HRT 7 weeks in

 I have now been on HRT for around 7 weeks and things keep improving for me on the whole. I am constantly amazed at how many parts of my body were effected by the fluctuation of hormones. I am so grateful that I didn’t have to battle my doctor to be put on HRT. I can honestly say the last three years have been utterly miserable with all the symptoms I have been suffering that just went crazy once I stopped taking the contraceptive pill back in December 2019.

My main reason for starting HRT was to see if it would stop or reduce the migraines that had increased from one a month when on the pill to 3 a week when I was no longer taking it. The difference has been remarkable. I have had a couple of “migraines” without aura’s but they haven’t been as intense as my pre HRT ones and the Sumatriptan do knock them on the head ( pardon the pun ) really quickly. Migraines now are something I can live with and not something I need to be ruled by, I couldn’t make plans without having to bring my migraine grab bag with me. Even if I was post migraine I was suffering from the after effects, so that it meant I only had one day a week where I felt like I was fully functional or at least functioning at my normal pre coming off the pill level.

The anxiety I suffer with has massively reduced, I still have the odd panic but it is nowhere near the totally paralysing fear I was dealing with since 2017. I have noticed a massive improvement in my overall mood as well. I hadn’t listened to music, either on the radio or by putting a CD on since Frankie passed away on 29th December 2018. I was listening to a vinyl record when he had his neurological even that let to us making that awful decision that every pet owner knows and wishes would never happen. It wasn’t a conscious decision not to play music, I would sing along to music whenever Mr Myasthenia Kid played music videos on the TV but to actually go and put music on or listen to it, just the once or twice when I found some music I really loved. But then after a while the desire to listen went away again.

A massive indicator of my mood has always been my desire to listen to music, I am not a one band or one genre only kind of person. I love pop music so you will hear me singing my heart out to anything by Katie Perry or Brittany Spears. I love the bands U2, Travis, Cold Play, Radio Head, Snow Patrol and James. I like some of the metal and rap that Jay plays, I also like opera and classical music. So to not sing or bop along to music is quite odd for me and I didn’t realise what a long time it had been since I really listened to music by choice not just because I happened to be in the room when it came on. Music was a huge part of my teenage years, again I had very eclectic tastes but I seemed to have lost that in the last few years. Now everyday I have music on, I tend to listen to  Absolute 80’s . I really love the music from my youth and will sing along to my hearts content. I am quite shocked by the difference HRT has made to my mental state and that I have got some joy back and that things don’t seem so bleak and overwhelming as they did previously. 

I just wish when I had been to the doctors in 2017,2018, 2019 about my anxiety and mood they hadn’t just increased my antidepressants, yes I had been through some pretty awful trauma but the anxiety and low moods were so much more than that. I had no clue that depression and anxiety could be linked to the menopause. I don’t think many women do, so how many of us are being given antidepressants which are an absolute ballache to come off, when it is in fact our hormones that are causing the issue. It is also sad that on all those occasions I saw female doctors and whilst they were sympathetic and understanding whilst I spent the majority of the appointment in tears none of them thought that maybe what I needed was HRT. Now at some point in the future I will be looking to reduce my antidepressant, which is also probably behind my weight gain. Deep Joy as I have been through the experience of reducing antidepressants before and it is an utterly horrific experience. No one is told how awful coming off these meds are when they are prescribed them. Yet HRT comes with a warnings list as long as your arm.

Another symptom that I had no clue could be caused by the menopause was dry skin. My skin has been terribly dry for several years and no moisturiser would work as it would sink in and disappear. My physiotherapist used to say whenever I had an appointment she couldn’t get over how dry my skin was, making me feel a little self conscious because it wasn’t anything that I could do about it as nothing worked. I didn’t realise until  very recently that this could be another symptom. But then again I didn’t know acne could also be a symptom, for the last few years I have had bouts of cystic acne, pimples all on my chin. Having not really suffered with acne as a teenager I have found the bad skin really difficult to deal with. I would end up whenever I left the house having to at the very least cover my spots with concealer and powder, even if I knew I wasn’t seeing anyone I knew. If I was seeing people I did know that meant a full face of makeup and praying that the livid purple cystic acne lumps would break free of their concealer prison whilst I was out. I am not massively vain, you kind of lose your dignity and your vanity when you are chronically sick but acne in my 40’s really did a number on my self confidence. It wasn’t just the fact it was painful it was also the fact that nothing I did seemed to help. I took vitamin B5 for a year….nope, I changed skincare regimes to Tropic Skincare and whilst that did reduce the number of outbreaks and redness it didn’t get rid of the acne completely. I feel awful for having my self confidence destroyed by having a max of 4 spots on my chin at any one time but it did and I won’t apologise for it.

