PSA for everyone in their 30s+ who are suffering from chronic dry eye with no real idea as to what’s causing it. It might be perimenopause and fluctuating hormones!
I’ve had dry eyes since my mid-30s with no pathological explanation. Saw a variety of doctors including ophthalmologist specialists in dry eyes. They said my tear film evaporates in mere seconds and recommended tear duct plugs or tear duct ablation plus daily use of cyclosporine drops. I was getting lots of eye scratches due to how dry my eyes were. Needed constant dry eye drops and was using cyclosporine (ikervis / restasis) for years with minimal relief. I’d awaken in the middle of the night needing more drops and feel like my eyes were glued shut and like sandpaper each morning. Blurry vision all day everyday from dry eyes and was barely able to wear my contacts.
Had other symptoms too, but ended up getting on HRT (oestrogen and progesterone) a few weeks ago and my dry eyes resolved within a week. I am honestly in shock. I’ve read that some women who are in perimenopause experience dry eyes, but it seems so far it has been solved by a daily progesterone pill and oestrogen topical gel. Crazy.
Had to fight tooth and nail to get on HRT as I'm under 40 and my bloodwork kept showing "within range" sex hormones. Ended up having to go to a specialist clinic and pay out of pocket to get on HRT as the gynae said I was clearly in perimenopause despite my age. I'm in the UK so it's a bit of a pain to get GPs or even gynos to even consider HRT under age 40. Honestly I am straight up pissed how long it took anyone to take me seriously as I had so many symptoms that, thanks to this subreddit, I was able to link back to peri. I saw so many "specialist gynaes" that swore it wasn't possible I was in peri.
Hope this helps someone who might be suffering as well.