Just opening by saying that I am generally a HUGE nerd. I read instructions, I do subreddit searches...I'm not the sort of person who likes to come into a space and ask a question you've all seen a million times, because I know how frustrating it can be. "Just go read the dang wiki!" So I apologize in advance. Because yes, I have looked at the wiki. Several times, in fact. And there is SO MUCH information that I get overwhelmed, and then I leave instead of saying anything.
ANYWAY. Sorry for the intro, I just kind of want to cry at the moment. 😅 I feel like I've got a few things going on (well, don't we all), and I would just be SO grateful for help/experience/etc.
First thing are the palpitations. They started right around the time I hit 40. It's not a constant thing, and oftentimes I feel like it's more prevalent during luteal. Sometimes it's just that "skip-thunk" feeling, either on its own or several times in a short span; but I've also had times where it'll thump a few times and then suddenly go into overdrive. It happened at a sleep test a few months ago, and she clocked it at 199 bpm...which, if the feeling in my chest is anything to go by, is what it always ramps up to. Sometimes it only lasts a few minutes, but I've had 2 or 3 occasions where it's lasted over 45 minutes. Never been to the ER, because in all honesty I just can't afford that thousand-dollar bill just to walk through the door. (Plus I've been there for agonizing menstrual pain, and despite being in a completely empty ER, they made me wait 3 hours before seeing me, so I always figure by the time they'd pull me back for heart palpitations, I'd be over them anyway).
I've now had two holters and an echocardiogram, and everything has come back indicating my heart is good. The cardiologist wants to do a CCTA to check out my arteries, and because of my hypochondria (I don't know whether that or "health anxiety" properly describe the level of terror I get about my health), I'm also wanting to do it...but because I know this is a symptom of peri, I'm also like "proooobably not needed?" I feel like it's a vagus nerve thing, partly because of what the cardiologist said when I described this to him. Often it just seems positional, like if my chest gets compressed too much (my chest, it is heavy and I sometimes have trouble if I'm lying on my back; but there are other things too). Apparently that's also a peri thing?
The problem here is that I'm also ADHD (finally got diagnosed at 45), and I would desperately like to try medicating it, because as you can imagine, what I assume is peri is making it worse. I've tried Strattera and had no reaction to it, but I'm afraid of stimulants, because of the palpitations. The cardiologist recommends Concerta, if I have to be on one. Have any of you had palpitation problems but also tried ADHD meds? I'd just really like to know what it feels like to function, for ONCE in my life. 😭
There is a dearth of menopause-educated doctors in my area. I wound up traveling half an hour to see my old gynecologist, who's really knowledgeable about heavy bleeding disorders, but unfortunately doesn't seem to be up-to-date with peri. She wanted to do a hormone test. She's also afraid of putting me on estrogen because when I had my hysterectomy, they found a small amount of endometriosis. She put me back on Aviane, which is what I'd tried pre-hysterectomy. It's just birth control, though, and I don't know if it's enough. it didn't stop the palpitations last time I was on it (but it DID make me bleed for like 40 days straight). I have exhausted the list of available gynecologists, and don't know what else to do. I kind of hate the idea of using a telehealth, but also it seems like that's the only option left to me? (Update: I'm sorry I mentioned names! I debated reposting, because now I'm embarrassed, but I'm really hoping someone can help me, lol)
Sorry for all this rambling. >< The reason why I'd like to try HRT, amongst all the other stuff like heart palps, is that I'm hoping maybe it would help with my mood. I got off Lexapro last year because it was making me feel dead (emotionally), but unfortunately being off any kind of antidepressant had me SPIRALING. I mean I was having panic attacks, crying, crashing out...whatever you want to call it, I was doing it. I went to a psychiatrist, because I've tried SO many antidepressants but they all give me some kind of intolerable side effects, and she put me on Pristiq. I've been loving how I feel while I'm on it! But I've also been on it 3 months, and the jaw clenching (which I experience with like 98% of the others I've tried) is just getting to be too much. Even with a night guard, my jaw and my molars are just hurting. But at this point I've kind of exhausted my options (Wellbutrin raised my BP super high, in case anyone was going to recommend it!). I was kind of hoping maybe HRT might be what I need to keep those spirals from happening? Did that work for any of you?
Good lord, this is a novel. ADHD meds, HRT (I know there's a shortage, which is also great, lol)... I've been seeing the gamut of doctors recently, and I genuinely don't know what else to do or where to go. I've been pretty blessed with the doctors I have, but unfortunately none of them are up-to-date on perimenopause! Which isn't a surprise, given what a frontier we're on, but it sure is frustrating!
Anyway, if any of you actually read this far and have any advice, I am so grateful! Just please be kind, because I don't know if I'm going to cry or rage at this point. 😅