Mirena for PMS and PMDD

Many gyanecologists recommend Mirena ( levonorgestrel IUD) for PMS problems, for heavy periods and for contraception.

A gynaecologist recently recommended it to me when he discovered I have fibroids. The recommendation was not to do a myomectomy because I am over 40 and therefore according to modern medicine, I am not a candidate for pregnancy so removing the fibroid is not advisable. I beg to differ.

The other option advised, but not yet, was a hysterectomy - to remove the whole uterus and the fibroids inside it. No thanks.

I have a fibroid that is about 6cm in diameter and another that is about 2-3cm in diameter. Apparently, most gynaecologists would not remove them, but would rather remove the whole uterus. Obviously they would do this, because the hysterectomy is a much more simpler operation for a surgeon than a  myomectomy, which requires a much more skilled surgeon who can operate with more finesse.

This gyaecologists did not recommend hysterectomy now, but said it may have to be an option some time down the track if the fibroids kept growing and I kept menstruating. Fibroids only usually grow during a woman's menstrual years, as the estrogen is what helps them to grow.

The gyaecologist did strongly recommend the mirean IUD - he told me that he's inserted thousands of them and that it was a wonderful device that helped so many women. I wasnt convinced. He told me to take the information home, read it and if I came to the decision to get it inserted, he could do it quite easily. I asked him how many women experienced side effects from mirena IUD and he gave a small number and told me that if it did cause any side effects in me, it could simply be removed. Again, I wasnt convinced.

The Mirena IUD does have many side effects in more women than is publicly released and I am not so sure that these have published widely enough. The statistics that the manufacturer uses are based on the women in the study groups and those who may have provided this information publicly - undoubtedly many more do not volunteer this information, so their statistics should be taken as a rough estimate and not the actual real 100% correct figure.

Common side effects from using Mirena (approximately 10%):

• Change in menstrual bleeding, such as spotting, lighter bleeding or stopping of bleeding
• Development of fluid filled sacks (cysts) in the ovaries

Less common side effects from using Mirena (1-10%)

• Abdominal pain 
• Acne 
• Back or pelvic pain
• Breast pain or tenderness
• Decreased sex drive
• Depression
• Headache
• Nausea
• Nervousness
• Painful periods
• Vaginal inflammation or discharge
• Weight gain

Rarer side effects from using Mirena (0.1-1%)

• Abdominal bloating
•  Excessive fluid retention in the body tissues, resulting in swelling (oedema)
•  Hair loss or hair growth
• Inflammation of the womb
• Inflammation of the cervix
• Migraine
• Mood changes
• Pelvic inflammatory disease
• Skin reactions such as rash or itching

Rare side effects (0.01-0.1%)

• Device expulsion
• Ectopic pregnancy
• Perforation of the womb 
• Pregnancy complications

An of course, all the side effects listed above may not even include all of the side effects that could possibly be experienced and the percentages used are provided by Mirena, so may not be 100% accurate.

There there are the lawsuits again Bayer (the company that owns Mirena) for producing a dodgy device that has caused so many side effects in many women.

References
1. Bayer - Mirena (Levonorgestrel) IUD
2. Essential Baby (Forum) - Mirena Side Effects
3. FDA - Department of Health and Human Services, Public Health Service, Food and Drug Administration, Center for Drug Evaluation and Research, Office of Surveillance and Epidemiology Drug Use Review: Mirena (PDF)
4. FDA - Mirena (levonorgestrel-releasing intrauterine system) July 2008
5. Life After Mirena Blog
6. MedHelp - Mirena IUD Side Effects Support User Group
7. NetDoctor - Mirena (Levonorgestrel) IUD
8. Steady Health - Mirena IUD Side Effects

Wild Yam and Chaste Berry cream

Tomorrow I am going to start using this cream to help normalise my periods.

Apparently it has enough of the natural forms of eostrogen and progesterone to help calm and regulate the menstrual cycle, reduce period pain and PMS.

The protocol is to rub about 1/4 of a teaspoon into a fleshy part of the body morning and night for every day (from day 12) until just before menstruation starts. That is the inner or outer thighs, under arms, neck or even soles of feet or the hands (for sensitive women). So there are lots of places to rub it in.

