L.A. asks from Lake Villa, IL on February 16, 2007
Having Horrible PMS symptoms...don't Want to Go on the Pill.
I have had 2 children, my daughter is 14 months now and my son is 3 1/2. We are DONE having children, my husband had a vasectomy last June. I have always suffered from horrible pms, possibly PMDD. I get night sweats, migraine with aura, depression/anxiety, and anger. In general I just feel like a completely different person when I have this. I'm taking zoloft now a low dose during the month and go up on the dose when I feel it coming on. That helped for a few years now it doesn't really help anymore and I'm sick of being on it. Then when it does come my periods are so heavy. It's gross, and I can't even wear tampons until about the 4th day because of the heavy flow.
I am taking Chaste tree berry to help with migraines along with feverfew. I also am taking 1200 mg of calcium which is supposed to help. I do not want to go on the pill because I've had problems with them in the past...weight gain, depression, breakthrough bleeding but I'm so miserable I am thinking of trying that again!
First I wanted to ask if anyone else has any suggestions of things that worked for them? Or maybe a pill that is better than another with no side effects of weight gain especially. I do not need birth control per se since my husband had the vasectomy, just looking for relief. I have an appointment March 12th to speak with my dr. again but wanted to get other input before I went in.
Thank you so much!!
L.
So What Happened?™
Thank you all so much for your help! I still have my ob/gyn appt set for March 12, but I have decided to try some of your suggestions first. First, I've started evening primrose oil and fish oil, and I already see an improvement in my water retention! Second, I decided to switch from Zoloft to another similiar medication. It seems to be doing more harm than good. Finally, I contacted my pharmacy where I get my progesterone cream from. They suggested I get a blood test from my ob/gyn to see which hormones are out of range. Then they can customize a cream based on my results. I stopped the progesterone cream until then...it actually seemed to make my symptoms worse. I think I may need some estrogen mixed in with it.
Anyway thank you all so much!
L.
Featured Answers
P.B. answers from Chicago on February 17, 2007
Hi,
Flax oil or powder is good. Also, see if Relacore will help with the stress. Good luck to you.
J. answers from Chicago on February 17, 2007
One thing to try is to take 2,000 mg of calcium each day. However, you need to take it in 500 mg doses (or less).
Another thing that has helped me tremendously is Bikram Yoga (hot yoga), exercise in general, and meditation.
I don't have severe PMS like you, but now I rarely have any PMS symptoms.
Good luck!
More Answers
L. answers from Chicago on February 16, 2007
You don't say how old you are, but it is not too early to be thinking about pre-menopause if you are close to 30. Look into the book, "What Your Doctor May NOT Tell You About Premenopause: Balancing your hormones between 30 and 50" by Dr. John Lee. I went on progesterone cream and it helped. Best wishes with getting this under control...I feel for you.
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B.L. answers from Chicago on February 19, 2007
L., this is my first time leaving any feedback... I've never had children, but have a lot of similar symptoms to your depression/anxiety (I'm manic/depressive) and migraines and had a few thoughts.
They are birth-control related, mind you, but I just wanted you to be aware of options. My GYN started me on Yaz (I had been on Ortho-Tricyclin for years), which has some really amazing benefits. 1) 24 days on, 4 days off = 4 day period. 2) the hormone doses are steady -- i.e. the pill doses don't progress from week to week like they do with most other birth controls. You take the same dose for 24 days.
The result? Think about it. For those of us who suffer from mood swings, depression and other things that are hormone-related, what could possibly be worse than spending a week adjusting to one level of hormones -- only to spend the next readjusting to another? Yaz' steadiness has kept me more rational, which is why my GYN recommended it.
Another friend of mine began it, too, but she has much heavier periods than I do. Our GYN recommended she switch to Yasmin, which provides more control for heavier periods. It's coming out in a generic soon, too, which means it should be cheaper.
I know you don't want to go on the pill, but wanted to offer these suggestions. It's probably worth talking to your DR about it! It took my friend and I a few months to adjust to the new pill, but it's been lovely. Best of luck.
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A. answers from Chicago on February 17, 2007
In the past, I have had similar problems. One thing I found, was that if I watch what I eat it makes a difference. For example, try avoiding all sugar and eat as natural as you can. A lot of the meats you buy in the grocery stores have hormones in them which can be affecting you as well. Drink lots of water (no diet pop) and pay attention to how you feel after you eat a meal - maybe something you are eating is affecting the way you feel. I hope you are able to get relief - PMS sucks!
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S.A. answers from Raleigh on February 17, 2007
Hi L.,
I thought I'd chime in with my two cents since I've had similar experiences as you, and have some ideas that haven't been shared by other moms yet.
The heavy bleeding is something you should be a bit concerned about - not only could it cause Anemia (iron-deficient), but could also be a sign of Uterine Polyps or Fibroids. Another thing - heavy bleeding - especially with painful or severe cramping, can be a sign of Endometriosis, which is fairly serious. All three run in my family so I've done some research on them. (More info on Uterine Polyps, Endometriosis, and Fibroids, visit this WebMd link: http://www.webmd.com/content/article/12/1689_50063.htm) Sometimes for Endometriosis, the doctor will prescribe the shot to relieve the symptoms. I was on the shot for a year and bled non-stop - spotting between periods, but my periods were somewhat lighter. (I haven't been diagnosed with Endometriosis, I just wanted to try the shot). I gained 10 pounds during the year I was on the shot, but again, that could be attributed to other factors (like my metabolism slowing down). You may simply just have Menorrhagia, which is when you have extremely heavy, prolonged periods. Menorrhagia is more than just 1 or 2 days of a heavier-than-average flow. Girls/Women who have menorrhagia soak through at least a pad an hour for several hours in a row or have periods that are more than 7 days long. The most frequent cause of menorrhagia is an imbalance between the amounts of estrogen and progesterone in the body. Because of this imbalance, the endometrium (the lining of the uterus) keeps building up. Then when the body gets rid of the endometrium during a period, the bleeding is very heavy. This is usually more normal in teens though, as their bodies go through puberty - but adult women can have it also. Very painful cramping is called dysmenorrhea, and your doctor might prescribe an anti-inflammatory drug to relieve the cramping. The culprit in primary dysmenorrhea is prostaglandin, the same naturally occurring chemical that causes cramps. In large amounts, prostaglandin can cause nausea, vomiting, headaches, backaches, diarrhea, and severe cramps when you have your period.