Before I started HRT I had noticed I was losing a lot of hair, when it was being brushed or dried. Whilst I realise losing hair everyday is pretty normal, this was beyond normal, my legs would be covered in hair when I finished sorting my hair out for the day ( I tend to lean forward whilst sat on the bed when my hair is being done) . It was also obvious when Jay had hoovered by bedroom when it was becoming a close contest between Dembe and I whose hair he had picked up the most of!  I practised cognitive dissonance with the hair loss, I knew it was happening but I told no one. I came up with excuses like I hadn’t conditioned it enough, my hair was over processed due to straightening irons. All of which I knew was untrue. It was only when my hairdresser mentioned that  my hair line around my face had become considerably thinner that I had to say that I had noticed that my hair had been falling out. For my hairdresser to notice when she see’s me so irregularly it was a shock that I had lost that much hair. I am very lucky I have fine hair but an awful lot of it. After the first week or so of HRT I noticed that I wasn’t shedding as much hair, I was back to normal amounts now rather than handfuls. I have suffered hair loss previously when I was put on the medication Lamotrigine by my neurologist back in 2009-2010. I was putting my hand through my hair and handfuls were coming away. It is a rare side effect of the medication which made me come off it, plus I didn’t believe the diagnosis he had given me to put me on the medication.

On the whole HRT has been a positive experience, the only thing that came as a bit of a shock was getting a period two weeks ago out of the blue with no warning. Now just to remind people if you have not had a period for a year ( and you are in the menopause ) and you suddenly have a bleed or what you think is a period please get it checked out. Bleeding can be a sign of cancer so it is important you are properly checked over. I hadn’t gone a year without a period, I would have officially in the menopause on 7th December but that surprise visitor has thrown a spanner in the works. Thankfully due to the Facebook group I was in I knew that HRT could trigger the return of periods…deep joy. I just wasn’t expecting it as I hadn’t had my usual symptoms other than a 7lb weight gain overnight which was my usual water retention ( always has been between 5-7lbs) and a massive craving fro chocolate that I couldn’t work out why.

Pain wise it wasn’t too bad, it was uncomfortable but not enough to stop me getting on with pottering about. It was incredibly weird just because I hadn’t actually had a period for nearly 5 years!

I was told by my doctor when she prescribed HRT that it would take up to 12 weeks for it to reach it’s full effect so I am more than half way in and the improvements in mood, skin, hair loss have been mind blowing. I get maybe one hot flush a day now and I don’t have to change my clothes when it happens. I certainly don’t have to stand outside in the cold for five minutes waiting for the heat to subside – no fun at all during the heat wave as there was nowhere for me to go that was cool. I am also sleeping better as my sleep isn’t being interrupted by hourly hot flushes where I am drenched in sweat. However the thing I am most grateful for is the reduction in frequency and severity of my migraines. I didn’t realise how low they had made me feel and how I just felt like I was existing rather than living.

I am fully aware that menopause is an individual experience and whilst some people have positive experiences of HRT others can have negative experiences. I know I have been very lucky to have so many improvements with the first dosing level I have been given. To take HRT or not is an individuals choice and I am not pushing it on anyone just sharing my experience of menopause and HRT.

HRT-2

I have been very public about my journey with menopause and HRT. I wanted the conversation opened up for other women like me in their 40’s who had for years been suffering with symptoms but had been continually dismissed by our doctors as being far too young to be in the menopause. Looking back now I can see that I have had menopausal symptoms since my mid thirties, which is shocking really. I had no clue what those symptoms were or that they could be remotely related to the menopause. After all as I far as I was concerned I was still fertile, I was having regular periods. When tested my hormone levels always came back at normal levels until a test in 2015 showed that I had abnormally low LH – Luetenizing Hormone, the hormone needed for releasing eggs from the ovaries. For more information use this link. It makes sense that my LH was out of whack as this was the year my pituitary gland was messed up, I started lactating and was the very start of my CSF Leak. It could be that I was in a temporary state of ovarian failure or it could have been a sign that my ovaries had stopped working for quite some time. I was 42 years old when the results of this test came back and despite all the symptoms I was reporting menopause was laughed at every time I mentioned it. There is a very real need to get this into the conversation so women don’t have to go through what I have been through.

Although I have been vocal about the fact I was in menopause / peri menopausal – I’m not officially in the menopause until I have been without a period for a year which will be December 7th 2020, yay!

