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Suicidality and perimenopause
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Has anyone else experienced severe suicidality in relation to perimenopause? Did anything particular help? There is apparently a strong association for some women.
I had a major drop in oestrogen a year ago resulting in severe anxiety/depression/suicidal ideation then. It’s re-occurring now. I have complicating factors of c-ptsd and complicated grief. Saturday was the anniversary of my mother’s sudden and distressing death. I was extremely bad on Friday and early Saturday.
I’ve been calling helplines and had some practical help. It helps regulate me for a few hours then I start to disintegrate again. It’s a feeling of totally failing apart. I do have a psych appointment on Thursday and I’ve booked a counselling appointment with the Australian menopause society as well.
HRT may help but I have to look at how it will interact with my liver disease which can be a complicating factor. It’s a rare disease and not well understood or even known about by most medical practitioners. I just feel totally overwhelmed.
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Thank you Fiatlux 🙏
Sorry, I didn't see your message before as it hadn't appeared yet.
I can totally understand the panic you went into. You never want to go back into the symptoms. It's great you stood up to your doctor and asked for what you needed. I tried telling mine about the suicidality and I really don't think he got it. He told me how the evidence is lacking for HRT and mental health compared with other symptoms. I have now talked to multiple other women whose mental health went from an absolute horror story to them being back to normal overnight on HRT and there are numerous podcasts out there now, including from medical professionals in this area, confirming this experience.
Anyway, must head to doctor appointment now but thanks so kindly for your support.
Hugs,
ER
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Hello again,
Just a quick update. The doctor understood and agreed to support me going continuous on a 25/3 regime. Yay!!!!! I'm glad I didn't have to try to convince him. He seems to take you on face value and I appreciate that so much.
I forgot to ask him if I can start it straight away or have to wait two weeks, but I think I've answered that for myself already as I want to feel like life is liveable again from tomorrow. So I will start the new regime tonight.
It's a huge relief. It's like finding the answer to lifelong suffering, losing it again and then getting it back. I realise I have had hormonal dysregulation from the beginning. I don't think I have ever felt as well as I did in those first 12 days on HRT. It's quite emotional really because I feel like I have a life again. I was so close to ending it just a few weeks ago. No one should have to die when its avoidable with the right treatment.
Thank you both again for your support 🙏
Hugs,
ER
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Oh Dear Eagle Ray,
I am so glad you sought help when you did. This… no one should have to die when it’s avoidable with the right treatment… is so true for many of us.
When I turned 50, I thought I was doing the right thing and had a full checkup and tested for everything. I wasn’t in menopause yet and my test results were excellent. I had the health and fitness of a 30 year old. This gave me such a boost that it encouraged me to get even better.
Now 6 years on, I am probably as good as 56 gets with all things considered. I hate the weight I have gained in the past year but I think with treatment I will get my mojo back and will get on top of that too. Everything in good time. My mental health is improving and the body will follow.
Air Hugs as I still can’t be hugged… too hot 🤗
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Hi ER,
That's great news, I look forward to hearing how you are feeling on the regime. It would not surprise me at all if some of your other health issues improve as well as a result. When it comes to healing yourself, this is a huge step and perhaps also has an ancestral component that will be healed. I am so glad you didn't give up, but instead, did your own research to find your solution. You have every reason to feel proud of yourself.
Talk again soon,
indigo
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Thank you kindly Fiatlux and indigo 🙏🤗
As might be expected my body is a little confused today. I woke with nausea then ended up with a migraine (which is easing now). But... I am definitely improving in terms of my mood state again and how I feel in my body. I once again feel more energy and less anxiety and depression. I am now on one tablet continuously instead of two cyclically, so it will probably be a more gentle improvement than before, but there is no doubt the improvement is happening. It is incredible how fast it works and how powerful these hormones are.
indigo, yes, the ancestral component is interesting. I have no doubt there were hormonal dysregulations in my mum and her mum. There was incredible suffering in the lives of my dad's mum and her mother. But, of course, they never would have got one ounce of help for those struggles that they lived with in isolation. Early trauma apparently predisposes people for lifelong, chronic hormonal dysregulation along with autonomic dysregulation and autoimmune issues. I was diagnosed with pustular psoriasis on my left foot in 2010. Well in those first 12 days on HRT it just started clearing up all by itself! I have thrown every kind of treatment at it over the last 14 years, both conventional and alternative. So, indigo, I think you are on the mark that other health issues are likely to clear up on their own now.
I saw my psychologist yesterday as well and was so glad to tell her how successful the HRT has been. I was telling her how my muscles and bones just feel so much stronger, like they are thriving! My core muscles suddenly work exceptionally well like I have been training at the gym (when I haven't). In the last few days without the progesterone I was starting to lose those benefits again, but even just after restarting last night the difference is already noticeable. It is just a remarkable transformation in my whole being. There can apparently be benefits in preventing osteoporosis, cardiovascular disease and cognitive decline. Certainly my thought processes are much clearer and tasks seem much less difficult to perform. Things I have put off doing because they were just way too overwhelming now seem possible and doable, like the motivation part of my brain just works again. I've been learning that oestrogen and progesterone are far more than reproductive hormones. They are apparently extremely important in multiple areas of the brain.
I am having to watch I don't get too overexcited, though that is another thing, I am generally more calm and I think a lot of that is the progesterone which can be a calming hormone. Not all women respond the same though and some women on HRT are aggravated by the progesterone component, but for me the fact it calms me so much and seems to give so many benefits, it is obviously what my system needs.
