Bioidentical Hormones, Hormone Imbalance, Menstrual Cycle, Progesterone

Re-living My Postpartum Anxiety

Estrogen Dominance Syndrome 

Progesterone Cream on Wrist

To be honest I should actually call this post: “What the hell was I thinking!?”  I’m sure you’ve had one of those moments.  Every single time I go against my intuition I have one of those moments.  I had one recently.

If you recall, I went off my bioidentical hormones cold turkey and if you read that post I was afraid it would be a wild ride!  In retrospect I should have weaned off them slowly – and whether my doctor should have known better or not is beside the point.  I should have known better.   And in fact, my inner voice knew better, why I didn’t listen to her I’ll never know.  But I’m not going to beat myself up over it.  Here’s what has happened since I went off my hormones:

The First Two Weeks:

The first couple of weeks into my living without bioidentical hormones seemed ok and it was slowly starting to leave my mind.  It felt like I was forgetting something every night when I went to bed but I was starting to get accustomed to not reaching for my hormone cream.

Mid-Cycle: Time of Ovulation & Progesterone Increase

Exactly two weeks into my “withdrawal” as luck would have it I received a call from my doctor’s office.  They called to say my doctor wants to book me for follow-up testing due to the results of my recent ultrasound. I was instantly worried as anyone would be.

The difference here is that worry doesn’t describe it.  It began as worry and quickly became debilitating anxiety.  No amount of reassuring me that the cysts on my ovaries are common and usually benign (non-cancerous) would settle my anxiety.  There was also a spot on my liver which is characteristic of a liver hemangioma – it was described to me as basically a tangled mass of blood vessels – again usually benign, non-symptomatic and usually just discovered by accident during an ultrasound, CT or MRI scan. More common in women than men, age 30 –  50 (me age 44), who have been pregnant (me 5 times), and related to estrogen medications (that is something I have to research – could it just be more common in women who are estrogen dominant?)

Seriously, it’s hard to believe that I received this news exactly on the day that my progesterone level should have shot up. I should have been ovulating right around this day which for most women should mean an increased production of progesterone.  I’ve never known why I don’t seem to produce enough progesterone and I can’t really say how much my body produced this month after going off progesterone.

Thyroid hormone resistance

Image courtesy of

Check out this chart to see what hormone production should look like in a normal menstruating woman.  Mid-cycle is when women release an ovary – see that spike in progesterone that is supposed to happen as a result?  When I finally learned about my infertility it became clear that I suffered from anovulatory cycles – meaning I didn’t ovulate and I wouldn’t have a period for 3 months, called Amenorrhea – likely caused by my estrogen dominance.  Simply put when I’m on progesterone I ovulate – I have no idea what was happening with my progesterone during this cycle.

What I can say is that over the course of the week I was overcome with anxiety over this news.  I couldn’t sleep – I had trouble falling asleep and staying asleep – so was fatigued beyond belief.  My body hurt all over – anxiety hurts – every cell in my body vibrated with anxiety.  I couldn’t focus on anything even when I tried.  I struggled to get through each day and put a smile on my face.

My Eureka Moment

There is good news in all of this – the light bulb went off for me when I realized that I was feeling exactly like I did when I had postpartum anxiety.  That’s when I realized that the level of worry I had did not correspond with what was actually happening in reality.  The reality of anxiety is NOT the reality of life!  When you’re the one in the throes of it – it’s hard – damn hard, to be self-aware.  I’m knowledgeable about his stuff and try to be in tune with my body and yet geez it still happens to me!

Thyroid Hormone Resistance Syndrome

Image courtesy of Pope Paul VI Institute, National Reproductive Hormone Laboratory

Check out the progesterone level of a pregnant woman and then imagine the drop in progesterone that occurs postpartum!  Thinking back to my postpartum anxiety and seeing the chart makes me wonder how significant the drop in my progesterone level was after going off bio-identical hormones. That being said I think even a small fluctuation can create issues for women who are suseptible

The  Good Great News!

Thank God for the realization that this anxiety was being caused my the significant drop in progesterone from going off bioidentical hormones.    How do I know?  I took a small dose of progesterone in the early evening – I slept through the entire night for the first time in a over a week and woke up without anxiety.  And so I made it through to the end of this menstrual cycle using progesterone and living anxiety-free!