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Mood Swings
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elsie62 posted:
Hi, Ive looked at numerous web sites but not found an answer to my dilemma, I seem to have a set of symptoms that look very like PMDD but at the age of 52 I am entering the perimenopause and none of the sites say that you can have these symptoms at this time of your life. I have gained weight, I have extreme feelings of worthlessness, I can be laughing one minute and then in floods of tears the next for no apparent reason, I can't concentrate, I have bouts of tiredness even when Im at work where I could quite easily sit down and sleep, I have cravings for savoury foods, especially crisps etc and finally and worst of all I have the most violent mood swings, last night for example I had an argument with a very close and dear friend that seemed to get out of control and I just stood up and said im obviously not welcome here and walked out, leaving my husband to follow, I then felt like I needed to lash out at someone and as something inside said this wasn't right I stopped the car got out and walked miles home along dark country roads. Please help Im going to end up a sad, fat lonely old woman if I don;t manage to get on top of this soon.
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Mary Jane Minkin, MD responded:
Dear Elsie62,
It is often hard to separate out symptoms of PMDD, perimenopause and depression. Working with a therapist who can handle hormonal issues as well can be very helpful. One thing that helps everything is exercise; the more, the better-both aerobic and strength training can be very valuable. SSRI and SNRI antidepressants have been used to treat PMDD and perimenopausal symptoms-and your health care provider may be able to suggest different ones, based on exact symptoms and other medical issues. Also, for both PMDD and perimenopause certain low dose birth control pills can be very helpful-and here again, you gynecologist can help. So some relief should be available, and I hope you feel better soon,
Good luck,
Mary Jane
 
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kellbear responded:
elsie62,
I know how you feel. I am 36 and I have surgery induced menopause. I had a hysterctomy for endometriosis 8 years ago. I have extreme feelings of worthlessness, irritability, anger, wrath, axiety, insomnia and just feeling like I'm going nuts!! I was on HRT for years and my doctor took me off them 2 years ago. I thought I was done with menopause but I guess not. I exercise 3-5 times a week. It seems to just be a temporary fix and being with my friends just make me feel even more worthless. I am on a anti depressant but it's not working. I have been too embarrassed to talk about my feelings to anyone until I found this community. I just thought I was going crazy or I was just a psycho or bipolar or nutty. Maybe I am a little but there are so many other women on this community site that are going through the same thing. It just made me feel better knowing I am not alone. But how to stop the moodswings - I haven't figured that out.
 
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Mary Jane Minkin, MD replied to kellbear's response:
Dear Kellbear,
I'm not sure how much you've been on this site-but please keep on it-you'll meet many women dealing with these sorts of issues. Do you know why your doctor took you off of HRT two years ago? At the age of 36, unless you had some strong indications for being off of estrogen therapy, most menopause experts would strongly encourage you to stay on estrogen. Clearly it sounds like you felt better, and there is considerable literature to show that young women like yourself do much better heart, bone and brain wise staying on some estrogen. If you don't know any menopause experts near you, go to menopause.org, the website of the North American Menopause society, to find a menopause care giver near you who can give you some guidance.
Good luck,
Mary Jane
 
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kellbear responded:
Dr. Minikin,
I was taken off te HRT because of breast cancer. I'm thinking I'd rather be on HRT than to go through the symptoms of menopause. I live in the appalachan mountains and specialists, especially menopause specialists, are few and far between.
 
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Mary Jane Minkin, MD replied to kellbear's response:
Dear Kellbear,
This is a tough one; because very few physicians will recommend estrogen therapy for women with a history of breast cancer; its use is extremely controversial in that setting. A few suggestions that might be more agreeable to your health care providers. Remifemin is German black cohosh; it is used in German breast cancer clinics, and is fine for use in breast cancer survivors (it is not estrogenic). Its primary use is hot flashes and night sweats, but it is worth a try. The other question is have you tried different antidepressants? Some may work better than others-and there are truly dozens out there on the market. And one might work for you better than another.
Good luck,
Mary Jane
 
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kellbear replied to Mary Jane Minkin, MD's response:
Yes, I've tried all kinds of antidepressants. None of them work. My GYN finally put me on Premarin. I am feeling better although it's only been 3 days. I am so thankful.


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