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Sounds like you have been well evaluated. I'm not sure that a D and C would stop the bleeding; it would help, for example, if there were a polyp in the lining of your uterus which is responsible for the bleeding.
Now a couple of suggestions. A good exercise regime would be helpful; it would help with the stressors, and help with the extra weight. Unfortunately, fat tissue makes estrogen, which stimulates the lining of the uterus (and can lead to bleeding; it is also the reason that women who are overweight unfortunately have a higher incidence of cancer of the uterus.) Another suggestion would be to have you take some progesterone (or synthetic progesterone, called a protesting) on a regular basis. To quote Dr. Nanette Santoro, estrogens act like fertilizer, and progestins act like lawnmowers, for the lining of the uterus. So you could take a progestin tablet, like Aygestin, once a day for 12 days every three months. If you have built up any lining of the uterus, it would be shed after the Aygestin finishes. If there is no lining built up, nothing would come out (so in essence, this is a chemical D and C). It is pretty easy to do, and would help protect the lining of your uterus from an excessive build up of a lining.
So you may want to chat with your doctor about trying this as a possibility; some women find it helpful.
Good luck,
Mary JaneView Thread

Women experience hot flashes in all sorts of manners; unfortunately for some women, they do have a very severe pattern. If you are experiencing such severe hot flashes, have you checked in with your health care provider for intervention? Certainly, do take part in our site here-lots of recommendations on keeping the room cooler, soy, black cohosh; and then medications if simple remedies don't help.
Good luck,
Mary JaneView Thread

First of all, do not worry about menopause! that would be extraordinarily unlikely to be the problem here. You certainly could have a urinary tract infection; it is easy to do a urine culture (just ask your health care provider to authorize one at a lab, and you can stop by and do a clean catch urine). If it is a UTI (or you think it may be), drink lots of fluids and do get in some cranberry extract pills, which could be helpful, while waiting for culture results. My next question is (which is the most important)-you mentioned having sex on your ovulation day-are you trying to get pregnant? If not, what type of contraception are you using? If you do suffer from cramping (which it sounds like you do, and also experience heavy flow) birth control pills would most likely really help you with your symptoms. If you do not have a health care provider, do contact your local Planned Parenthood, where you could be checked.
And if you are trying to get pregnant, make sure you are taking some folic acid-all women attempting pregnancy should be taking 400 micrograms of folic acid, to help prevent birth defects.
Good luck,
Mary JaneView Thread

Good update! Thanks. Yes, the low dose pills certainly do help many women with the hormonal aspects of the perimenopause; they should basically take away hot flashes, night sweats, and the palpitations associated with the lack of hormones. Now that being said, folks can get palpitations from many sources, not just hormonal issues. I'm glad you're getting good results from the atenolol. You are on a very small dose; so that if in another week or two you are still noting them, do check in with your cardiologist to see if she would want to increase your atenolol dose. Now, it is also possible that even the pill and increased atenolol will not totally take care of flashes/palpitations associated with stimulants such as wine; and what I tell my patients that as long as they are prepared for them, and they want to drink the wine, well, that's OK.
So it certainly sounds like you're getting better, and I'm glad for that-but if some of these problems persist, there are still more adjustments available.
Good luck,
Mary JaneView Thread

A couple of suggestions. First of all, hard to say whether this is perimenopause or not; often a tough diagnosis to make; but certainly could be. Are you seeing a mental health professional to provide your anti-depressants? One thought would be to see if they could incorporate something like Welbutrin into your regime; welbutrin is the same thing as Zyban, which is used to help stop smoking. If they could help you stop smoking, you could use low dose oral contraceptives, which could control the hormonal aspects. Are you exercising regularly? The more, the merrier; both aerobic and strength training type activities may well help control some of your feelings. And if you aren't seeing a mental health professional to prescribe your antidepressants (like you are being prescribed them by a primary care provider, for example)-you may want to start working with a counselor who could give you some guidance.
Good luck,
Mary JaneView Thread

I am sorry to hear what is going on with your family. I do not recommend the HCG diet to anyone; there is not a lot of real scientific data available about it and its consequences. Menopause certainly can cause significant mood swings. I would strongly encourage you and her to see her gynecologist; hormone levels could be checked (not only estrogen levels but also other levels like thyroid that could be abnormal here, given this history-also other blood tests like electrolytes could be an issue given her significant weight loss); and reasonable therapy could be suggested. She may also be a good candidate to consult with a psychiatrist; there are many who have expertise in disorders which can be made worse by hormonal disruptions.
Good luck,
Mary JaneView Thread

What would be great is if we could all just stop having periods, but keep the estrogen normal forever, and not have surgery!
Alas, no one has figured out how to do that. Unfortunately, all surgery has potential complications, so we wouldn't recommend it without a problem that needed to be fixed surgically. And most women do feel better having our estrogen around!
Good luck,
Mary JaneView Thread

It certainly sounds like you are perimenopausal, and that these symptoms are not pathological. In general, when women do get bleeding at this point it is not related to ovulation (it is what we refer to as "non-ovulatory" bleeding) and without ovulation, it is usual not to have cramping. It is most likely to stop fairly soon; the vast majority of women are fully menopausal by age 60 (but not everybody!). If you haven't checked in with your health care provider, I would-just to let her or him know what's going on. Occasionally, at this point in time, some docs would suggest doing an ultrasound of the lining of your uterus after one of these periods, just to make sure you haven't accumulated a lot of "junk" in the lining of the uterus (to check the thickness of the endometrium). It is a relatively non invasive test, and can give some helpful information.
Good luck,
Mary JaneView Thread

I'm not sure from your posting why you cannot take estrogen therapy. But presuming that is the case, for symptoms, soy products and black cohosh can be helpful (two that seem to have success for my patients are Remifemin-black cohosh-and Icool, for the isoflavones, similar to soy.) Lots of skin moisturizers can help with the dryness. As far as vaginal dryness (which I think is what you were alluding to) a long acting moisturizer like Replens can be helpful, and of course use of lubricants at the time of sex. And for the weight gain, lots of good aerobic exercise and strength training are the best bets. There are also medications that can be helpful that are non estrogenic. For hot flashes and for depression, SSRI and SNRI antidepressants can be very helpful.
So as I just suggested to a participant, if you need a local menopause specialist to help, the website menopause.org will give you local suggestions of practitioners certified by the North American Menopause society, to help give you guidance, if you feel that your current health care provider isn't helping with information that you need.
Good luck,
Mary JaneView Thread

Unfortunately, the perimenopause transition seems to be associated with a weight gain that averages 5-8 pounds (not a year, but throughout the whole transition.) women who take HRT tend to gain 4-7 pounds (so I wouldn't push you to take HRT for weight control of one pound less)-and by the way Amberen does nothing. The best remedy for the weight issues are the same as for everything else: lots of exercise, including strength training for building good muscle mass, and aerobics; and caloric intake control.
If you want to take HT for symptom relief, there are many bioidentical products available from reliable pharmaceutical companies, derived from soy and yams. There are bioidentical estrogen patches and gels, and bioidentical progesterone tablets and vaginal gels available. If you need the name of a good local HT practitioner, go to the website of the North American Menopause Society, menopause.org, for the listings of certified menopause practitioners near you, who will be able to help.
Good luck,
Mary JaneView Thread
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