I am 41 and have suffered from what I believe to be perimenopause symptoms for 2 years. I had a thyroidectomy due to thyroid cancer 5 years ago and I believe this pushed me into an early peri. My periods have been coming closer together and have experienced extreme anxiety, depression, weepiness, fatigue. My gyno had started me on Yaz, but I was spotting quite a bit the second month, so she has now switched me to Yasmin which has a higher estrogen content, but after only 3 days on it I am feeling more fatigue, depression, etc. My gyno feels that in early peri the BCP is the way to go because it needs to shut down my ovaries and the BCP give a even dose. How does it work with Bioidenticals? I think she would be willing to go that route if I had a good explanation. Also, I have a history of bipolar disorder in my aunt and uncle and have heard that you can have a form of bipolar even without the mania. My psychiatrist gave me a screening and said she sees no signs of bipolar. So I guess I have 2 questions:
1. Should I go the bioidentical route and what should I tell my gyno?
2. How does one know if the symptoms are peri or a mental disorder?
Thanks!
