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Missing Period. Have Cold And Sweaty Feet. Getting Panic Attack And Started Spotting. What Is Wrong?

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Posted on Mon, 15 Apr 2013
Question: I have been sick for about a month now, I'm 47 year old female had not had a period for eight months now but then started a light period that only lasted for 5 days. I have been sweating from my feet and hands with cold chills and my face gets really hot some times. I have been getting constant panick attacks and feel very depressed and weak and feeling like there is something really wrong with me. Went to the er last week they said I'm not having a heart attack and nothing showed on my chest ex XXXXXXX Plz help
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Answered by Dr. Sundar Gnanavel (2 hours later)
Hello........
Thanks for your query. I understand your concern with the symptoms. The episodic anxiety symptoms along with the depressive symptoms you are reporting are typical of hot flushes in the perimenopausal period. It is due to hormonal imbalance due to deficiency of oestrogen. Hormonal levels and psychiatric symptoms are closely linked ! I would suggest you undergo an evaluation by either a psychiatrist or gynaecologist. The treatment options include SNRI drugs like venlafaxine that would address your anxiety as well as depressive symptoms. Evening primrose oil and vitamin E supplements are the other treatment options that are likely to benefit you. Oestrogen supplements are generally avoided due to carcinogenic risk. Wish you good health.
Regards
Dr Sundar
Psychiatrist
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sundar Gnanavel

Psychiatrist

Practicing since :2009

Answered : 632 Questions

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Missing Period. Have Cold And Sweaty Feet. Getting Panic Attack And Started Spotting. What Is Wrong?

Hello........
Thanks for your query. I understand your concern with the symptoms. The episodic anxiety symptoms along with the depressive symptoms you are reporting are typical of hot flushes in the perimenopausal period. It is due to hormonal imbalance due to deficiency of oestrogen. Hormonal levels and psychiatric symptoms are closely linked ! I would suggest you undergo an evaluation by either a psychiatrist or gynaecologist. The treatment options include SNRI drugs like venlafaxine that would address your anxiety as well as depressive symptoms. Evening primrose oil and vitamin E supplements are the other treatment options that are likely to benefit you. Oestrogen supplements are generally avoided due to carcinogenic risk. Wish you good health.
Regards
Dr Sundar
Psychiatrist