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My 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.

Landscape

Mar. 17th, 2023 08:19 am
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It begins.

The first trickle of running water down my driveway showed up yesterday. Four feet of snow has sunk to three. Somehow, I never know how, the earth under the snow is warming: my house is staying much warmer in the basement even when the thermometer temperature is low, and streamlets are running down the sides of roads and puddles and small floods are gathering in the inner elbows of the highway.

It's not yet slippery, there's still enough snow for grip.

At solar noon the sun is finally reaching a height within the bottom range of what scientists argue may allow skin to produce vitamin D, though it needs to be a little higher to reach the consensus level.

Geese are squabbling and pairing off and there are eggs starting. The dogs are working hard at night over the whole perimeter.

It's almost time to put seeds in pots.

Against this backdrop I'm sleeping a lot. When I'm not working, and sometimes when I am, I'm lying on the couch with 2 - 3 cats and sometimes a dog or two right there in front. The woodstove is on, light comes in through one window and the other is entirely buried under snow. I'm still wanting to sleep a long night and 3 - 4 naps during the day so I think the medication I'm on needs to be adjusted. With all this sleep and quiet animal companionship I feel like I'm slowly healing in some ways. For most of the winter I was on birth control drugs that put me in the worst part of my cycle. For some time before that my natural hormone response was drifting more and more towards that state. I had no skin. Every thing that happened, every tiny interaction with living things or with the environment, raised crescendos of usually negative, corrosive, painful sensations in my head.

Sitting there quietly, kept loving and concerned watch over by the five house animals, occasionally venturing out and responding to the geese with old instinctive goose chatter: it's giving me practice at the world not hurting me. Cats acting like cats, dogs acting like dogs, geese acting like geese, ravens acting like ravens, and pigs acting like pigs: it's ok. It's becoming ok for the world to exist. It's a small world and it's going from a refuge to a womb. After a couple weeks I started experiencing love again in little flickers while looking at a sleeping animal that has been seeking me out and caring about me this whole time.

It's healing, yes, but my capacity is almost zero. I am incredibly tired all the time, I think from the sertraline. I barely manage to stay awake on my office days; on work-from-home days I nap at lunch, on breaks, before work, and after work. On weekends I sleep. My home is suffering since I can barely drag out the trash, let alone tidy things. I'm eating sandwiches and freezer meals.

And... I still don't have my passions, my enthusiasms, back. I feel indifferent towards my hobbies: cooking, butchery, pottery, even gardening just hold no interest for me. I'd be fine watching shows with the animals and going to work and coming home and watching shows and going to work and coming home for the rest of my life. Talking to Josh or Tucker is nice in the moment but not something to seek out. People aren't something to seek out. I just don't really care. Things are fine. I'm going to do my best to start seeds because I think future me will appreciate it, but it seems unnecessary.

Of course, that's not fine. I'm reasonably sure it's the medication, and obviously that needs to be tweaked. Luckily I set up doctor's appointments for next week before I started on the meds, because between sleeping all the time and not caring I wouldn't have done it while on them.

These are significant issues, of course, but I am at least safe and healing and the first whispers of spring are here.

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