Menopausal madness

[Ilovetheseventies]

Can anyone help me ?
I have been absolutely fine and just have had a horrendous melt down. This seems to happen i feel so depressed, usually it goes away on its own.
Last time I discussed getting mirtazipine from Gp had the medication and then i just felt better and its still in the box. I dont know what it is, i have the mirena coil so no periods. I am 55 and tried hrt which didnt suit. I have been working nights over weekend, and
I ended up arguing via whats app with my DP over nothing. It doesnt really feel like nothing but i recognise i am feeling terrible.
Things had been building up as he turned up very late last week (long story) that and i have just been feeling so down. Anyone else been there ? I thought this was all behind me. I will have to wait for it to pass over, I hope it does.
This isnt frequent last time this happened was in September so I dont know what I can do. I tried cbt and that helped for a while. Desperately needing some advice.

Yes, me. I have a coil and still seem to get random bursts of PMT.
HRT is probably the answer if you want it to go away, but I feel generally unsettled at this stage of my life. Disappointed in my kids who I hardly ever hear from, frequently want a divorce etc. It’s not nice.

Sorry, just seen you’ve tried HRT. I suppose the answer is to ride it out, and be kind to yourself.

Yes i suppose there are lots of reasons to feel dissapointed.
It can be very isolating at times can't it ?

Yea, very isolating.
My job and my last child at home is what keeps me going.
I also seem to have lost my get up and go recently. Not sure if it’s the last 2 years of Covid, or my age.
I could easily spend the days browsing on here and watching some TV, but that’s no life. I need to find my spark again.

My armchair diagnosis would be:

A. I bet you're nutritionally short on important stuff (I'm serious here) like zinc omega 3 good gut stuff and magnesium and vit
B. Your needs (for affection, excitement, joy etc) are no longer being met and you are a simmering mass of anger which you're not acknowledging because of the scary as fuck consequences of doing so
C. You're sleeping really badly but don't know it - possibly snoring, talking in your sleep, waking several times
D. Your entire spirit is evolving as you age, like a caterpillar

When you say you tried HRT, what did you try?

There are many different types. Loads in fact. A lot of women give up after using one type when it simply wasn't right for them.

As you have the Mirena, all you need(ed) was estrogen as HRT. That would be a tablet, patch or gel. The Mirena is licensed for 4 to 5 years to use as HRT with added estrogen.

What did you try? My advice is you go back to HRT but try another type.

Also, OP, as you are 55, you will not need the Mirena for contraception any more and it's highly unlikely you are still having periods.

Using the Mirena when you don't need it may be causing these moods because you will have a huge imbalance of hormones. You are getting the constant' drip' of a synthetic progestin from the Mirena, but your body now has no / low estrogen.

No wonder you feel as you do.

Thank you. I think i will arrange to have it taken out. It was to help with my periods but thats 4 years ago. I was afraid of this mirena crash.
I didnt realise that having it with low oestrogen was an issue

You can still have a Mirena but also add in estrogen . The Mirena may not be helping matters, but don't give up on the Idea of HRT.

What did you try before?

I'd hope your GP realised that your Mirena was part of HRT, and they didnt give you a type of HRT that also included progestin.

If they did, you'd possibly feel the HRT wasn't helping at all as you were getting too much progestin.

Any ideas on what went on with that?

I tried hrt with just the oestrogen and found it didnt help even when increasing the dose. Ive never had any ohysical symptoms just these moods. Most of the time i am ok i was thinking maybe i should get coil out ?

Please talk to a doctor as you may need to try another hrt as sometimes one size does not suit all. Do not give up and I just started hrt and notice a slight improvement. Am on Divigel daily and take progesterone 14 days on and 14 days off which I love as it helps me sleep and then I feel so much better. There is help available and you should not have to suffer. Hope things improve and make a doc appointment. Not sure if you have WellWoman clinics there but mine was great here as male doc useless with women's issues and would not give me hrt when I asked years ago and recently. Wish had gotten hrt 3 years ago as not fair so many of us women all suffering when there is hormones available that will help us. Very hard this age and hope get my mojo back as not like me to feel so unenthusiastic about things.