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kackle
Maybe some one could explain or give me some insight. I am off bioidentical progesterone but have stayed on a low dose testosterone cream. When I used the progesterone I COULD NOT cry and had very little emotion, now that I am off of it but still on the testosterone I do nothing but cry. I'm trying to understand if it's the testosterone, but I'm thinking it's not. I know that it gives me energy but my libido is still in the pits. Also, would going off and on the progesterone change my other hormones for good. If I stay off will the other hormones that happen naturally in my body go back to what they were a few months ago.??? I feel like I've swung in the opposite direction. I never even had a hot flash until I used the progesterone and now I still have them even tho I'm off of it. I'm scared that I made everything worse. ANy input would be appreciated. It's so confusing.
kackle
I forgot to add to my question---I bleed a little lighter now with the testosterone. Anyone else experience this??? THanks
davinci817
I had very very high testosterone at one stage of my journey and I don't recall feeling weepy, not to say that can't happen for some I guess. Studies do show that progesterone is our feel good hormone. Maybe since you stopped it everything is kind of all mucky and trying to figure out what to do hormonally . Your hormones should honestly drop back to what they were before hand or pretty close but remember our natural bodies change too and that could be some of the issues you are having as well. I guess the major thing is how long you have been off of the P, keep in mind your body will have to adjust to what ever it thinks is normal again.
janet c

Kackle
I always use testosterone when I am feeling weepy and feeble-especially if I have to do something a bit "out there" and scary. If anything- it can make me feel quite cold and hard so I have to be careful with it.

I am a very nervous anxious person and it has made me feel more courageous and and at ease with life.
So no I do not think it could be the testosterone causing the weepiness-definitely not!

The hot flashes are happening because you have stopped the progesterone I would think, because any change in hormone levels-up or down causes that to happen, doesn't it?
It should even out soon I am sure.
janet c
t_nikki
I have just recently found out that I have a naturally high Testosterone level and I'm pretty sure it adds to my irritability and I read alot of articles that say Testosterone unopposed meaning not in the right balance can cause depression and that the most severe depression is caused by just a slightly elevated Testosterone and that a very high Testosterone did not cause as bad as depression so who knows really but I can say since my T has been slightly elevated I am super sad ph34r.gif Hope you feel better soon.
davinci817
QUOTE (t_nikki @ Jun 19 2009, 07:49 PM) *
I have just recently found out that I have a naturally high Testosterone level and I'm pretty sure it adds to my irritability and I read alot of articles that say Testosterone unopposed meaning not in the right balance can cause depression and that the most severe depression is caused by just a slightly elevated Testosterone and that a very high Testosterone did not cause as bad as depression so who knows really but I can say since my T has been slightly elevated I am super sad ph34r.gif Hope you feel better soon.
Nikk, what were your levels out of curiosity?

Found my labs for you!

Initial blood serum work up:

Testosterone Total 282 range 15-70
Testosterone free 29.30 range 6-8.5

A couple of months on Progesterone (also took b-12 injections, d2, multi vitamin, cal/mag and low carb diet)

Total Testosterone 32
Free Testosterone 4

Hope this helps.


I think I read somewhere Nikki that women with PCOS (know for high T levels) do tend to be depressed because of the way their body looks ie the hair growth, male pattern baldness, manly shape, deepening voice etc. Not sure if this is where some of the link to T and depression may be coming from.

Also wanted to add to watch what you gals read because a lot of the posts and things out there are done by young women trying to conceive with PCOS. They are in a different position than those of us heading into menopause. Many take it lightly but then they still have the other hormones of a 25 year old and we don't !
t_nikki
QUOTE (davinci817 @ Jun 19 2009, 09:29 PM) *
Nikk, what were your levels out of curiosity?

Found my labs for you!

Initial blood serum work up:

Testosterone Total 282 range 15-70
Testosterone free 29.30 range 6-8.5

A couple of months on Progesterone (also took b-12 injections, d2, multi vitamin, cal/mag and low carb diet)

Total Testosterone 32
Free Testosterone 4

Hope this helps.


I think I read somewhere Nikki that women with PCOS (know for high T levels) do tend to be depressed because of the way their body looks ie the hair growth, male pattern baldness, manly shape, deepening voice etc. Not sure if this is where some of the link to T and depression may be coming from.

Also wanted to add to watch what you gals read because a lot of the posts and things out there are done by young women trying to conceive with PCOS. They are in a different position than those of us heading into menopause. Many take it lightly but then they still have the other hormones of a 25 year old and we don't !




