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Menopause

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Crisis point

64 replies

CherryPie864 · 29/04/2026 17:35

Anyone else have a mh crisis in perimenopause? I have had crushing axiety, heart banging panic attacks at 3am and all day every day rumination regret thoughts taking over my life. Saw GP today who suggested coming of hrt altogether as she said my body may not be reafy for it as still producing some hormones. I am so tired from the lack of sleep and so scared

OP posts:
Gonnagetgoingreturnsagain · 30/04/2026 19:30

JinglingSpringbells · 30/04/2026 19:23

I'm not against HRT and have used it for over 15 years.
However, my excellent consultant has always emphasised a 'whole body' approach rather than just HRT.

It was when the OP said this -

Still having a lot if intrusive thoughts abour past mistakes but not the full on heart pounding, shaking, actually having suicidal thoughts panic attacks. Will see what tomorrow brings in this joyful journey of menopause!

It is possible to manage thoughts which cause physical symptoms. There is a massive brain-body connection and yes, HRT is the foundation but not the whole answer for some women.

That's why other things like yoga, mindfulness and meditation can be helpful as well as HRT.

My yoga and mindfulness didn’t help me at all, similar with my friend who’s in peri at the moment.

Moveyourbleedingarse · 30/04/2026 20:32

You describe how I felt on utrogestan.

My happy place ended up as 100mcg oestrogen patch and a mirena coil. No horrible progesterone going into my system and wiping me out every day.

Really surprised GP told you to stop. My private gynae said the younger women start HRT the higher the dose of oestrogen they tend to need. I started at 44 and was on 100mcg within 4 months and mirena coil fitted at 6 months.

I don't have crashing anxiety or wake in the night. In fact I sleep as well as I did pre children now that I have vaginal oestrogen which means I don't need to wee at night anymore.

CherryPie864 · 30/04/2026 20:47

Thank you everyone, I know I cant go in like this thats for sure! I ned to be a decent wife/mum/teacher and cant if i am having panic attacks and doom thoughts. I did read that changing the deluvery method to oatch or vaginal might help and i did ask about this. I have a hrt review with the nurse on wednesday so will keep that and see if they say something diffeerent to the GP. Thank you all again

OP posts:
Lottapianos · 30/04/2026 20:57

@Moveyourbleedingarse , vaginal oestrogen is bloody marvellous, isn't it? I was getting up 4-5 times a night and weeing loads in the day as well. Now I'm only up once in the night and can go a couple of hours quite comfortably during the day without weeing

Moveyourbleedingarse · 30/04/2026 21:55

Lottapianos · 30/04/2026 20:57

@Moveyourbleedingarse , vaginal oestrogen is bloody marvellous, isn't it? I was getting up 4-5 times a night and weeing loads in the day as well. Now I'm only up once in the night and can go a couple of hours quite comfortably during the day without weeing

I don't get up at all in the night now! Ever. And even if I wake up with dogs or DH I can ignore even the thought of a wee and just fall asleep again.

Literally miracle cream.

Moveyourbleedingarse · 30/04/2026 21:55

Hi op. Vaginal progesterone made no difference to me at all. Mirena saved my sanity.

JinglingSpringbells · 30/04/2026 21:57

Gonnagetgoingreturnsagain · 30/04/2026 19:30

My yoga and mindfulness didn’t help me at all, similar with my friend who’s in peri at the moment.

Are you using HRT as well?

I've never said yoga etc is the answer, just maybe a helpful thing to try as well as HRT- can't make anyone worse.

grannygrinch · 30/04/2026 22:09

Don’t take anti depressants. I had issues on utrogestin it is notorious for causing anxiety. If you are peri you should only be on it 12 days a month. ( I was wrongly given it daily and then ended up on antidepressants which is another type of he’ll). Check out menopause matters online . Some people use utrogestin vaginally to minimise anxiety. Good luck

CherryPie864 · 30/04/2026 22:37

Thats really interesting. I was in utrogestin 11 days a month and the estrogel every day. I have thought about a mirena too, just really nervous about anything hormonal at the moment!

OP posts:
Moveyourbleedingarse · 01/05/2026 01:59

CherryPie864 · 30/04/2026 22:37

Thats really interesting. I was in utrogestin 11 days a month and the estrogel every day. I have thought about a mirena too, just really nervous about anything hormonal at the moment!

I said that. It took 6 weeks to settle - someone on here compared it to an new battery that was full. Sore breaats, exhaustion, emotional volatility. Then boom. Calm. Total calm.

Gonnagetgoingreturnsagain · 01/05/2026 06:12

JinglingSpringbells · 30/04/2026 21:57

Are you using HRT as well?

I've never said yoga etc is the answer, just maybe a helpful thing to try as well as HRT- can't make anyone worse.

Yes but wasn’t then.

Fuckmyliferightnow · 02/05/2026 13:08

Touty · 30/04/2026 16:09

do we really need 4 pumps of oestrogen, this seems a lot I’m only taking 1 pump

Many do use 4, it’s very dependent on the person.

Threesloths · 02/05/2026 13:09

I thought I was losing my mind. Dr put me on antidepressants.

menopausalmare · 02/05/2026 13:10

I had those symptoms before going on HRT and it helped (patches). Definitely ask for a review.