Sorry, rabbiting on here! I'll shut up now, ha ha! But thank you both for being there for me. It really means a lot!
I hope you both have a really lovely week (and I hope you can cool down Fiatlux!).
Take care both,
ER xx
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I have deteriorated since around the middle of the day Wednesday. I don’t think the dosage of the hormone I’ve started is enough. I spiralled quickly back into suicidal thoughts. It’s like there is an on/off switch in my brain and without sufficient dosage the receptors are not locked into by the hormone. I talked to other women on the community app I’m on. There are others on the higher dose continuously so the cyclical dosage but continuous because of severe depression. Out of desperation last night I increased the dosage. I could feel a definite improvement this morning. The depression was almost all gone again and I felt good. Then I’ve just slid back over the day. I’ve tried to distract myself with things including talking to people here on the BB forum. I’ve definitely returned to depression.
Hoping that it will get better in the coming days. It’s horribly involuntary and happens so fast. But when I improve it is equally fast. Today is not as bad as yesterday. Today it is a lot of just being kind of stuck and not able to move. When the hormone locks to the receptors my body can move really well and I feel so well. My psychologist said the other day it is like the people in the movie Awakenings who are either on or off with their Parkinson’s symptoms. I saw the same with my Dad who had Parkinson’s. He could have wild, involuntary tremors for hours and be totally incapacitated and then all of a sudden his brain switched and he’d get up and make a cup of tea and be fine.
It’s scary having no control over what is happening to you. I realise I’ve been in perimenopausal decline since I was 41 and I’m now almost 49. I really lost a decade. All the GP would offer then was a particular antidepressant that is now known to make perimenopausal depression worse. I’m so glad I didn’t take it.
I have to work so hard to solve everything on my own. It just gets exhausting. I’m learning how implicated hormonal dysregulation is in the liver disease I have too. I want to still hope I can get better. I will stay on the increased dose a few more days and hopefully improve. It is just a massive effort to do everything again. It is so hard to know what to do with extreme involuntary depression that is so biologically driven and comes on so rapidly.
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Hi ER,
I'm so sorry to hear you are struggling again. My feeling is that because your dosage has changed a couple of times, your body has not adjusted yet. Perhaps give yourself a week on the new dosage to see if things settle again. I know this is distressing for you trying to figure it all out alone and still having to research what to try next. I strongly suggest at least trying to get a telehealth appointment with the Professor in Melbourne. If you are unable to get an appointment, they would no doubt know of other practitioners that you can contact.
Hang in there ER, you have made a great deal of progress, it is now just a matter of getting your dosages right.
You can do this.
indigo
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Hi Eagle Ray,
I have just seen your post from last night.
You are fortunate that you have the option of increasing your dose. It’s distressing when you feel like you are spiralling down.
I am on a weekly dose which I am due to top up tomorrow but I’m so tempted to take the dose today.
It’s so confusing for me as well. I don’t know if I am feeling more depressed today due to other factors in my life or because I need to top up my HRT. I am so sensitive to any negativity and feel teary today. Yesterday I was still feeling a little more upbeat and relaxed.
Last night I read up on menopause from a site that was recommended to me and I had to stop when I got to the part that this could go on for 10 years or more…
Take a deep breath and take it one day at a time. You know it’s your brain that’s messing with you.
Right now I am doing some self care and had a shower and now I am laying on the bed giving myself a facial. If I feel better I may even venture out to the shops.
Take care of yourself. Fiatlux 🙏🏼
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Hi ER,
I just wanted to check in with how you are. It's been a couple of days, has there been any improvement?
I hope you are ok,
indigo 💜
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Hi indigo and Fiatlux,
I’m sorry I didn’t respond for a few days. I’ve been really not good. Indigo I think you are right that my body is struggling with the changes. I had wanted to go on a continuous dose from the start and explained the reasoning to the GP, but he said no, start cyclical, but I know my body has been in perimenopause 8 years now and transitioning to where the continuous dose would have suited me in particular. But I still may have had a somewhat erratic response anyway. But it’s also to do with my particular hormone profile linked to my trauma history and what I realise now has been lifelong hormonal dysregulation. I can’t really explain further as I’ve been advised by moderators not to reference hormones or dosages. I feel very limited in what I can communicate. A health assessor from Centrelink advised on Monday I do apply for the DSP. I think I will have to. She was very helpful and took down my health history, work history etc.
I contacted the clinic in Melbourne. They are booked up for months. But I found another and asked my doctor if he could refer me to them and he did. So I am seeing them in March.
This morning I reconnected with the people I did a course with last year looking at shamanic-type healing in the context of things like complex trauma. It was extremely grounding and helpful being with them. I find positive co-regulation with good people can actually shift things somewhat hormonally. A few nights ago when I was in a really severe state of distress I turned on the tv to try and distract myself. There was a Joan Armatrading concert and I was so impressed by her. She is an awesome musician. Then I watched some interviews with her and she is such a grounded, lovely person. I find these people are like wise guides. She is in her 70s and still rocking out with amazing guitar solos through to moving acoustic songs. It really helped me somehow.
I am sitting in the wind on a rock by the ocean. It’s actually starting to get a bit cold after a hot day so I should probably go home now. I hope you are both going ok. Fiatlux I hope you are feeling better since the other day.
Bye for now,
Eagle Ray xx