Testosterone 82 range 18-79
DHEA 220 I can't remeber the range but It was a few points from being over the normal range
The doc never did do the free testosterone

what kind of Progesterone did u take and when did u supplement..I have some cream but only tried it once than got scared and quit.
davinci817
As I noted in the PM the free is what you want to know if I remember correctly (the hubby seems to think so too). Someone correct me if I am wrong here.

My script comes through Bellevue and is the oil caps 150mg. I take them non stop because I no longer have a uterus. My gyno and BHRT doctor were not concerned about it because I don't have a lining that needs to shed. Of course some Doctors would tell me I didn't need P either!

I think most gals would tell you to use it at night and since I have never cycled it I wouldn't be comfortable telling you how to do that. Isn't it 3 weeks on and a week off as you do BCP? Talk to your doctor about it or give Pete at Bellevue a shout.

How did your other hormones look on your last test?
t_nikki
QUOTE (davinci817 @ Jun 19 2009, 09:47 PM) *
As I noted in the PM the free is what you want to know if I remember correctly (the hubby seems to think so too). Someone correct me if I am wrong here.

My script comes through Bellevue and is the oil caps 150mg. I take them non stop because I no longer have a uterus. My gyno and BHRT doctor were not concerned about it because I don't have a lining that needs to shed. Of course some Doctors would tell me I didn't need P either!

I think most gals would tell you to use it at night and since I have never cycled it I wouldn't be comfortable telling you how to do that. Isn't it 3 weeks on and a week off as you do BCP? Talk to your doctor about it or give Pete at Bellevue a shout.

How did your other hormones look on your last test?



She never let me see them or gave me a copy she only ran FSH, Prolactin and LSH, which she said was "NORMAL" for my age dry.gif so when I asked her about why I was gettin all these hot flashes and night sweats and why I have been getting sometimes 2 periods a month and why they were so erratic when I used to be like clock work every 28 days she reffered me to an Internist...lol.
davinci817
tongue.gif Of course she did! You should really have a complete hormone panel run so you can start some sort of therapy to lower the T which will probably get you back to having a somewhat normal cycle too. Call her and ask that they send you your records and find a doctor that will test EVERYTHING.
kackle
Thank You ladies, You gave me some comfort that was much needed. My free testosterone is below .2(undetectable) but I still had a libido at certain times of the month. I've been off of the progesterone for almost 2 months and the sobbing started about 2 or 3 weeks ago. Maybe I need to use the otc progesterone like I used to. I also noticed that I have less chin hairs too. I would think I'd have more without the progesterone and being on the testosterone. How many of you feel the progesterone helps the libido too? Now that I'm on the testosterone mine has vanished.
Sariah
kackle,
Several hormone docs, including Dr. Vliet, say testosterone can cause problems unless estrogen is first at optimal levels. While some women may take T alone without problems, most I've met (myself included) find we cannot take it without E.

Frequent sobbing and crying are classic low E symptoms. My friend had a hysterectomy and her doc never mentioned hormones or that she might eventually have a severe hormone drop. Out of the blue several months later she was a mess--crying all the time, very sad, down on herself--none of which was like her at all. I suggested she ask her doc for estradiol so she got the Vivelle dot and within a day she was feeling better.

As for P, myself and many others here hate it due to how badly it makes us feel. Dr. Vliet says it's a libido-killer, and I've found that to be true for me.

Is there a reason you are not taking any E?


QUOTE (kackle @ Jun 19 2009, 09:26 PM) *
Thank You ladies, You gave me some comfort that was much needed. My free testosterone is below .2(undetectable) but I still had a libido at certain times of the month. I've been off of the progesterone for almost 2 months and the sobbing started about 2 or 3 weeks ago. Maybe I need to use the otc progesterone like I used to. I also noticed that I have less chin hairs too. I would think I'd have more without the progesterone and being on the testosterone. How many of you feel the progesterone helps the libido too? Now that I'm on the testosterone mine has vanished.
kackle
QUOTE (Sariah @ Jun 19 2009, 11:06 PM) *
kackle,
Several hormone docs, including Dr. Vliet, say testosterone can cause problems unless estrogen is first at optimal levels. While some women may take T alone without problems, most I've met (myself included) find we cannot take it without E.

Frequent sobbing and crying are classic low E symptoms. My friend had a hysterectomy and her doc never mentioned hormones or that she might eventually have a severe hormone drop. Out of the blue several months later she was a mess--crying all the time, very sad, down on herself--none of which was like her at all. I suggested she ask her doc for estradiol so she got the Vivelle dot and within a day she was feeling better.

As for P, myself and many others here hate it due to how badly it makes us feel. Dr. Vliet says it's a libido-killer, and I've found that to be true for me.

Is there a reason you are not taking any E?

