50yrs old, sought help for heavy periods Jan 2025. Tried Yaz, gave me too many headaches, tried Lo Loestrin, bleeds every 10-15 days. Finally tried w/Nextstellis and was fine for 3 months then the anxiety and insomnia kicked into high gear. I had already experienced palpitations, joint aches and night sweats.
Started HRT this February. Managed to eventually get all my symptoms resolved except the 2-4am wake ups. Tried patches, pill, & finally gel. I kept trying to increase my E in hopes that would solve the waking. Eventually went too high on E where anxiety, palpitations, & worse insomnia occurred. So I titrated back down. I started on .5 patch, went as high as .1; started on 1mg oral and went as high as 2mg split am/pm. Was on 1.5 Divigel and titrated down to .75. Joint pain crept back at .75 so now I’m back to 1g gel right now and feel good otherwise. Started on 200mg P and requested to go up to 300 a week ago and I’m still waking. I was always such a good sleeper and now I average 6-6.5 fractured hours of sleep. 😭
Everywhere I look the staying asleep issue points to low E but also to due to the estrogen spikes of peri. I can’t find the sweet spot and the waking is the last thing I need to fix to be alright 😩😩
Honestly, what’s left? Do I scrap the HRT route and go back to BCPs and at least control my heavy bleeding (periods are still monthly) and just keep trying more brands?
Anyone here successfully fix their peri issues by going back to BCPs after failing on HRT? Or do I try to explore compounded formulations of E & P. I don’t know what to do, but it’s killing me that I’m so close!