Wild yam contains diosgenin, which is a unsaponified steroid and is very much like the natural form of progesterone, completely bioidentical to the progesterone which is excreted from the ovaries. Diosgenin has the same chemical configuration to the progesterone that the body creates, which means the body will use it appropriately.

The claims for this wild yam cream suggest that it may not only help to normalise menstruation, it may also help to normal the adrenal cortex to produce the right level of hormones.

The cream also contains Chaste berry (Agnes Vitex Castus), which is well known to help normalise the hormones, prevent PMS and help reduce period pain.

Additionally, both wild yam and chaste berry may help to reduce the size and incidence of fibroids. These are benign growths usually inside the uterus wall and occur in a great majority of women, but which cause a great deal of health issues in many women.

The wild yam and chaste berry cream starts tomorrow. I am using it to reduce my severe period pain. Hopefully I see major improvements by next month's menstruation cycle.

Menstruation was very painful this month

While I had an excellent PMS, my periods were not so excellent this month.

I think it had a lot to do with the fact that I didn't exercise much, I was working insane hours and had too much pressure at work.

My stomach bloated up so much this month that I looked like I was 4-5 months pregnant. I couldn't button up my pants properly and they're made from a stretchy material!

This photo here, of a pregnant woman, is about as big as my stomach actually became!

Not only that, but I was also feeling very dizzy, like I was about to pass out any moment. That was a bit scary, especially when I was driving to work and felt this way on the highway!

I also felt very nauseous, like I wanted to throw up so badly, even though there was no reason for me to feel sick like that.

I generally don't have such painful menstruation and have only experienced these types of symptoms only a few times before.

PMS Not So Bad This Month

This past month, I have not had such bad PMS nor did I have really bad period pain either and my periods came 28 days after the previous month's menstruation. This menstrual cycle was one of my more nicer ones, so that was a great relief.

I think it was because I didn't eat much of anything that was bad for me - I think I had only one packet of chips (and they were made with all organic ingredients) and I generally ate mostly healthy things every day, lots of vegetables and fruit (all organic of course), some protein, some nuts and seeds most day (pecans, walnuts, sesame seeds, hazelnuts, almonds) and every meal I had for lunch and dinner was home made from scratch by me. The only junk food I may have had was chocolate, always dark and mostly always organic (or at least European). But as we all know, chocolate is actually good for you, especially dark chocolate and definitely organic, so it's not a bad thing to eat chocolate.

I also did some exercise every day, just a little and that helped to ensure my circulation was working properly.

In addition to that, I did some affirmations most nights (and some days) as well as proper breathing and some meditation, plus I did a little bit of massage on my legs - both upper and lower parts - on a number of days, so that also helped with circulation.

The only part of my periods that was a little annoying was that my stomach got bloated and my ankles hurt (from the fluid retention) for a few days. The bloating though, stayed throughout my whole period, but as soon as it was over, my stomach went back to being flat again. The other thing that is really annoying about my periods is that I get excessively tired (hypersomnia) for 2-3 days just before my periods, during PMS and all through my periods. I think it is because of the iron loss in the blood so I am replacing it with an iron supplement this month to prevent this next month, as I know that I am slightly anaemic.

The PMS I had was less severe and didn't affect my ability to function, so it was quite bearable. I only felt it at certain times on a few days, but it was not anything severe so it was nice. I can only wish my cycle was this good every month with little PMS and basically no menstrual pain.

PMS is over

Menstruation arrived today just after lunch and the intense emotions have also gone (for the most part). 

Interestingly, my periods came 4 weeks and 1/2 a day since last month. So obviously by not buying into the irrational thoughts of PMS must have normalised my hormones in some way and not extended PMS/PMDD (like it would have in the dark horrible past) and so my periods have come in a regular manner. 

See, mind control works! If we can control ourselves, then we can achieve so much.

No wonder I was feeling so horrible and my emotions felt totally out of control yesterday. Lucky for me I was just feeling that way, but not letting it take over, so I was able to remain calmer than I normally would feel on such an irrational day.

This month. I am going to diligently do the following to get back to having wonderful periods and no PMS again:

• Daily self-massage of my legs mainly, but also other parts of my body that I can manage myself
• Daily exercise for at least 30 minutes
• Eating more regularly every day (I eat really healthily, just had not been eating regularly lately)
• Meditation every night before I go to sleep, which will help me sleep, but will also clear and refresh my mind and make me feel calmer all month

Come back to see how I fare next month.