I never expected to be criticised or given incorrect information by another female for choosing to alleviate my horrendous menopause symptoms by using HRT. I know I am incredibly lucky that I have the choice of HRT, I know my mum hasn’t had that choice being put into a surgically induced menopause in 2018 when her doctors discovered she had ovarian cancer, another 2 acquaintances have breast cancers so can’t have HRT as the hormones would fuel the tumour growths both have been placed into the menopause due to this. I also know HRT is a personal choice and I am certainly not advocating that everyone should be taking it. What I am advocating is that women we at least talk about it and arm ourselves with up to date information and not repeat absolute rubbish that was disproved years ago but led to thousands of women being unable to access HRT, with some committing suicide the fall out from their symptoms were so great. Also as women it is extremely important that we understand that no two women’s menopause are the same. We need to stop behaving like menopause is an identical experience for all women,  as for those of us who are having a pretty shitty time to be told in effect to get on with it, HRT free when the other person has barely noticed their symptoms, is a massive slap in the face and negates our experience and quietens our voices. Well except mine as usual.

We have the same issues with menstruation, those of you lucky enough never to have passed out / vomited due to period pain have no place telling women who have to just suck it up, take some paracetamol and get on with it. Every month my insides would feel like like they were on fire, sometimes this would happen for up to 7 days before hand. I was never a heavy bleeder, but the cramps were horrendous. The pain would be so bad that for the first two days of my period I would feel so sick I could only drink sugary tea or coffee. That would be my food source, because if I ate that meant I would throw up and I couldn’t work and throw up. I would have a band of pain that ran from my sternum ( breast bone) all the way around my back down to my mid thighs. My buttocks would ache and I would feel like someone was stabbing me in the vagina with a knife. The only time I have had a pain free period was my very first period at age 11 and when I was on a PCA ( patient controlled anaesthesia) morphine pump after major abdominal surgery. For some reason surgery would always make me have a period even if I had only just finished one and due to having heparin injections it would end up a blood bath. Hospitals are really shit ( or they used to be) at providing sanitary towels, which is fine if you have family nearby who can go buy you some but when you are an hour away from home and you have to beg the staff for sanitary protection it is a bit fucking much. Anyway I digress.

I always thought the menopause for me would be something to rejoice in, it would mean no more periods, no more feeling awful for up to two weeks a month. No more pain levels off the chart and no more uncontrollable rage. I also used to suffer with horrendous pre – menstrual rage. I actually went to the doctors about it once, I explained to the doctor that I had in one of my rages gone to stab my husband with a kitchen knife. Managing to stop myself before I plunged the knife in his back. I have no idea what his crime was but the rage was overwhelming and it scared me. I was met with laughter…..I had just confessed to almost plunging a knife into my husbands back and it was greeted with laughter. I was told to take some evening primrose oil patted on the head and sent on my way. To be fair all my appointments regarding menstruation have ended badly. As a teenager I was repeatedly told that when I had a baby my period pains would get better. When I would pipe up that I didn’t want children I would be patted on the head and told I would change my mind. Despite missing school for at least a day most months I couldn’t get anyone to take my pain levels seriously. With the doctor laughing at me when I was terrified at what I may do next, I just never really bothered to speak to them again about my issues what was the point? Time after time I had been dismissed and made to feel like I was wasting their time.

So when I started raising the issue of menopause with my doctors and started being being dismissed again due to my age – I was in my early 40’s obviously due to EDS I looked a lot younger, well at least 10 years. Medical professionals were still asking me at this point if I had plans for starting a family and would be quite taken aback when I said how old I was. I stopped trying to bring it up after 2 years of constant dismissals, what was the point, the message I was receiving was loud and clear, as a woman I was just expected to get on with it. I started taking herbal supplements red clover, sage, black cohosh, menopause supplements. Nothing really helped. In fact when I stopped my contraceptive pill last December I fully expected to have a period with in 4 weeks and was in shock when it didnt happen. I had always come on within 7 days of stopping the pill before but nothing at all happened this time. Looking back now I couldn’t have chosen a worse time to stop it as without the progesterone the relatively mild menopause symptoms ( other than the crippling anxiety ) hit me full force. I spent most of Christmas getting changed as I had soaked through my clothes with my hot flushes. When I say hot flushes it wasn’t like 4 a day, 4 a day I could live with. This was one hot flush would start to settle and another would start. My face would be beetroot and running with sweat, my hair was constantly plastered to my scalp, my glasses would steam up on my face and my clothes could be wrung out down to my knickers due to the sweating. Hot flush didn’t even remotely describe what I was going through had it been just a little hot flush, as some one tried to tell me a few days ago I would have loved it. 