I'm waiting for lab results at this point. Dr. said I probably would need it but I scared to add anything again. Maybe I should go off of the testosterone and see if that helps first. My last results were from when I was on prescription progesterone cream. I remember my estradiol was at 80 at one point. I realize that is low but all of my hormones are low and I don't know that I'm meant to have them higher. I'm guessing my optimal level is lower than most because of my sensitivities. I'll have my results in two weeks. Thanks for the information, it makes me feel like maybe I'm not losing my mind after all. Thank You
janet c
QUOTE (t_nikki @ Jun 20 2009, 12:49 AM) *
I have just recently found out that I have a naturally high Testosterone level and I'm pretty sure it adds to my irritability and I read alot of articles that say Testosterone unopposed meaning not in the right balance can cause depression and that the most severe depression is caused by just a slightly elevated Testosterone and that a very high Testosterone did not cause as bad as depression so who knows really but I can say since my T has been slightly elevated I am super sad ph34r.gif Hope you feel better soon.


nikki
When you say depression-is it the type where you just feel empty inside, or do you feel tearful?
I find with testosterone depression (which I have had when I have used too much) I feel completely devoid of emotion and cannot cry.
janet c
davinci817
I am not one that progesterone causes bad problems with but it has completely diminished my sex drive, hope that helps.

Kackle you are right in being afraid to add anything else! I have posted before that my doctor does one thing at a time. His reasoning is basically just what you have brought up, the not knowing what is doing you good and what is doing you bad. My routine started with a blood test, physical exam and then a consultation with his office staff (three of them). After the blood work came back they went over my booklet of questions I had answered and my physical exam results. With all of this information they devised a plan. The first was to treat the worst of my issues which was very low P and also during this time they wanted to weed out problems causing very high T. So I started taking P and had an ultra sound to check for PCOS. After two months on JUST P they redid my blood work and mysteriously the T had dropped down so much that my free T was actually low. So instead of tossing me on Metformin or messing with my E they let the P ride out its course of leveling in my body and thank goodness it worked. At this stage they decided that the P was not helping my thyroid levels so we then introduced armour. Now a month or two after that introduction we are going to try T for libido. Somewhere during this they instructed me to randomly double up on my P to see how I felt, this was because they wanted me to get to optimal levels instead of sitting on the lower end of normal. Doubling up the P actually made me very anxious/edgy/nervous feeling so we knew that wasn't going to work for me. Now instead we will slowly increase my dose by 50mg to start out and see how that goes. Honestly besides the loss of libido I am thinking I feel so good compared to six months ago that I want to just leave it all alone....but I have faith in my staff that they know what they are doing in trying to make me the healthiest I can be so I will keep on with it. The greatest thing is when there is a failure (or I think it is a failure) I call them and they johnny on the spot deal with it. When I told them doubling up P was a horrible experience I then suggested we simply increase what I am taking over time...guess what...they did just exactly what I ask for.

What I am saying is, take it one step at a time so that you aren't frightened in what you are doing and you will then know for sure what is helping you or not. don't be afraid to say "woooooah wait a minute" go slow and don't expect overnight success with anything. This is all a process and though it is frustrating one small improvement is so much better than set backs. You are your biggest advocate!

It all reminds me when I first put my finger on what my problems could be. My regular gp had me on prozac and benzo, my gyno had me on bcp, I was self medicating with everything under the sun I read worked for some here on PS and all of the sudden I felt worse. I stopped everything I was doing at some point because I didn't want to keep declining. There was a moment when I started my BHRT plan when my dentist wanted me to use Chantix to stop smoking, I spoke to my new gyno (who is also involved in my treatment plan now) and her comment was that even though smoking is very bad for me, tossing in one more drug to the combination would set me up for failure....I now live by those words! The way I see it is this is like the AA plan, take it one day/step at a time or else you will surely fail.

To clarify.

Prozac made my panic attacks less frequent but it didn't take away my physical ailments, it caused me to be very tired all the time and I put on about 40 lbs (so yes it did work kind of)
Benzo stopped my panic attacks and at least let me fall asleep at night (I became dependent on my little blue pills and was up to taking a half one a couple of times a day sometimes) again it didn't take away many of the physical symptoms which of course are what caused my panic attacks to start with.
BCP did help me a lot but I had a cancer scare, a hysterectomy because of that and I was a smoker over 35 (should have never been put on it in the first place)
Random vitamin supplements-well I don't think these harm any of us if taken as directed but besides the b-12 and d3 I didn't get much of an improvement out of any of them.
I also tried L-theanine, otc progesterone, melatonin for sleep, cut out caffeine, cut out saccharin and so on and so forth. None of this alone or in combinations ever truly made me feel like me again.

