What’s the best next step at the dr office after starting estrogen patch?
hi all, I just recently joined this thread and i’m so appreciative of the information bc as you know, it’s an uphill battle with providers Not understanding how to treat PMDD!
I’m still not even sure who to get the best help from. I used to have a great endocrinologist, but she retired and then I saw a whole bunch of inept ones. I have PCOS (PMOS now), ADHD and PMDD. I am 45 and just started the estradiol patch .025mg. The perimenopause specialist I saw wanted to just start the lowest dose of the estrogen patch because I am very sensitive to medication and she wanted to see if that helped by itself first. I’ve also had a hysterectomy so it’s hard for me to track where I am but I think I’m in the luteal phase right now and it seems the estrogen patch is only mildly helpful w PMDD symptoms at this dose. I woke up depressed, super sensitive and angry with my gf yesterday and the rumination loop is intense as usual, tho maybe a little dulled.
i read about the PERT protocol, a microdose of Prozac and GLP-1s possibly helping with the PMDD symptoms. Which should I try first, and which dr is most likely to help me?