I was permanently terrified that either a) I would stink of body odour or b) people would be able to see the sweat marks on my clothing. I had the constant feeling of never being clean, as soon as I exited the shower a hot flush would start and that would last several hours. It wasn’t one hot flush but a series of hot flushes that would make it pretty much impossible for me to get dressed as my skin would be damp from sweat. I certainly couldn’t wear make up or put on facial moisturiser as it would just run off my face with the beads of sweat. After having years of barely sweating I was now, well and truly a sweaty Betty. It didn’t matter what I cut from my diet, alcohol, dairy, caffeine the hot flushes didn’t stop. I know that alcohol and dairy can make mine worse but cutting them out doesn’t stop them. More times than I can count I have had to leave a conversation with a friend and go and stand outside in the freezing cold just to stop the flushes. You can’t really do that naked after a shower!

My moods were all over the place, I could never actually feel happy anymore. I had tried an increase in my antidepressants but that just made me constipated. I had this ball of anxiety in my chest that suddenly arrived at the end of March 2018. I had a bad fall in the snow in my back garden and had put my anxiety down to that and the fact I had suffered a number of bereavements one after another. If someone asked me what I was anxious about I couldn’t tell them, it wasn’t that I didn’t know but how do you explain to someone that you are terrified of everything, I mean everything for no apparent reason. My fear / anxiety wasn’t rational. I tried hard using CBT, the doctors offered me apps for my phone and told me to contact Cruse the bereavement charity but I knew the anxiety wasn’t just to do with the losses. How does someone suddenly become terrified of their own shadow. I was hyper-vigilant in the extreme, I demanded that Jay lock the front door every time he left the house when I was alone. I was terrified of being alone but I was also terrified of being in the outside world.

When we got Dembe I started having the front door locked all the time. Now where I live is very quiet, most people don’t have the door locked if they are in the house. Crime does happen but the levels are very low. However I convinced myself that someone was going to break in and steal Dembe from me. Now some may say this was due to losing Frankie and Mollie within 7 days of each other and I am sure some of it was. But I had never had any fears about them being stolen and we had lost Travis our first Weimaraner in tragic circumstances. I spent the nights lying awake listening in case someone was trying to get into out back garden to break in and steal Dembe overnight. This is the first time I have ever admitted one of the irrational things I was terrified of, every aspect of every day was ruled by fear. It wasn’t just a case of being a little bit anxious this was all consuming. I spent the first 6 months terrified that I would kill Dembe somehow, not deliberately but I would step on him, sit on him, I would drop one of my tablets and he would find it and eat it basically he would get hurt in my care. Everything felt out of my control and I didn’t feel like me anymore. I didn’t even know who I was because there was nothing at all left of me other than anger and anxiety. I was left feeling like an impostor trying to fake my way through every day.

So you can imagine my anger when someone tried to tell me that I shouldn’t use HRT because it causes cancer and I should just put up with the hot flushes and mood swings. I had tried at this point for three years using a variety of expensive (and cheap) herbs / supplements, dietary changes, light exercise, weight loss to improve my symptoms. Nothing was working and now I was having three migraines a week.

I started getting monthly migraines probably around 5 years ago, as at that point I was on a contraceptive pill that stopped my periods completely or was it the fact that my ovaries were no longer working as 5 years ago would have been 2015, I had no clue that they maybe following a monthly cycle. I tracked them on and off and knew not to book anything social or appointment wise ( if at all possible ) in the window of 18th of the month through to the 22nd of the month as I would wake up with a migraine of varying severity. When I stopped my contraceptive pill in December 2019 the first thing that happened was that my migraines grew in severity, in March I ended up with my memory being wiped for 48 hours following a migraine attack and that wasn’t the only time that happened. I saw a doctor at my gp practice who said she would check with the local hospital and see about putting me on sumatriptan and if they wanted to see me as my migraines were now mimicking the symptoms of a TIA ( mini stroke).

Then Covid hit full force and the lock-down started. So I never heard anything back. My migraines continued then in May they started happening weekly, then twice a week and then three times a week. The longer I went without the progesterone the contraceptive pill had given me the worse they were getting. I was eventually given sumatriptan which was a miracle drug in the fact that it halted the migraines in their tracks but they left me drowsy and the migraines still had a two day recovery time. I was now feeling like I was just existing, I wasn’t living. I couldn’t make any plans because I didnt know when a migraine would strike. The only saving grace was lock- down as we couldn’t go anywhere or do anything anyway.

