After suffering increasingly severe premenstrual tension (PMT) for which she was prescribed citalopram, Deborah saw a menopause specialist. Monthly Prostap injections for 4 months induced a medical menopause. Now free of PMT she is on HRT.
Deborah’s menopause story is closely linked to her experience of premenstrual tension (PMT). After increasingly severe PMT characterized by feelings of paranoia and mood swings which she describes as really horrible, terrible, debilitating, frightening;, Deborah consulted her GP and was prescribed the antidepressant citalopram. However, this had a negative effect on her sex life by inhibiting orgasm and she decided to discontinue its use, experiencing unpleasant side effects associated with withdrawal.
Disillusioned with the service provided by her GP, Deborah had a more sympathetic response from a specialist whom she consulted privately. After carefully explaining the physiological process of menopause, he prescribed a course of monthly Prostap injections over a four month period to induce a medical menopause with the aim of suppressing ovulation and eradicating PMS. Menopausal symptoms followed, with a gradual drying up of periods, and hot sweats at night which disrupted her sleep. Much to her relief, Deborah found that her PMS symptoms eased.
At the end of her treatment, Deborah was fitted with a Mirena coil and prescribed HRT (Evorel patches, 100mg). Deborah is unsure, however, why she has had the coil fitted or how the patches really work. Her understanding is that the patches suppress ovulation and thus prevent hot flushes. She wishes, however, that the patches were better designed, noting that they leave filthy plaster marks; when removed.
Deborah feels on the brink between being a young person and moving into later life. Fed up with colouring her hair, she is ready to go grey, but is unhappy with what she describes as menopausal weight gain. A devoted mother who takes pride in her children’s achievements, Deborah is looking forward to becoming a grandmother. At the same time, however, as a postgraduate student she is excited by new career options which are opening up.
Deborah was interviewed for Healthtalkonline in December 2008.