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    Anxiety attack mid cycle?
    Anon_28855 posted:

    I am 47 years old, on the verge of being in perimenopause and I'm noticing and increase in my anxiety levels. I'm prone to it, suffered all my life, but have been good the last decade or so. Yesterday, I had such a panic attack that it scared my husband. I checked where I was in my cycle and I'm right smack dab in the middle of my cycle. Do you think I had a surge in hormones to cause this? I was normal one minute and messed up the next lol. ugh. I am set to start taking the mini pill and I'm hoping that may balance out my hormones. If this is what perimenopause feels like, I don't want it. Thanks for your help
    Mary Jane Minkin, MD responded:
    Dear Anon_28855,
    Indeed many women do experience anxiety issues in perimenopause. Trying the mini pill is quite reasonable; however, if you are in good health (non smoker, normal blood pressure) you might do better with a regular low dose birth control pill that contains estrogen-it will likely be more effective in leveling out your hormones, and will give you a low dose of estrogen which is likely to help. So if the progestin only pill helps, great-but if not, and you are a good candidate, do discuss a low dose pill with your provider.
    Good luck,
    Mary Jane

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