Pretty bad PMS

I am close to menstruation, so it means PMS is pretty bad again.

Yesterday, I was having a discussion with a family member and when they said something totally outrageous, I could literally feel the anger rising inside my head threatening to take over. It was a weird feeling, because I was calmly eating one second and the next, this intense anger just rose inside and I literally couldn't "see" anything other than the anger, which was like this wave of intense emotion , a tide of irrational and intense emotion that just grew so huge and threatened to engulf me, just all of a sudden. It was quite surreal as I was almost observing it from the outside (and thank goodness that I was), but it wasn't the observation that was real, it was the actual feelings, how quickly they formed and how badly it affected my mind.

This sudden surge of emotions was extremely difficult to control, but I did manage it. I didn't let it take over. I took a deep breath, told my family member they should look at themselves first before laughing at other people (in a rather calm manner), all without getting getting out of control. In the past such a thing may have culminated in an angry outburst, but not this time.

Because it is so close to menstruation, PMS is at its worst, so that is why a comment such as the one my female relative made got me irrationally upset. But, I can congratulate myself, because I did not allow the extreme emotions consume me and cause me to get really angry, be totally irrational, have a huge argument and feel bad about everything. After writing the previous posts, I have told myself that I need to control my PMS/PMDD because if I cannot it will literally be hell for me, like the past times when I have had bad PMS/PMDD. I will not allow myself to experience those awful feelings again!

So today, I feel a little tired, a little deflated but not angry. And every time I get any excessive emotions that come out of nowhere, I tell myself: "it is only PMS" and those emotions do go away because that is all they are - unreal, exaggerated and irrational - totally of no use to me. Because this month's PMS is entirely my fault for not doing what I should have been doing - meditation, exercise, self-massage and regularly healthy eating - I don't feel like it has come out of nowhere: I know that it is due to me.

I know some may say that you should not need to have to do all these things to get better and relieve the PMS, but the thing is, because I used to get PMS/PMDD so bad before, I need to continue the treatment (meditation, exercise, self-massage and regularly healthy eating) for at least one year (I think) before I can expect to have any major relief, where, if I am neglecting myself one month, it wont cause any bad PMS/PMDD like it did this month.My PMS/PMDD has been happening for over 10 years - I know I cannot expect a magic cure in one month. And anyway, the treatment I am proposing, is going to help me in every area of health, not just for this.

So any women reading this - seriously, if I can do it, you can too. And I have had the more serious and worse form of PMS - PMDD and I have done it without medication of any type. So that means you can too!

Regulated Menstrual Cycle

One more thing I forgot to mention in the previous post was that this month, my cycle was exactly 29 days, to the hour!

Last month my periods started at 7pm, this month, they started at 7pm 29 days later. That has never happened before!

Normally my periods are so irregular that I have no clue when my next menstrual cycle will start. Always in the past, my periods would start at any time and I wouldn't know when. I would always know when it's 28 days after my last cycle, but my menstrual cycle could occur anywhere from about 29 days to 35 days and I wouldn't know when. I just had to keep a pad or panty liner in my bag from day 28, just in case. Sometimes I got caught, when I took the pad/panty liner with me for a whole week and they didn't start, then I decided not to take anything with me to school/uni/work one day and that's the day that my menstrual cycle would start.

So to have my periods become this regular is amazing!

Hopefully this means that my cycle will be more regular from now on and pain free! Yipee!!

Wonderful PMS and Menstruation This Month

What a surprise this month's PMS has been.

Let me just recap on the symptoms I normally experience for about 2 weeks each month. with symptoms the worst in the last few days before menstruation and the absolute and utter worst the day to two days before menstruation (yes, I am not kidding here)!!

• Severe bloating of the whole body (about 1-2kg)
  
• Sore, painful breasts (cant hug anyone as they are too sore)
  
• Very tired and lethargic
• Seriously cranky with major mood fluctuations
• Feeling emotional and crying for no reason
• Very irritable
• Headache
• Blood sugar level fluctuations and craving sweet foods
• Insomnia
• Severe confusion and forgetfulness
  

This is basically all of the symptoms a woman can have prior to menstruation.

Some months when my menstrual cycle has been very erratic and long (6 weeks or so between menstrual cycles), PMS was then extended to 4 weeks - this was basically hell because all my symptoms were completely exaggerated and severe for 4 whole weeks! Imagine how horrible that would be?