You mentioned maybe considering birth control to relieve the symptoms - which might help. I tried Ortho-Tricyclen Lo, which is a lower dose birth control pill - and it was like going through menopause - and I was only 22! For me, it wasn't quite strong enough, and caused even heavier sweating, worsened headaches/migraines, and around-the-clock nausea. My doctor then put me on Ortho Tricyclen (regular dose) and most of my symptoms disappeared - and the severe acne I was getting right before my period cleared up, too. I did gain a few pounds (less than 5) but that also could have been attributed to the nausea going away (and my appetite coming back!). I used to be on Zoloft for the mood swings (low dose all month, more the week before my period), and when it quit working, my psychiatrist put me on Prozac instead. Some people swear by either or both drugs - Prozac made me zombie-like (I just didn't care about ANYTHING), but that could have been more of a dosing issue.
Other ways to help with PMS/PMDD would be to eat more fresh vegetables and fruits, and eat as few as possible processed foods - and avoid salt!! I also found it helped to take a B-complex vitamin everyday because the B vitamins help even out moods. Also be sure to exercise at least a couple of times a week, and even though you are probably more tired right before your period, excercise as often as you can as it will help with the cramping and with your moods.
Depending on your age, you might be experiencing pre-menopause. One herb found useful for menopausal symptoms is Black Cohosh, but consult your doctor (or at least a pharmacist, herbologist, or holstic healthcare provider) before taking ANY herb, especially if you are taking any prescription medication.
Good luck... I hope you find some relief. It took trial and error for me, a mix of different therapies to find what worked for me.
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T.F. answers from Chicago on February 20, 2007
Hi there L.,
My name is T. and I had much the same symptoms about two years ago. It was so bad that my husband and I were at each other all the time. My doctor put me on Sarafem I could not believe how much it help. It may help and your doctor should be able to tell you more about it. Hopefully you'll find something soon. Best wishes.
T.
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J.P. answers from Chicago on February 19, 2007
L.,
There is hope!!! I suffered with horrible PMS for most of my 20s. I had no luck with oral contraceptives. Some would work for a few months and then the symptoms would return, often worse. As such, I totally understand your reluctance to introduce any synthetic hormones into the current hormonal fray.
I noticed that one of the responses mentioned flax seed oil. I have had a great deal of luck with this and other Omega 3 fatty acid sources. The first time I tried it, my symptoms were gone within 2 months. Over time, I've had even better results with fish oil capsules. Do take care to buy a brand that is certified to be Mercury, PCB and Lead free. I like Spectrum.
You may also want to try acupuncture. I've had great success with it in terms of all things hormonal. Best of luck to you.
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L.K. answers from Chicago on May 30, 2007
Hi L. and everyone who has been scared by hormones--- (like me)
I have had all of the problems you have mentioned. I have my bachelors in psych but have done alot of research on the subject of menstrual problems and perimenopause. I would suggest that you get a thorough check up first, but I would urge you to read the book my Suzanne Somers called 'ageless.' You do not have to be old to read it. I have done enough research to tell you that I believe your hormones are seriously out of balance. I take bio-identical hormones which are sold at compounding pharmacies. I would suggest that you also read 'It's Your Hormones' by Geoffrey Redmond, MD. I would actually say that you might be better informed if you read Dr. Redmond's book first, then Suzanne's. I too went on zoloft and it stopped doing any good. I would get these black periods where I was so depressed before my period. It was hell. I am now on the bioidentical hormones. They are not the same as the synthetic hormones. We need balanced hormones or our bodies are subject to disease and we are living miserable lives. Mark Drugs on Roselle Rd in Schaumburg is very knowledgeable also. Dr. Johnson's (brothers) gyncecologists in Hoffman Estates can write a prescription. Please read the book about hormones. I am telling you it changed my life. The way people get cancer from hormones is by taking estrogen alone- and it is mostly from the synthetic hormones which are not bio-identical. If you do not balance your hormones you are subject to cancer and disease just like if you were taking estrogen only. For real. Also, weight gain can come from imbalanced hormones. Most people are going to need a little bit of estrogen with the progesterone. It is made from plants. It is what your body is craving. It is not horse urine like the premarin. For real - it is safe and it works. Let me know if you have any questions. I sympathize with you. Will pray for you also.
Take care.
L. K.
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F.J. answers from Chicago on February 16, 2007
I too have always had horrible pms!! I was on the pill and that never helped. I have had the problem since I was 15!!! Severe pain!! About 6 months ago I started drinking a juice called Xango which was recommended to me by a dr. I feel AWESOME!!! I highly recommend it! It is pricey so I became a "distributor" so I can buy it wholesale. You can do this as well so you can get the discounted price. If you want to know more about it email me at ____@____.com
Check out the website
www.mangosteenexperiences.com
that gives alot of information. Since I started I put my mom on it and she no longer has her hot flashes or needs her BP medicine!! It truly is uneblievable.
Good Luck!
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