Gonnagetgoingreturnsagain · 03/05/2026 11:04

Fuckmyliferightnow · 02/05/2026 13:08

Many do use 4, it’s very dependent on the person.

How do you work out how many pumps you need? And if you were on patch before is it same as eg 1 pump 1 tablet?

Gonnagetgoingreturnsagain · 03/05/2026 11:07

Threesloths · 02/05/2026 13:09

I thought I was losing my mind. Dr put me on antidepressants.

My close friend is struggling through peri, thinks she can’t take HRT due to breast cancer in family, doesn’t want anti depressants, in very toxic workplace and on supplements for menopause/hormones. Used to do yoga, run but given up recently and stays home mostly with the cat. I don’t know what to advise her. Even her art which she used to like she’s stopped now. She’s very up and down, crying a lot. I did recommend a private menopause specialist.

Gonnagetgoingreturnsagain · 03/05/2026 11:08

Threesloths · 02/05/2026 13:09

I thought I was losing my mind. Dr put me on antidepressants.

My best friend had extreme rage at work (toxic place) for a year.

Gonnagetgoingreturnsagain · 03/05/2026 11:09

The one thing I really found which helped is talking to other women about the symptoms. So many of us suffer in silence. When you share symptoms and what’s worked or not life becomes easier as you’re not alone. And arranging things to enjoy eg cinema outings, coffees, walks.

Gonnagetgoingreturnsagain · 03/05/2026 11:12

Gonnagetgoingreturnsagain · 01/05/2026 06:12

Yes but wasn’t then.

Mind you I was in a new stressful job with useless induction and colleagues who were nice at interview were toxic and unfriendly once I started, and I was so stressed I cried a lot. Cried at my yoga class I went to with 2 friends after work. Horrific. Maybe anti D’s would have helped but I was put off them.

Benio · 03/05/2026 11:12

Have you had your bloods done to check thyroid - undiagnosed hypothyroidism sent me into a deep depression despite being on HRT.

Gonnagetgoingreturnsagain · 03/05/2026 11:13

You could try Prozac eg for 6 months or and beta blockers for anxiety. Consider seeing a menopause specialist.

Gonnagetgoingreturnsagain · 03/05/2026 11:15

Benio · 03/05/2026 11:12

Have you had your bloods done to check thyroid - undiagnosed hypothyroidism sent me into a deep depression despite being on HRT.

I’ve got an underactive thyroid (medicated) and I still got horrendous Peri symptoms. Luckily was only in mid 40s. Thyroid diagnosed at 37/38. Could’ve had it for years and mistook for severe pmt.

Threesloths · 03/05/2026 11:25

Gonnagetgoingreturnsagain · 03/05/2026 11:08

My best friend had extreme rage at work (toxic place) for a year.

Sounds really rough. I had terrible vaginal atrophy (as I later discovered) that was undiagnosed. No GP at my surgery had a clue. Sent me to a gynaecologist who also had no clue. It was only my own research that enabled me to ask for estriol cream to be prescribed. I honestly thought my life was over. My mind was telling me that if I stood up my insides were going to fall out. I was paralysed with fear. Luckily I’d left my toxic workplace by then. Endless unnecessary antibiotics. Was on the phone to the GP crying. She started me on citalopram. After a wobbly few weeks I started to calm down. It was after that I asked for the estriol (I found I couldn’t tolerate the Vagifem that was first prescribed). A combination of the antidepressants and the estriol cream has saved me

Benio · 03/05/2026 11:38

Gonnagetgoingreturnsagain · 03/05/2026 11:15

I’ve got an underactive thyroid (medicated) and I still got horrendous Peri symptoms. Luckily was only in mid 40s. Thyroid diagnosed at 37/38. Could’ve had it for years and mistook for severe pmt.

Exactly. Some symptoms of menopause and hypothyroidism overlap - but if you don’t know the root cause of the symptom it can’t be treated. So if the A&D are from hypothyroidism all the HRT in the world is not going to lift it.

Gonnagetgoingreturnsagain · 03/05/2026 12:04

Threesloths · 03/05/2026 11:25

Sounds really rough. I had terrible vaginal atrophy (as I later discovered) that was undiagnosed. No GP at my surgery had a clue. Sent me to a gynaecologist who also had no clue. It was only my own research that enabled me to ask for estriol cream to be prescribed. I honestly thought my life was over. My mind was telling me that if I stood up my insides were going to fall out. I was paralysed with fear. Luckily I’d left my toxic workplace by then. Endless unnecessary antibiotics. Was on the phone to the GP crying. She started me on citalopram. After a wobbly few weeks I started to calm down. It was after that I asked for the estriol (I found I couldn’t tolerate the Vagifem that was first prescribed). A combination of the antidepressants and the estriol cream has saved me

Edited

My story did get worse. Not going into details here and now! Trust me, I’ve found that male gps are still useless at menopause ime. Female ones slightly better. HRT seems to be a cure all. With not much discussion as to other options ime unless you ask. And don’t mention hormone supplements I tried to say I was taking those and doctor said “they don’t work”. Well they didn’t work much for me but…

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