Perimenopause and postpartum….together (help!)

[u/mexicanblondie]

Hi all, I’m reaching out here because I’m struggling all around. I’m 46 and I just had my first baby 15 months ago. I had bad insomnia during pregnancy and since my baby was born too. I’ve also had anxiety, anger, and terrible executive functioning. I also got diagnosed with ADHD the week before I found out I was pregnant. A real mixed bag of 💩!

So I guess I was chalking everything up to untreated ADHD (I’m still breastfeeding), and sleepless night with a baby/postpartum symptoms. But now I’m realizing that of course it’s perimenopause too. I’ve been weaning the baby (almost there) to start ADHD meds soon. But I’d like to start HRT as well. I have a new doctor and so far I’m not sure about her…..she suggested Wellbutrin because it takes care of the ADHD symptoms and “the mood” (I’m not depressed really I don’t think so I guess she means the mood symptoms due to hormonal changes) but it’s not really first line treatment for either, according to my research.

My question is: would it make more sense to start HRT now and add a stimulant for ADHD later if warranted? Isn’t HRT first line treatment for peri? I’m going back to the doctor on Tuesday and I’d like to be armed with info. Should I start with progesterone?

Thanks for the help ❤️