Sounds just like me! A ācomplicatedā case I was told. That was just before the consultants put on their running shoes and made for the door!
Quite literally, just for the record, on the Nortriptyline Success Stakes, and appreciating it was a long time ago you started taking it, do you recall. Was the Nori the first/only preventive you tried, did you get much by way of side effects at the beginning, and can you remember roughly how long it was before you improved. Think thatās about the usual list of questions asked. Sorry. Not meaning to interrogate but your answers might reassure others about to embark on a similar course of action. Helen
Here in California, USA, two gynecologists Iāve seen recommend using Estradiol vaginal creme instead of oral hrt. I am 61 so have been postmenopausal about 10 years.
I donāt know if the fact that itās not oral will make a difference in how it affects symptoms, but Iād ask your doctors what they think about going that route.
I wouldnāt have thought the cream v. Oral would make a difference. Voltarol gives me chronic GERD. Pills or gel makes no difference. Perhaps with hormonal gel itās less potent than the pill formulation. Here in UK all recommendations are that HRT treatment stops totally five years post menopause.
From all Iāve read HRT may help some MAVers. Patches are used more successfully and timings are important. Guess an āexpertā expert in the appropriate field would be required to give optimum chance of success. Everythingās worth looking into though there doesnāt seem much support for HRT for any long term condition in the UK.
Have you got a new referral or an appointment to see Dr. S? I would ask him about it. He told me the bulk of new patients he sees each week are peri menopausal and menopausal women and he warned me that menopausal symptoms could " throw a bomb" every now and again into my recovery added to the fact that the peri menopause can go on for a decade or more and even after hormones can still fluctuate (Iām mid fifties and still not through). So Mav is harder to treat in my age group. He also said if specific hormonal symptoms got problematic he had drugs he could add in or change me too that should help. Nothing special or revolutionary (the standard preventatives)but he seemed to know what drugs might work best for the symptoms that would be most bothersome.
The Mirena coil in combination with estrogen patches was suggested to me when I had chronic migraine in my late mid forties .Although not recommended if you have high blood pressure.
It was a slow process. I built the nortryptaline up gradually. I was well enough to work after two years. I was really unwell though and did go up very slowly to 75mgs then 85mgs after the birth of my second child. Iām living proof that you can be well!! And for a long period of time too. Iām suffering with my hormonal change due to my age xxx
I am still seeing Dr S. heās a legend xxxx he wants me to try hrt as I tried venlafaxine and it did work for my mood and anxiety but made me feel asthmatic x
Yes, youād have to find someone who knows what theyāre doing. As we all know, thatās very hard to find sometimes.
I think the reasoning is that the hormones arenāt circulating through your entire system when using vaginal creme. I agree itās not a long-term treatment for most people. I just started taking it this year because of changes in the tissue. Iāll leave it at that and maybe spare you a mental picture
