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Old 08-09-2004, 04:14 PM   #1
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Hopefully.....How are you doing.....?

Just wanted to see how you were doing. Haven't seen you around the board lately. I hoping this is because you're doing well.

Just wanted to check in.

Cheers,

Dip

 
Old 08-10-2004, 03:03 PM   #2
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Re: Hopefully.....How are you doing.....?

Quote:
Originally Posted by dipity200
Just wanted to see how you were doing. Haven't seen you around the board lately. I hoping this is because you're doing well.

Just wanted to check in.

Cheers,

Dip



Hello Dipity, I was just thinking earlier today that I needed to post an update to let you know how well I'm doing. I started back to work so I haven't been able to post as often (I'm a teacher).

Let me say that the first week on Loestrin although I saw some small improvement I was beginning to think that I needed a larger dose. I'm now going on my third week an I am beginning to fell like my old self. I still notice some peri symptoms, but I can tell DRASTIC positive improvements.

My energy level has definitely improved...yesterday was the first time since...hmmm...ahh...ugh....well...for quite awhile that I felt motivated to clean my house, exercise, and cook. All within the same day!!! For the last couple of years I believed that I'd accomplished a weeks work if I cooked one meal for my family. Forget about attempting to do anything else. My mind was willing to do alot of things, but my body just couldn't follow . Ahhh......forget the part about my mind being will.

I do have a question for you...if you've already given the answer please forgive my memory (that is also slowly improving)...do you experience a return of any symptoms during the last week of pills that are inactive? I vaguely remember something about you not going a full week before restarting (or was that someone else???).

Thank you so much!

 
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Old 08-10-2004, 03:17 PM   #3
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Re: Hopefully.....How are you doing.....?

Hi Hopefully,


I SOOOO glad you're doing better. That's great news!

Yes, you're memory IS improving. I do only take 3 sometimes 4 days off for a break. I read somewhere where a specialist wrote something about BC pills and his theory was that 7 days was too long. A women's body NEVER goes 7 days without hormones in a natural cycle at anytime during the cycle. My doc agreed with this theory. Some women don't have a problem with it though. My body really does. You may do fine with a break.

To answer your other question, yes I did have some slight return of symptoms. This was in the very beginning when I first started to take them and I took the whole week break. I had to "jimmy" things around to find what worked. If I only break 3 days I only get a slight headache when I first start back but that's it. It's different for everyone I'm sure. If I go on a trip I don't take any break at all. I just go into the next pack and do it next time.

Hope this helps and write anytime to update.

Glad you're doing well,
Dip

 
Old 08-10-2004, 03:44 PM   #4
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Re: Hopefully.....How are you doing.....?

Dipity, thanks for the information...we'll see what happens during my 4th week...it's just good to have options.

I just thought about something...before I do some research or call my endo. do you know if Loestrin comes in a patch form? Someone at another site told me about Mircette (sp.) coming in a patch form.

 
Old 08-10-2004, 05:49 PM   #5
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Re: Hopefully.....How are you doing.....?

Hello Hopefully,

No the Loestrin doesn't come in a patch form. There is a birth control patch out now that's called Ortho Evra. It delivers about 20mcgs a day of estrogen. It uses the same progestin as Ortho Tri Cyclen and Ortho Cyclen. I had tried it and felt really weird on it. A lot of people like it though and it might be a good option for you as well.

Mircette doesn't come in a patch form but there is the Nuvaring which is almost the same combo of estrogen and progestin but a bit lower. You wear it in the vagina for 3 weeks and take it our for a period week in the fourth week. It only has 15mcgs of estrogen. That's the lowest so far on the market as far as estrogen goes. Both Mircette and Nuvaring use desogestrel for the progestim component.

Hope this helps,

Dip

 
Old 08-10-2004, 06:45 PM   #6
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Re: Hopefully.....How are you doing.....?

Quote:
Originally Posted by dipity200
Hello Hopefully,

No the Loestrin doesn't come in a patch form. There is a birth control patch out now that's called Ortho Evra. It delivers about 20mcgs a day of estrogen. It uses the same progestin as Ortho Tri Cyclen and Ortho Cyclen. I had tried it and felt really weird on it. A lot of people like it though and it might be a good option for you as well.

Mircette doesn't come in a patch form but there is the Nuvaring which is almost the same combo of estrogen and progestin but a bit lower. You wear it in the vagina for 3 weeks and take it our for a period week in the fourth week. It only has 15mcgs of estrogen. That's the lowest so far on the market as far as estrogen goes. Both Mircette and Nuvaring use desogestrel for the progestim component.

Hope this helps,

Dip



Since I'm having good results with the Loestrin bcp I'd rather not switch unless a patch was available. Maybe one will become available soon. I'm just concerned about my liver after having elevated levels from using Prometrium Orally.

I will be requesting blood work be done on the third day of my next cycle (whenever that occurs) to check my liver and FSH levels. I don't know if this is correct, but I've heard that you can now obtain fairly accurate FSH levels while on bcp. What is your thought on this information? My first FSH reading was 2.9, and the second was 24 or 26. The 2.9 was done before I started using any hormones, and the 26 was while I was using Vivelle *** and Prometrium. Although there really isn't a way to determine how close I am to menopause, I'm just curious about my levels.

 
Old 08-11-2004, 01:46 PM   #7
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Re: Hopefully.....How are you doing.....?

