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Author Topic: Is this normal? Heightened anxiety switching onto gel  (Read 1859 times)

WildOtter

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #30 on: August 26, 2023, 03:23:55 PM »

Thanks.  I do actually feel slightly less detached and slightly more emotional (in a positive way, less numb) today. I don't know if it's psychological as seems a bit quick for a change. Less flushy and less anxious so far too.  Maybe I just feel a bit hopeful I can get on top of this.
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Flossieteacake

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #31 on: August 26, 2023, 03:25:09 PM »

Thanks.  I do actually feel slightly less detached and slightly more emotional (in a positive way, less numb) today. I don't know if it's psychological as seems a bit quick for a change. Less flushy and less anxious so far too.  Maybe I just feel a bit hopeful I can get on top of this.

It is wonderful to hear this! Even a tiny improvement is a big deal when it comes to mental health. :)
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WildOtter

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #32 on: August 26, 2023, 05:23:19 PM »

It's so noticable when you've felt so low! It's odd how immediate it is - I haven't had any hot flushes today either so it can't just be psychological.  I remember feeling immediately better post surgery when they slapped a patch on me too.

I have gained quite a bit of weight over the last 6 months unfortunately, and I do wonder if the weight gain made my dosage too low as I was ok on 50 for quite a long time. 
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Flossieteacake

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #33 on: August 26, 2023, 06:25:46 PM »

It's so noticable when you've felt so low! It's odd how immediate it is - I haven't had any hot flushes today either so it can't just be psychological.  I remember feeling immediately better post surgery when they slapped a patch on me too.

I have gained quite a bit of weight over the last 6 months unfortunately, and I do wonder if the weight gain made my dosage too low as I was ok on 50 for quite a long time.

I think if you are low in oestrogen then it is understandable you felt much better as soon s you put the patch on. It is such a relief to know you are not as low as you were. Sometimes oestrogen does need to be increased and it looks like yours did.
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WildOtter

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #34 on: August 27, 2023, 08:51:09 AM »

Goddammit, now I'm getting flushes and a pounding heart again. Positive effects of the patches lasted one day.  Really don't know where to go from here.
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Flossieteacake

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #35 on: August 27, 2023, 09:21:12 AM »

Goddammit, now I'm getting flushes and a pounding heart again. Positive effects of the patches lasted one day.  Really don't know where to go from here.

Perhaps the pounding heart is due to you increasing the oestrogen to 100? It may be a shock to your body as you increased it quite suddenly.
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WildOtter

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #36 on: August 27, 2023, 09:23:23 AM »

The flushes suggest I'm still low though? Really don't know what to do
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Flossieteacake

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #37 on: August 27, 2023, 09:24:40 AM »

The flushes suggest I'm still low though? Really don't know what to do

That is confusing. Hopefully somebody will know the answer to that one. One thing I know is, it can take time for the body to adjust to the oestrogen so perhaps it will just take some time for the hot flushes to go.
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AngelaH

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #38 on: August 27, 2023, 12:28:49 PM »

Hello wildotter,

I only can suggest from my own experience (of course we all have different bodies), that probably you need progesterone. I normally have hot flashes and feeling warm when my progesterone level is too low against estrogen, low estrogen in my body gives me cold flashes and feeling too chilly. I am on estrogel 1/4 of 1 pamp, this little dose seems to be working for me, any increase dose gives me severe hot flashes and very bad nights sweats and I know my supply of progesterone to my body (through Merina coil) is very low now.
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WildOtter

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #39 on: August 27, 2023, 12:58:48 PM »

Thanks.

Would you normally need a specialist menopause clinic/to go private to try progesterone?  I don't think my GP would go for it as I've just been told I don't need it as I don't have a womb.  Getting testosterone feels like a challenge enough.
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sheila99

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #40 on: August 27, 2023, 02:17:10 PM »

Flushes normally take a few days to go so it would be more surprising if they did disappear overnight. The pounding heart is a symptom of too much oestrogen, too big an increase or both. I think you need to use 1.5 patches at the most. Big fluctuations in dose aren't good for your body, it's much better to increase more gradually so your body can adjust.
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WildOtter

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #41 on: August 27, 2023, 02:33:23 PM »

Thanks.   Sitting on one and a half patches right now (so 75), sticking with this for a while. You're absolutely right I should stop chopping and changing.

I do actually feel less brain foggy which is nice but I think is not helping my anxiety because everything feels a bit raw with the fog removed.  Brain fog is a bit numbing at least. 
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AngelaH

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #42 on: August 27, 2023, 06:42:00 PM »

Thanks.

Would you normally need a specialist menopause clinic/to go private to try progesterone?  I don't think my GP would go for it as I've just been told I don't need it as I don't have a womb.  Getting testosterone feels like a challenge enough.

To be honest I don’t know, NHS finds the cheapest way of treatment and it’s not risky for you to have estrogen only treatment. I think to get an advice privately is not bad idea.
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WildOtter

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Re: Is this normal? Heightened anxiety switching onto gel
« Reply #43 on: September 11, 2023, 07:05:48 PM »

Hi everyone. I thought I'd update after having spoken to my GP. My experience on the gel was very strange - while I was experiencing intense anxiety and hot flushes, it did blow away the brain fog I've been feeling for months, and I felt much more myself.  After switching back to the patches, the anxiety and flushes relieved, and I had a few days of actually feeling good. This then flattened back into feeling flat, low, foggy and disengaged, even on the slightly increased patch dose.

After speaking to my GP, she still feels I'm not absorbing the patches well or consistently, and thinks my reaction to the gel was that it caused a sudden increase in oestrogen but that my levels were probably uneven throughout the day as I hadn't stablized on the dose yet.  We came up with two plans:

Plan A Try Estradot 75 to see if that absorbs better. She wrote me a px but I cannot for love nor money find it anywhere.

So Plan B: Try the gel again but a more gradual transition, ie start with a 50 patch and a squirt of gel and gradually increase the amount of gel.

So I'm trying plan B as of yesterday- aaaaand already getting flushes again, and feeling very tired and low. I think initially the gel's effects are very uneven? And this makes sense to me as presumably it takes a while to build to a stable amount. But we'll see how it goes.

We also discussed testosterone. My GP is prepared to prescribe it, but the issue here is I have previously had a pulmonary embolism caused by a tumour. My understanding is now the tumour is gone my risk of PE is no longer higher than anyone else's, but my GP needs to seek the opinion of an endocrinologist.  So she has written to them and we'll see what they say. I hope very much this medical history doesn't make me permanently contra-indicated off T as I really think it will be helpful to me.
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