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SIDE EFFECTS OF HRT: MOOD SWINGS
Progestogens can cause profound side effects similar to those associated with pre-menstrual syndrome (PMS), such as breast tenderness, abdominal cramps, fluid retention, weight gain, headaches, depression, irritability and tiredness. So not only are women experiencing these side effects, but they are also having a withdrawal bleed when the progestogen is finished for each cycle. Many women arc so relieved to have finished with monthly bleeding (it’s one of the benefits of the menopause!) that they do not like the idea of having it again. These are some of the reasons women stop using HRT. Doctors have also found that when women realize that it is the progestogens causing the negative aspects of HRT, they may omit those tablets altogether, taking only the oestrogen, and so leaving themselves with an increased risk of womb cancer. Only a sixth of the women who start taking Hormone Replacement Therapy continue to take it for a year.
Chris, forty-eight, came to see me with severe depression, constantly crying, not wanting to get out of bed and even feeling suicidal. She had no history of psychological problems, was socially active and helped her husband run a successful business. She mentioned that she was taking HRT and had noticed herself that after she had finished taking the progestogen tablets for that cycle she started to feel slightly better and then went downhill again once she had to start taking them. A visit to her GP had resulted in her being given sleeping tablets plus an anti-depressant, as it was obviously ‘her age’. She came off the HRT with medical guidance, has been looking after herself with a recommended programme of vitamins and minerals and is now actively back at work and feeling ‘interested in life again’.
What is extraordinary about this case, and many others like it, is that many members of the medical profession seem unwilling to entertain the notion that it is HRT that may be the problem. Typically the women will be dosed up with something else in addition. This puts them on a treadmill of medication. Your body and mind are so interrelated that any chemicals taken (such as HRT) can have a profound effect on how you look at life. If you took LSD, you would not be surprised to ‘sec’ reality differently. In my experience, our physical health is much easier to change than our mental health. When the women I have seen become physically well and hormonally balanced, they feel in control and able to enjoy their lives.
*16/101/5*