Dear Wray, I hope you can help me - I am feeling very down at the moment.
I am 45 years old and have three healthy children.
My problems started in June 2008 when I had an inter-uterine coil (Mirena) removed, with the aim of trying to conceive a fourth child. I had used the coil uninterrupted for a period of 10 years. I have experienced a serious amount of hair loss in the last 6 months, and I believe that it may have started (though I cannot pinpoint the exact date) after I removed the coil. My gynaecologist says the two events are unrelated, but I am sceptical. My dermatologist has prescribed a topical hair solution containing Alfatradiol which I think blocks the action of male hormones on the hair follicles, thus slowing down hair shedding. It works as long as I use it twice daily without fail, though doesn't stop the hair loss completely.
While trying to become pregnant, it was discoved that I had inter-uterine fibroids and was advised to have these surgically removed, which I did in April 2009. My periods have been quite irregular in length since having this operation, though I think that they are now settling down into a 28 day cycle.
I have read a lot about estrogen dominance, and remember feeling a strange tingling sensation in my uterus, before knowing I had fibroids. After the surgery, I have felt this tingling again, though not since starting to use Progestacare progesterone cream for the last two weeks. I live in Europe, so I ordered this product, knowing that it would be dispatched to me quicker from the UK. I cannot say that in the short time since I've started using this cream, that I've noticed any other benefits - though the dose may not be high enough - I am currently using 50mg twice daily i.e. 100mg/day. In addition, I am taking a good quality multivitamin and extra folic acid on the advice of my gynaecologist, who thinks a deficiency in this vitamin may be causing my hair loss and my as yet unexplained anaemia - iron levels seem to be ok.
Sadly, I have been unsuccessful in becoming pregnant, even having used Clomid for one cycle with no visible follicle produced, though ripe follicles had been spotted just a few months prior, so I believe that I may be still ovulating, though perhaps not every cycle. My gynaecologist has advised me to abandon the idea of becoming pregnant, since he says my hormone levels suggest pre-menopause. Upon my suggestion of using progesterone cream, he said that I should wait until I experience full-blown menopausal symptons, before replacing both estrogen and progesterone, though he said not synthetic.
I am feeling very tired and stressed at the moment, with panic attacks, night-time wakings and racing heartbeat, and feel that I am just hanging on by a thread, though we are going through a fairly stressful period with the children and have a lot of other things on my plate. I am taking herbal remedies to try to control this, but feel tired and grumpy most of the time and am often unable to get up in the morning to see the children off to school. This does not help my morale at all.
I realise there are lots of issues to tackle here, but my main questions are:
* What do you think may be causing my hair loss?
* Do you think that by topping up my (low?) progesterone levels, there may be a chance of conceiving?
* Do you think that progesterone cream can help to treat any of the above, if so, at what dosage, and how long can I expect to wait before seeing any results? Is Natpro stronger than Progestacare?
* Are there any other supplements you would recommend for hair growth/fertility/stress.
* My nutritionist has advised me not to commence any hormone treatment until I carry out a female hormone saliva test (takes 1 month). I'm afraid I have gone against her advice, by already starting the progesterone cream treatment, though if I carried out the test - it would start on Day 1 of my next cycle and I would have to stop the progesterone cream for that cycle, as it would fudge the results, I suppose. What should I do?
I would be very grateful for any advice - I feel that you may be the only person to take an interest in all these details - they seem to bore anyone else, and I never seem to get any answers from anyone. I look forward to hearing from you, thanks.