by Sonja
(Washington )

I'm 39 years old, am highly irritable, subject to severe mood swings, fly off the handle at trivial things, have exessive facial hair, and adult acne on my back and arms, oh, and severe pms, night sweats, crave sugar and alcohol.

I just had a progesterone IUD removed after 5 years. I do not have insurance so anything i.e. hormone level testing, etc will be out of pocket. So, my two main questions are: 1. Do my symptoms sound like hormonal imbalance or something else? 2. What form of birth control do you recommend? Thank you for your assistance!!

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Jul 21, 2011
by: Wray

Hi Sonja I don't doubt the IUD caused the hormonal imbalance. I take it it was a Mirena, as that's the only one on the market which contains a progestin, not progesterone. All Contraceptives have the potential to cause adverse side effects, particularly when coming off them. They often drop progesterone levels too, by preventing ovulation. There's info on the link I've given to various contraceptives. The only one I recommend is the copper T IUD, as it contains no progestin. I would also recommend you try using progesterone too, as your symptoms indicate a lack. For more info please see our page on How to use progesterone cream. But before you consider it, please see our page on Oestrogen Dominance as this can occur. I generally suggest 100-200mg/day, or more if symptoms are severe. Progesterone does help mood, plus sugar and alcohol cravings. The night sweats are caused by your blood glucose dropping too low. I've found about 400mg/day progesterone is needed to stop them and hot flushes. You could try taking 4000-8000mg glutamine before bed, the brain can use it in place of glucose, but being an amino acid, it doesn't give a sugar shock. Take care Wray

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