Made for babies
Apr. 19th, 2023 08:27 amMy family is made to make babies. Birth control that's close to 100% will be somewhat less reliable for us; our hip structure tends to lead to easy pregnancies, easy births, and lots of kids. I know mom had really heavy periods, and I did for a long time. My cycle was always blessedly regular and came with obvious communication from my body. It only started to wobble by a couple days in the the last several years.
So with the PMDD thing I went on birth control pills. I started them about 100 days ago.
I bled for the first 40 days or so. That backed off for a couple weeks, then I had a very light period for a normal amount of time, 4-5 days. I stopped bleeding. Now I'm bleeding again, lightly, and I seem to have had some of the accompanying emotional stuff right before the bleed started.
So I'm still cycling even though I'm on pills specifically designed to stop that. I don't even know if this is supposed to be possible? On birth control pills one "normally" goes off them to cause a pseudo-period every month (there aren't the same hormonal and ovulation things going on, so I think medically it's not the same thing, but it does get rid of the accumulated endometrial lining). Lots of people take them back to back to prevent periods and medically it seems there's little evidence to suggest that's a problem. I know some people can spot/bleed lightly kind of continuously on the pill, but I don't know if that's normally in a cycle pattern.
It's notable that, like endometriosis, one of the things older-school doctors prescribe for PMDD if they acknowledge it exists is "get pregnant, that will give you nine months where it doesn't bother you".
Meanwhile on the lower dose of sertraline I'm obviously back to being able to enjoy my hobbies but I'm having progressively longer bouts of dissociation of various kinds. I'm also still ultra tired and some of the weird stuff around heartbeat, dizziness etc that I got occasionally will hang around for several hours in the morning. Vision is also still weird. So I'm still way, way better than I was without it but still just super not functional.
It's definitely possible that this is autistic burnout (a lot of these are pretty classic symptoms) and that the sertraline is erasing most of the hormonal stuff and letting me keep powering through, which just makes the burnout worse and clearer.
But anyhow, this is mostly an administrative note about renewed bleeding.
So with the PMDD thing I went on birth control pills. I started them about 100 days ago.
I bled for the first 40 days or so. That backed off for a couple weeks, then I had a very light period for a normal amount of time, 4-5 days. I stopped bleeding. Now I'm bleeding again, lightly, and I seem to have had some of the accompanying emotional stuff right before the bleed started.
So I'm still cycling even though I'm on pills specifically designed to stop that. I don't even know if this is supposed to be possible? On birth control pills one "normally" goes off them to cause a pseudo-period every month (there aren't the same hormonal and ovulation things going on, so I think medically it's not the same thing, but it does get rid of the accumulated endometrial lining). Lots of people take them back to back to prevent periods and medically it seems there's little evidence to suggest that's a problem. I know some people can spot/bleed lightly kind of continuously on the pill, but I don't know if that's normally in a cycle pattern.
It's notable that, like endometriosis, one of the things older-school doctors prescribe for PMDD if they acknowledge it exists is "get pregnant, that will give you nine months where it doesn't bother you".
Meanwhile on the lower dose of sertraline I'm obviously back to being able to enjoy my hobbies but I'm having progressively longer bouts of dissociation of various kinds. I'm also still ultra tired and some of the weird stuff around heartbeat, dizziness etc that I got occasionally will hang around for several hours in the morning. Vision is also still weird. So I'm still way, way better than I was without it but still just super not functional.
It's definitely possible that this is autistic burnout (a lot of these are pretty classic symptoms) and that the sertraline is erasing most of the hormonal stuff and letting me keep powering through, which just makes the burnout worse and clearer.
But anyhow, this is mostly an administrative note about renewed bleeding.