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Dr. Natasha
Dr. Natasha, Doctor
Category: Medical
Satisfied Customers: 12910
Experience:  American Board Certified in Emergency Medicine, Ivy League trained
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, I'm 31 years old. couple of years I've been

Resolved Question:

,
I'm 31 years old. couple of years I've been working extremely hard, had some family and financial problems. Busy city, lots of pressure at work, constant tiredness and exhaustion and I got to the point that I cannot carry on and need at least 3-4 months to recover and physically and mentally.
Could you please kindly advise whether I can ask official letter from my GP doctor which will confirm that I need a few months off work due to stress and depression?
I'm worried that my management won't allow me to take such a long time off.
Me and my husband also trying to have a baby then a year now with no success..
Thank you very much in advance reply,
Katerina
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Natasha replied 2 years ago.
Dr. Natasha :

Dr. Natasha :

welcome to the chat

Dr. Natasha :

have you thought about having your thyroid checked?

Customer:

,

Customer:

yes, i did the blood test and everything is perfect, except the my progesterone level is very low

Dr. Natasha :

ok

Dr. Natasha :

well, if you want a letter like this, you will have to ask your GP referral to a psychologist

Dr. Natasha :

and they will be able to write you such a letter if they feel it is appropriate

Dr. Natasha :

generally they do not give you time off work unless you have already tried therapy and medications

Customer:

I also have PCOS and very irregular period, when i'm stressed or tired, my gaps btw period are longer, up to 80 days.. normally its 35-40 days.. Feeling tearful reason often and depressed

Dr. Natasha :

I understand- that is tough.

Dr. Natasha :

the letter should come from a specialist, however

Dr. Natasha :

you may also benefit from taking antidepressants

Dr. Natasha :

but they take you off work as a last resort

Customer:

we have been trying baby .5 years with no luck and stress doesn't help here. i feel like I am trapped and don't know what to do as I can't just leave my job because of financial situation

Dr. Natasha :

have you seen a gynecologist?

Dr. Natasha :

or a fertility specialist?

Customer:

I've done a scan to check ovaries, was diagnosed with PCOS and also done several blood tests. Now it's been 5 weeks Im waiting letter from Kingston hospital fertility clinic.

Dr. Natasha :

ok, well hang in there

Dr. Natasha :

but in answer to your question, you need to see a psychologist

Dr. Natasha :

your GP will not write you that note

Customer:

I don't think I really need antidepressants, when I am outside London, having lots of sleep and rest, I'm very happy and have lots of energy :)

Dr. Natasha :

ok. but you still need a psychologist to write you that note-

Dr. Natasha :

and they may be able to help you with work/balance coping mechanisms

Customer:

Where can I fing a good psycologyst and do I need to go to the GP first and be reffered or can I just go to psycologist and get that letter?

Dr. Natasha :

you need the referral from the GP

Dr. Natasha :

or you can go privately

Customer:

Is this expensive service? I've never been to psychologyst before?

Dr. Natasha :

it will probably be at least 100 pounds

Dr. Natasha :

or NHS is free

Customer:

Can I go to NHS psychologyst? Can I also ask you? If the only reason that i'm not getting pregnant is low progesterone level, is there any treatments to increase and help to ovulate?

Dr. Natasha :

Ok I cannot write you a letter

Dr. Natasha :

I am in the USA

Customer:

100 pounds its too expensive, more than happy to go to nhs psychologyst

Dr. Natasha :

and I would suggest reading the book, taking charge of your fertility- that is the best best best book out there on how to get pregnant

Dr. Natasha :

there are also vitamins called 'fertility blend' which are super helpful

Customer:

thank you advice about the book, i'll see if I can find it

Dr. Natasha :

http://www.amazon.com/Taking-Charge-Your-Fertility-Reproductive/dp/0060937645

Customer:

I wonder if I can buy these vitamins in the UK (fertility blend)? will search.. I'm taking at the moment multivitamins called "ultra women"

Dr. Natasha :

http://www.fertilityblend.com/

Dr. Natasha :

did I provide you with excellent service?

Customer:

could you please kindly reply to my question regarding low progesterone level?

Dr. Natasha :

if you have low progesterone, that may be inhibiting your ability to get pregnant

Dr. Natasha :

sometimes you need shots or pills

Dr. Natasha :

but your fertility specialist would help you with that

Customer:

ok thank you very much time and advice

Dr. Natasha :

you are welcome

Dr. Natasha :

did i provide you with excellent service?

Customer:

Yes, I'm happy with your answers

Dr. Natasha :

great. Keep up the positive outlook! and baby dust ;-)

Customer:

Thank you very much Natasha! :)

Dr. Natasha :

:-)

Dr. Natasha, Doctor
Category: Medical
Satisfied Customers: 12910
Experience: American Board Certified in Emergency Medicine, Ivy League trained
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