Progestin pill/BC to prevent luteal flares? Or would it make things even worse? (PMDD, POTS, MCAS, ADHD)
To those of you with PMDD, ADHD, MCAS, and/or POTS/dysautonomia who take (or have taken) a gestagen (progestin-only) pill: I know I can't ask for medical advice but I'd appreciate if you could share some experiences (or give me a reality check).
My POTS symptoms get much worse during my period, and basically everything else gets worse during luteal (especially ADHD, also mood, brain fog, but also physical stuff like fatigue). About 10 days before my period, I'll be in a flare. So my idea was to try a BC pill (I don't need birth control though). Went to the gyn and sadly they don't have much experience with my conditions.
My hope is that I'd no longer have a cycle, therefore:
- no blood loss (which I guess worsens POTS)
- and more importantly, no more luteal crash.
My concern is: can I expect my symptoms to be as they are now on "good days"? Or will I actually be in constant luteal, so even worse than now? I know an estrogen pill would probably be a bad idea, hence I'd go for the progestin only option.