Please help - so lost with this.

[InhibitionOfExhibition]

Hello.

This is slightly complicated, so please if anyone is good with this stuff, I'd so appreciate some help.

I'm turning 45, and for the last few weeks have had horrible anxiety and insomnia, against a backdrop of some other more minor perimenopausal type stuff (e.g., increased facial hair).

But blood tests came back as not peri at all (FSH less than 5, other hormones "normal").

I asked for HRT anyway, as felt something had shifted hormonally. Have now been on a very low dose of oestrogen for a month (one pump; started with a half). Supposed to add oral micronised progesterone around now. I have a Mirena, but it's been in for 7 years so may not be releasing much any more. I tried a tablet two nights ago, and had a really terrible night of panic. However, I get these sometimes and it may be unrelated. It's scared me, though, so haven't continued with the progesterone (yet).

ANYWAY - a month in, and my insomnia is even worse, and I'm basically getting desperate. I don't know whether this means I should go up to 2 pumps (as the nurse initially did recommend - but I was nervous), or whether I should try stopping altogether. Could the HRT be too soon, and making me worse? Or have I not given it enough of a go?

I feel so absolutely appalling (had next to no sleep last night), and don't know where to turn.

Any thoughts/advice greatly appreciated.

TIA

Do I:

Yes, increase to two pumps as that’s the starting dose anyway. And get your coil replaced, it’s a better progesterone IMO as it’s a smaller dose and it’s constant.
Also, look at getting some magnesium glycinate to take at night for sleep.
Consider vitamin B complex for energy, vitamin D3 with K2 for bones, and a good omega 3 for joints.

It's not complicated.

You should be on 2 pumps of gel. It's a good idea to start with 1 pump for a few weeks but it's worth upping to 2 now.

Utrogestan
The dose is 2 x 100 capsules.
Why have you mentioned taking 1?

Sometimes to start with Utrogestan can cause side effects but you're meant to keep going for 3 months with any HRT before changing it.

Take the tablets last thing at night, on an empty stomach and increase your gel to 2 pumps.

If you still feel odd on Utrogesan, get your coil replaced.