I think the best and easiest way to get this across is to do a dossier of events.
2016-Was perimenopausal at the time 49-50 yr old and on sequins hrt, 200mg cyclical oral utrogestan nd 100mcg evorel patch. Foolishly due to overwhelming non medical worries, I got addicted to a large amount of illicit valium 75mg. In the middle of the year the NHS psychiatric services take me and get me on legit script.
Sept 2016 - I start to realise that my mental health is much worse when I am not on the utrogestan. I speak to fellow benzo dependent women and realise that the metabolite of progesterone is cross-tolerant with valium, so, without telling my GP, I decide to take 100mg oral utrogestan daily, my old psychiatric nurse notices I am more stable.
Mid 2018 I start to get abnormal bleeding, see GP in Dec 18, come clean to her with my fears re cross tolerance and valium, and she allows me to stay on regime and we arrange a scan.
Jan 2019Scan shows womb lining slightly thickened, so a hysteroscopy is arranged.
Jan 2019Hysteroscopy tests negative for cancer. I explain to gynaecologist about the valium/progesterone thing and back at GP's I am given an extra vaginal 100mg to take. New regime 100mcg evorel patch plus daily utro one oral 100mg and one vaginal 100mg.
June 2019All goes well until June, bleeding starts up again, so I see another GP who reduces my evorel to 75mcg, this is when I was told by GP, in our area transvaginal ultrasounds no longer done, for thickened womb lining tests as they are no longer reliable.
I'm ok with night sweats, so long as bleeding stays away.
Late 2019Bleeding starts up again, intermittent, sometimes no bleeding sometimes yellow/brown or reddish brown discharge. In March I have a massive period with clots and real pelvic pain. Breast tenderness on and off throughout, but not troublesome.
I am too scared to have my progesterone regimen adjusted so I go onto gel and take 2 pumps, 50mcg, discharge reduces, GP said yellow/light brown ok, but start to get very pale pinkish brown, so little pink I wonder if I am being paranoid.
August 2020Breast tenderness, more sever pelvic pain today and yesterday, dark brown discharge, and now I am having red blood like a period.
I read that cortisol inhibits progesterone and I am under a great deal of stress.
This is just adding to the stress.
I cannot reduce or even change the utro regimen as both that and valium act on GABA receptors, I am reducing right down to 29mg valium this week, but scared to go to my GP as the appointments are so rushed, I am fearful they will just make me change progestin, the effects of this will be diastterous, the gynaecologist said this in his letter to the GP.
I am undiagnosed autistic and have meltdowns where I injure myself and break things, had them all my life.
A change in the progesterone will mess everything up, I just don't know what to do to control this bleeding, dunno why its here, I get night sweats from too low a dose of oestrogen, but don't want to go up in dose and risk more bleeding.