At this very moment, I can't complain about much at all. My heart palps are almost nill, yes I do have them rarely, they are mild and I survive them without thinking I am dying. These generally happen when I believe I would be having a period (don't have them because I don't have a uterus). The numb extremities and tingling portions of my body are completely gone, headaches are gone, anxiety is gone, sleeplessness is gone, being completely exhausted all the time is gone, UTI's and vaginal infections are gone, aches and pains are gone, moodiness and irritability are gone, food cravings are gone, internal shakes along with hot flashes are gone, I am losing weight, have more energy, my skin looks better, my hair is shinier............basically I feel about 90% better. The other ten percent is just looking at myself in the mirror going "oh God I am getting older"! laugh.gif The remainder of my problems during my adventure where taken away with the hyster, the bloating, excessive bleeding/clotting, cramping, periods coming early or late, back aches, pms all of those lovely things we gals won't miss once we get through this lol.

Okay I think I explained my own circumstances as close as I can remember, hope it helps somebody else. I know that BHRT isn't the answer for everyone and not here to get preached at by someone it didn't work for but I do feel the need to stay around because my story just might help one person and if it helps one person then that is awesome!

Off to shop with my mom today. Everyone have a fantabulous day!

Bethanie

t_nikki
QUOTE (janet c @ Jun 20 2009, 09:00 AM) *
nikki
When you say depression-is it the type where you just feel empty inside, or do you feel tearful?
I find with testosterone depression (which I have had when I have used too much) I feel completely devoid of emotion and cannot cry.
janet c



it's both really.All of this started in February,I used to be a happy, carefree person that took everything in stride and left what I couldn't up to God. I had started noticing changes in my cycle around August and as the changes became more pronounced my symptoms became more pronounced.Some days I just feel nothing kind of like numb.Then out of no where I'll just start sobbing about God knows what, it is the weirdest thing.I just get this deep sorrow like I'm a terrible person and my life is a complete loss.I'll have good days and bad days but the bad days are just AWFUL.It's like I go to sleep happy and then wake up sad... this week I only had one day but boy was it a cry fest now I just have some low anxiety and I'm pretty irritable I should have ovulated on the 17th-19th which is when my mood swings started so I may have not ovulated.I find that my syptoms are most horrific when my body tries to ovulate and it can't and I Just don't understand it.I stear clear of AD'S and Psychiatrist though cuz misdiagnosis is at an all time high, so I stay clear from that path.
alinam
wow, DaVinci! How did you find a team like that? I'm from New Mexico and have enough trouble getting my PMD to talk to my psychiatrist. I was so desperate for help with the panic/anxiety/insomnia/chills/depression, I finally went to a gyn. The gyn did no blood levels and handed me a prescription for low dose birth control. I've only just finished the first month of it and was miserable. I spoke with my PMD about changing to a lower P, higher E formula but she brushed me off and said I should keep on the current one. : ( So now I have an appointment with a gyn who is supposed to specialize in "midlife" issues and hormones.

Wish me luck!

Angela
davinci817
Angela, it was trial and error, books, internet searching. I actually came across him online first and kept going back to his website and reading, then I was reading one of the Suzane Sommers books and his name was there. I figured someone was telling me something so I rang them up. It is the Doctor, his wife who is his PA and Nurse Amy (the greatest gal in the world as far as I am concerned). They then suggested a Gyn that had worked with them in the past and that they (all the gals in the office) used. Basically I have ended up with a team of four because my gyno is just fascinated to see my progress (gotta love this, a doctor that wants to learn). At first I wasn't sure about forking out the money from pocket but ya know 350 dollars every six months for this kind of care is worth a million. I love them all and they are my life lines for sure!

Nurse Amy calls me often to check in on me and anytime I have a question or problem I either drop them an email or give them a call and they always always always get back to me that day.

He does have out of state patients and if anyone is ever interested just let me know. I actually live over an hour away from where he is but it has so been worth the drives up there. Most of it is actually done via phone and email after your initial work up. I believe the initial visit is around $450 (they spend about 2.5 hours with you doing a check up, questions out the ying yang, BMI, a diet and nutrition work up and simply get to know you. Then you can sign up for the six month program which runs about $350 and he does have a payment plan if you need it. You then get so many phone call appointments and as many emails as you want but they have gone way beyond the phone call limits without hesitation. The worst part is paying for that initial visit and then turning around a month later and paying your six month program fee which averages to less than $60 a month. It is so worth it. I am thinking about getting a health savings account through work and using it to pay for ongoing plans then I am not out much of anything. Seriously I had been spending this much going to one doctor and another and one drug to another so I don't feel like I am out much at all in the big picture.

I wish everyone could find a great team like this where they lived and I wish insurance companies would wise up and pay for it!
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