I hope someone can help, I’ve been in surgical menopause for nearly 6 years and I’ve been on estrogen and testosterone implants every 6 months for around 4 years. 3 weeks ago I had a new pellet put in but my e levels were still ok from the previous one, but I was struggling with symptoms and wearing a 100 everol patch too. My specialist said that she was happy to put the pellet in even though I said I was worried I had tachyphalaxis. She said tachyphalaxis doesn’t work like that, it shows up in the first 3 months of the pellet as it’s climbing in potentness ( you then show signs of low E). She said sometimes you’ll get a pellet that does this and 90% of the time it all goes back to normal with the next one . So I was at 800 she added the pellet, I took of the patch 1 day later and felt ok, then a week later I started to feel low mood again but high anxiety now I can’t get to sleep, I wake up with a racing heart that feel like something is racing through my body...!? What is that?!? I feel low, anxious, intrusive thoughts and fatigue. So naturally I stared to panic thinking oh shit it’s tachyphalaxis but...... I don’t have other low symptoms that I usually have like muscle and joint pain. I do have sore boobs though and feel like I have had coffee but also tired and exhausted at the time, but not like low E the tiredness with that is I have to nap 3 times a day! This is a wired tiredness?!?? so I’m wondering if I’m now to high?? If I had a blood test the symptoms would show on paper as high but I wonder if I’m now over my comfort threshold and I just need to wait for the original pellet to decrease more? Does this make sense? I suppose it’s a titration balance. Chelsea are notoriously bad to getting in touch with when you need help. I feel lost and just blurgh which I haven’t felt for years as everything has been going smoothly until the end of the last pellet ☹️