Hi Hopefully,

No you can't get accurate FSH levels during BCP use as it suppresses it. The pituitary doesn't feel the need to produce FSH as there are enough hormones floating around with the pill. I've seen posts where poeple get FSHes done on the pill and I think it's a big waist of money and time and it's not accurate. There is one theory about testing on the very last day of the placebos but my doc thinks it should be a month or so off the pill to be more accurate and then it's questionable.

Another point about the accuracy of these tests at this time is that when you were tested for FSH during the time of wearing your estrogen patch it shows that the patch was NOT suppressing the FSH as it was actually up instead of down. This is my docs point in using the pill during peri as the FSH just goes up and down and up and down during that time. It could have just been flucuating which is the scene with peri and that' s what you were getting. With the pill though it would be very low all the time like around 2 to 4.

Also, another note about blood testing during pill use is some women try to also get actual natural ovarian estrodial levels tested. This is also a waist as the estrogen in the pill is NOT the same estrogen one is testing for in the lab. The pill contains ethinyl estrodial and the one the labs test for is 17beta estrodial (which is the main ovarian estrogen). So by error they think that they are estrogen deficiant or not "absorbing" the pill. That's not the case they just aren't getting the right test done. The natural ovarian 17beta estrodial will also be VERY low during pill use. This is OK as the pill is supplementing it.

The main thing is to stop the wide fluctuations that occur at peri time. That's what the pill does. Testing doesn't mean much on or off the pill unless you are truly menopausal and your FSH is constantly 30 to 50 or so. With peri one day it's 2 then it's 28 then 4 then 30 then 10, etc. I had this problem with testin and as I said before the natural estrogen didn't help me. That doesn't mean it wouldn't work for someone else though. My doc just said we had to go by symptoms and if something is working for me or not. There was no test for that but my own feelings. Everyone can be different in what works for them.

This is data I've researched and confirmed with my doc. Of course you should always talk to your doc about all this stuff.

Wow, sorry I went on so long. I only hope this helped.

Dip

 
Old 08-12-2004, 09:10 AM   #8
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Re: Hopefully.....How are you doing.....?

I hope I am not cutting in on your posts but ...I have question. I changed bcp because i had been feeling crummy for the last year. On the new pill Ovcon-35 the night sweats, hot flashes, anxiety have diminished which is great but I still have other symptoms that haven't gone away. If the bcp are supposed to mask the peri symptoms why would we feel bad at all and why would my doctor send me for the estradiol test and the testosterone test if the results won't be accurate? Thanks for your help.

 
Old 08-12-2004, 02:38 PM   #9
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Re: Hopefully.....How are you doing.....?

You're welcom to cut in!!

You could be having symptoms from the BCP itself for one thing. The other is that the BCP doesn't completely mask the symptoms. It takes most of them away. In some people like me they all went away, which took time. If you haven't been on them long you have to give it time.

The BCP suppresses the ovarian function mostly by 60-70%. So some of the function may be there but not much. But natural hormone replacement doesn't really suppress the ovaries much at all. That's why it's replacement therapy. I did try one BCP in the beginning (don't remember the name) and it made me feel terrible. So it's definitely trial and error.

As far as the doc requesting the tests, I've seen it before and I don't understand it myself. He's not thinking about it....? I'm not sure why. I would ask him about it or better yet talk to a person who actually has something to do with running the tests. Also, maybe he thinks there is some value in taking the estrodial. There of course will be some estrodial there. Things won't be completely shut down. I'm not a doc but I' ve done a lot of research, taken classes, etc. That doesn't mean I know everything about this either. He probably has a reason for it. It would be good to know.

Hope this is helpful and not more confusing.

Dipity

 
Old 08-12-2004, 04:03 PM   #10
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Re: Hopefully.....How are you doing.....?

Thank Dipity. I did read a very informative JAMA article about the importance of treating perimenopause based upon the patient's symptoms and not test results only. Sounds like you have an excellent doctor who values your knowledge and opinion, this seems to be quite rare. I do have an internal med. doctor who is also very attentive and values my opinions.

God Bless

 
Old 08-12-2004, 04:53 PM   #11
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Re: Hopefully.....How are you doing.....?

Thanks for your post. I think my doctor is trying hard to help me but I think one thing and he thinks another. Now after seeing him and explaining my symptoms he has gone crazy and ordered a ton of tests that I do not believe I need. This past year I have had upper body muscle ache and very disrupted sleep. I had night sweats and a lot of anxiety. I have twinges in my right hip and in my right ovary. I also have joint pain in my ankles and wrist. And my husbands favorite no sex drive. The last week and a half the muscle pain and pain in my hands have been terrible...that is why I went to see him. He said no menopause but maybe low testosterone. He also said see a rhemotolgist it maybe fibro. Anyway he gave me a script for blood work that includes way more than I know I need. ie. ca-125, epstein barr virus. He did include ana,cbc, testosterone, lft. But why all this? Maybe I am not in peri and he is right but it bothers me that the new pill I am on took away some of the symptoms already. HELP!!!!!!!

 
Old 08-12-2004, 06:01 PM   #12
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Re: Hopefully.....How are you doing.....?

I forgot to mention that you could have low testosterone as the pill also suppresses that hormone. Ovaries make testosterone as well as estrogen progesterone, etc. That's why the pill is used for acne. Testosterone is one of the causes of acne. That might be a problem. You could try changing your pill again too. Maybe you're close but not at the right dose......? I hope things get better - doesn't sound like fun some of the symptoms you're discribing.

Take care,
Dipity

 
Old 08-12-2004, 07:33 PM   #13
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Re: Hopefully.....How are you doing.....?

Thanks for all your advice...you seem like you know alot on this subject. Thanks.

 
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