Was On Contraceptive Injection Depo Provera, Caused Thinning Bones. Put On Norgestone And Suffered PMS With Light Periods
Postmenopausal symtoms. Need HRT.
Thanks for writing to us.
Above clinical features are suggestive of menopausal symptoms. These are quite common in your age. It occurs due to hormonal imbalance preferably low level of estrogen and high FSH level.
Low dose conjugated estrogen (oral medication or patch) is preferable in most cases for at least 5 years. However, you need to undergo one health check up and exclude certain contraindications (like active liver disease, venous thrombosis, undiagnosed vaginal bleeding, estrogen dependent cancer etc) before taking estrogen therapy. You must consult with your gynecologist for proper guidance.
If you have intact uterus, then progesterone should be added to counter balance certain risk like endometrial or breast carcinoma, venous thrombosis etc.
Alternative Protocol: Natural Estrogen therapy is quite effective to get relief from menopausal symptoms with avoiding steroidal side effects. Here, you can take phytoestrogen like isoflavone etc (plant based estrogen).
In addition, natural estrogen containing dietary supplements like soy, beans, peas, lentils, whole grains, rye, millet etc are quite useful. Drink more water or fluid and take balanced diet with calcium supplements.
Low dose SSRI (Selective Serotonin Reuptake Inhibitor) group of drug like fluoxetine, paroxetine etc can be added to reduce vasomotor symptoms (in severe case) including depression, insomnia etc. Kindly, consult with doctor for proper prescription.
Hope, I have answered your queries. Let me know, if you need any clarification.
Wish your good health and take care yourself.