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Hello, I would be happy to help you today with your question.
Please give me a few minutes to review your question.
I have a couple of questions
1. Do you still have your uterus?
2. Have you ever been treated for anxiety or depression in the past?
Here is what I think (please give me a minute to type):
I agree with you, if there has never been an issue with anxiety or depression in the past, then these mood related changes are very likely related to the changes you are experiencing related to menopause. In the setting of menopausal symptoms, we often approach them by treating the symptoms individually if possible. In your case, the options would include:1. Go ahead and go on HRT (combined E/P because you still have a uterus) - the doses are very low and well tolerated2. Consider an antidepressant medication (such as Prozac) - it often works great for hot flashes and certainly might help with the anxiety and panic related symptoms as well.
It is safe to use HRT in the short run of about 5 years - so great for this transition.
It can be given as a pill or patch - it really does not matter how you take it.
Ok, thank you I might try HRT - do you have any types that you would recommend ? I think there is one that combines E and p at the same time do you think that is a good idea ?
I think that if you can get it in a combined form, this is much easier to remember to take than if you have to take two pills, or a patch and a pill. I am certain that you will feel remarkably better. This is a common problem and sometimes very difficult to control. The good news is you will get better over time.Here is a link to check out as well: www.nams.org (I think it is correct - North American Menopause Society)
Does this all help?
Yes, thank you very much.
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