Now this month, because I have been eating so well, exercising and doing the detoxification, my symptoms were unbelievably minimal in PMS. This is a list of the symptoms I experienced this month at PMS:

• Some bloating (but nowhere near as much as normal)
• Bloated breasts, but not painful at all
  
• Slightly irritable only the day before menstruation started

Yes, that is it! That was the extent of my PMS! Now for someone who normally experiences really severe PMS, to have such a normal mental and physical time prior to menstruation is wonderful, absolutely wonderful!

This has been the best PMS of my life - because it basically was not PMS. But not only that, my periods this month were absolute bliss! I had no pain this month.

Now that in itself is pretty amazing, as I am normally in excruciating pain that all I can do is just lie down and try to relieve it in whatever way I can. Drugs normally just take the edge off the pain for maybe 1 hour or so and that is no relief when you can only take medication every 4-6 hours! I had given up on the medication (Naprogesic, Ponstan) for period pain, as it does nothing for me and my pain.

To have a month where I felt absolutely no pain or discomfort whatsoever, without any medication, is truly amazing! I used to be in awe of those friends/acquaintance who would tell me that they hardly noticed they were menstruating. I always knew I was menstruating, the pain I was in for about 3-4 days of my periods always made sure of that! But this month, I was only of those women who hardly noticed they were menstruating! Pure bliss!!

Now, I shall continue to eat the same way I have been eating (healthy food, but not denying myself things like organic dark chocolate or some ice cream a few times a week), exercising, detoxifying with the massaging and meditating. I will continue with all these techniques and see how my PMS and period pain is next month - hopefully it will continue to be bliss.

The other exciting thing I need to mention is that my cycle was exactly 29 days, to the hour this month! Last month my periods started at 7pm, this month, they started at 7pm 29 days later. That has never happened before! Normally my menstrual cycle ranges anywhere from 29 - 45 days, with an average of about 31-32 days between my periods. So to have my periods be this regular, is truly an amazing gift!! Wonderful!! Hopefully this means that my cycle will be more regular from now on and pain free! Yipee!!

Thank goodness for the lovely relief this month!! I really hope it will continue next month and beyond!

Severe PMS Could Mean a Depressed Nervous System

New findings published by the BioPsychoSocial Medicine journal suggests that not only is PMS tied to decreased nerve activity each month, but also that those with extreme symptoms may have a permanently depressed nervous system.

A team of Japanese researchers investigated if the autonomic nervous system (which plays a vital role in equilibrium within the human body), changed during the menstrual cycle. The team measured variations in heart rate and hormone levels and used questionnaires to evaluate physical, emotional and behavioural symptoms of 62 women's menstrual cycles. A control group who experienced little or no PMS was used to compare the results.

The findings of the research discovered that the women with PMS had significantly decreased autonomic and parasympathetic nerve activity in the week before menstruation and the women with the most severe PMS (known as PMDD - premenstrual dysphoric disorder) has the most reduced rates of nerve activity than any women in the PMS or control groups.

The lead researcher, Dr Tamaki Matsumoto from the International Buddhist University in Osaka said, "Our findings indicate that the occurrence of premenstrual symptomatology could be attributable to an altered functioning of the autonomic nervous system in the symptomatic late luteal phase." For women with PMDD, findings indicate that sympathovagal activity was altered even in the follicular phase. Matsumoto asked: "Does this imply that women with lower autonomic function regardless of the menstrual cycle are vulnerable to more severe premenstrual disorders? At the moment, the underlying biomechanisms of PMS remain enigmatic."

PMS happens in the days before menstruation (but can last as much as two weeks or longer, from ovulation until menstruation) and basically most women will experience some form of PMS at some point in their reproductive life.


References
BioMed Central (2007, December 20). Bad PMS May Mean A Depressed Nervous System. ScienceDaily. Retrieved February 2, 2008, from http://www.sciencedaily.com­ /releases/2007/12/071219202940.htm

Understanding PMS - Blood Sugar level Problems Subsided

I have just realised why my blood sugar problems have became worse recently.

I took a B-complex vitamin and a high vitamin C with bioflavonoids on Thursday and one of each again on Friday. It was on Thursday that I had the worst of the blood sugar problems and even though I ate a lot on Friday, I still didn't feel that well. Whereas on Saturday, I decided not to take any vitamins to see if that made a difference to my symptoms - and man did it make a huge difference. I didn't have the blood sugar problems at all. Very strange.