We had been supposed to go away for three days at the end of July and in June hubby turned to me and said well there is no way that we could have gone away with you the way you are. He didn’t mean it nastily he was 100% accurate. There was no point travelling 4 hours for me to experience a migraine in a different city. What would be the point in that? It still took me a further 6 weeks to build up the courage to ask my gp to be put on HRT.

My mood had plummeted I was actually contemplating suicide on the worst days because I couldn’t see the point if this was now going to be my life until the end of my days. I couldn’t do the things that brought me joy because I was either having a migraine or recovering from one. When I did manage to do some sewing or embroidery I felt nothing, where as previously I had always really loved the challenge. Even embroidery or sewing would have me in a panic attack something I have always loved. I was terrified I would get it wrong, I would break the machine, I would fail. The worse things got the lower my mood sank. 

By the time we had the car accident I had put the letter in to my gp. Whilst getting over the initial shock of the accident I did a bit of research about HRT and migraines and found that with some people HRT stops migraines in others it reduces their frequency and in a very small percentage it makes it worse. By this time I didn’t feel like I had anything to lose. I had joined The menopause support network on Facebook a small private group and although I wasn’t incredibly active on it I read a lot of the posts, comments and made my way through the files section. There I found two papers produced by menopause experts about migraines and the menopause as I knew that some doctors may believe that it was contraindicated as I get migraines with auras. I printed those off and then sent them onto my gp, who had contacted me to say she had booked me in for a telephone appointment for about two weeks time.

I had a whole host of other menopause symptoms going on as well, which I could go on and on about but wont. One of the worst was the dry nether regions that led to the skin cracking and bleeding. It was embarrassing and incredibly painful and obviously not something I wanted to shout from the roof tops. I tried all sorts of lotions and potions to stop the dryness but nothing worked. I would have a few good days followed by a week or more of awful days where sitting would just burn, so sitting at the sewing machine / embroidery machine was incredibly painful. What I have written about is literally the tip of the iceberg so you can see how appealing a few little mood swings and hot flushes would have been to me compared to what I have gone through the last three years.

I started HRT 16 days ago, I haven’t had a migraine since the second dose of HRT. I have started losing weight instead of constantly gaining from the hypoglycemia caused by the migraines making me demolish mountains of sugary food and what remaining hormones I had left causing me to store everything as fat. The acne that I suddenly started getting over the last few years is subsiding – after not having acne through puberty to suddenly be dealing with bad skin in my 40’s has been a tremendous knock to my self confidence. I was always known as having beautiful skin, my chin was just covered in spots and painful cystic acne. I feel calmer, I finally am starting to feel happy again. The anxiety that was strangling the life out of me has lifted. I feel like I can breathe again.

The fact that I am no longer constantly waiting for the next migraine to hit is huge. Jay said on day 3 of HRT he could see what a difference it was already making to me. He said it was like having the old me back. I could already feel the constant anxiety lifting from my chest.

I haven’t written this to appease the person that tried to tell me that HRT  is carcinogenic (which made me laugh considering they eat red meat and have smoked for years) , they probably won’t even read this. I know that I have a slightly increased risk of breast cancer due to starting HRT. I will be checking my breasts on a regular basis and speaking to my gp if I notice any changes. I wasn’t writing this as an apology to the same person that told me as soon as I stop taking HRT all my symptoms will come back which is actually incorrect, studies have shown if you gradually stop HRT symptoms won’t return or are less likely to. They are more likely to return if you stop HRT and go cold turkey. 

I am writing this for me, HRT is MY CHOICE no one else’s. I certainly don’t think it is right for everyone but I can’t sit by and let women be scared off from it by someone who hasn’t done the amount of research I have looking at the pros and cons and how they effect me. Our family doesn’t have the BRCA gene, I don’t know anyone in the family who has had or died from breast cancer, my mum is in remission from a rare non hereditary ovarian cancer. All this was discussed in great depth with my gp, who told me had I not provided her with the fact sheets on Migraines and HRT she would never have prescribed it for me. HRT is not handed out like sweeties it is harder to get than an antidepressant. I am also writing this to ask others not to spread disinformation, not to negate someone else’s experience of menopause or menstruation because yours wasn’t like that.

Everyone must make their own decisions based on the best information available. I can tell you for the last three years I haven’t been living, I have barely been existing and if HRT brings me back some quality of life, a life that is already hindered by disability then so be it.