a headache, but I do feel I’m able to drive and besides driving my (special needs) daughter to and from school twice a day, other obligations can wait a few days if I’m too tired this week.
