QUOTE (catrinac @ Sep 17 2008, 01:33 PM)

You may need a pill with a better estrogen/progestin ratio. This is what Elizabeth Vliet says.
http://www.herplace.com/ The link is to her website. She favors pills like Orthocyclen, Yasmin, Ovcon 35 (which I think is now called Femcon), Desogen, etc. I've been on Orthocyclen for 4 years with no problems till recently. Not sure what to tell you. I slept perfectly the whole four years until the last six weeks; now I have early morning waking and difficulty falling asleep. I'm not sure what I would switch to. Have read some OK things about Yasmin but also a lot of bad which is strange because it seems like it would be the perfect pill. I am considering giving up on the pill altogether and going the bioidentical route.
Bioidentical is good a option if you don’t want to be on the pill anymore. You might be able to find another pill that works, orthocyclen surely seemed to for a long time for you, but it will just take experimenting. I had such a rotten experience with every hormonal contraceptive I tried that I was forced to just give up on them. I can’t tolerate synthetic progestin. It is like a poison to my body. Luckily, not every woman is as extreme as I am.
I have been seeing Dr. Vliet for nearly 2 years now. I have an appointment with her in Dallas on Monday, in fact. She is so knowledgeable and I haven’t found another specialist with her ability to access and understand hormone imbalance. She does a lot of background study and research and really stays on top of her specialty. She does prescribe BCP’s frequently, but agrees that, in my case, it is not the right path.
When I wrote back in Feb, I was in very bad shape. Nuvaring had done a real number on my brain chemistry and it took 4 ½ month for me to heal from it. I avoided antidepressants and let myself recover naturally, but what a miserable time. I did eventually heal though. It is hard for me to remember the pain that I suffered. It is still too fresh, so I just concentrate on the present and the future.
I was on Vivelle Dot bioidentical patches with a supplement of Prometrium 12 days out of every month. Prometrium (bioidentical progesterone) wasn’t strong enough to keep my lining from becoming hyperplastic, so I was faced with the choice of switching to my nemesis, progestin, or removing my uterus. After much agonizing deliberation, I opted for the hysterectomy and took out my misbehaving ovaries at the same time. Their function was reduced so much that I was really in menopause anyway. In my case, it was an excellent decision. I don’t miss my uterus one bit and I really don’t miss the progestigen necessary to keep it healthy. It is obviously not the right choice for every woman, but for me it was. I don’t regret it for a second.
It has been a bit turbulent getting my patch dosage right, but not nearly as bad as I expected it to be. I like the fact that I am in control now and I don’t have off days when I have to wonder what my ovaries are up to. There are only a few variables that can cause hormone levels to change now and it is much easier to get the right dosage.
I wish you luck in getting the right hormone combination. It seems like you are on the right track and certainly you have found a good doctor to look to for advice.