In the past, when I have taken evening primrose oil or tyrosine or even the herbs angnes vitex and dong quai in the few days before (anywhere up to a week before) my periods, I noticed that instead of making me feel better, they actually made me feel worse - in particular, my feelings of anxiety, nervous tension, mental confusion, insomnia, irritability and irrational thoughts, many of which were not present before I took the vitamins / supplement / herbs, suddenly presented themselves with intensity. And not only did those symptoms present themselves, but actually got worse a few hours after I took the supplements!

This was really odd. Even still, I couldn't quite believe the negative effects the supplements were having on me, as they helped me in the past and are well known to be beneficial supplement that help relieve PMS. So I tried them again and again, at different times of the month as I thought that maybe so close to menstruation, my hormones were not at the right levels to accept any supplementation. I didn't know why this was so, but that is how it appeared to be.

When I tried to supplements at the start of the month, just after I completed menstruation, they appeared to help me and not produce the devastating symptoms before, but I was still experiencing side effects.

I think now, with the advantage of hindsight, that because I may have been experiencing another medical condition, that could have been the impetus for my inability to get normal relief from the usual PMS supplements. I had a slight thyroid problem, but which presented very acutely initially - I think as sub-acute thyroiditis, but the doctors couldn't diagnose me properly, even though I could feel my thyroid was swollen, as I felt the swelling at the back of my throat, like I had swallowed something that was stuck there - it caused a whole host of problems. Apparently I have two little lumps on my thyroid, which may or may not be causing me problems - which were viewed on an ultrasound when this whole thyroid problem started. I insisted on the ultrasound as I was having pains in the left side of the middle of my throat (which is exactly where the lumps are) and I felt like I couldn't swallow properly at the time and had a pain on the left side when I swallowed. I need to have these lumps monitored to ensure they stay the same size, don't grow and don't cause any problems. I am hoping they will shrink one day and go away! They're only small (only a few centimetres - less than an inch each), so it shouldn't be an issue for them to go away! The thyroid problem happened in 2003.

As I have bee under a lot of stress lately, it feels like my thyroid issues have resurfaced a little, as it feels like the left side of my throat is somewhat swollen, which always happens when I am really stressed.

The function of the thyroid is to regulate metabolism. The thyroid uses iodine and tyrosine to make the thyroid hormones. When I took tyrosine in 2003 (when my thyroid wasn't functioning particularly normally), it gave me symptoms of high anxiety and nervous tension - symptoms of hyperthyroidism, which was really odd, because when I took tyrosine years before (for PMS), it actually relaxed me (which is what it is supposed to do).

The thyroid is closely tied to the hypothalamus (which is the master gland and controls all the hormone glands in the body). If one gland is not working properly, all the rest may have issues. Interestingly, a thyroid that is not working properly can have symptoms similar to PMS, so some cases of PMS can be really be caused by thyroid problems and vice versa. Doctors are aware of this and will usually test all the hormones to work out what is causing the problems. The tests may not reveal everything that is going on, especially if these hormone studies are done when you have a problem, they could show to be within the normal range (even though they may be at the higher or lower end of the scale), the doctors will tell you everything is fine. But, if no hormone studies have been done when you were well, there is nothing to compare them with. That's why my doctor maybe realised with me, even though my test results showed as normal, maybe for me it wasn't totally normal and that's why he made the comment that my test results should not be given the most credence, that it should be my symptoms that should be given higher priority.

I still believe that I had a thyroid problem, albeit a relatively mild one (even though it did not feel very mild to me at the time) and although it has healed up for the most part, my thyroid is still something I should always be aware about and try to ensure it stays healed!

So maybe what happened in the past and what happened recently are related to my thyroid playing up. It seems to follow a very clear pattern.

The last time I had this problem, it was actually very severe and problematic and took me a long time to recover from it. I am definitely not having the same thyroid symptoms as before, so that is positive for me, but I as I am experiencing a lot of stress right now, it makes me more aware of my thyroid and makes it feel a little swollen, but not painful.

I think some yoga and exercise may be what I need right now, to calm my mind and bring some distressing to my body, which in turn will make me feel better and experience less PMS.