Month: June 2024

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To HRT or Not to HRT – Part One

On By samanthaIn HEALTHLeave a comment

The menopause, I am in my mid fifties and it is still a mystery to me. During my peri-menopause my periods got heavier and my migraines became much worse but, since then, I haven’t really had any symptoms. Or have I? I wake most nights feeling hotter than the surface of the sun and I sleep terribly, I’m usually awake between 3am and 4am. Then, in my research about preventing dementia I heard one Podcaster, Max Lugavere, whose mother died in her fifties from dementia, speak about how HRT can be an effective tool in warding off cognitive decline. I decided to undertake some rather belated research into HRT. Very few of my friends take it. Some of them have concerns about the increased risk of developing certain cancers and some are simply reluctant to take artificial hormones. Woman spend a third of their lives in menopause yet many of us really don’t know how to handle it or are even afraid of it. It seems to be viewed as the end of us being young(ish) and the first step on the path to decrepitude. Women past child bearing age are definitely less visible in society overall.

Some symptoms of menopause are well known, mood swings, insomnia, hot flushes and brain fog but I was blissfully unaware of some other potential issues such as the inner labia shrivelling once the body’s oestrogen supply is depleted. I have noticed that one or two of my friends have already begun to look slightly frail and post-menopause there is commonly a loss of muscle mass. I have definitely become a more anxious person during the past decade and this also seems to be the case for many women. The lack of sleep was my most concerning symptom, even more so than the migraines, because there is strong evidence that good quality sleep contributes to good brain health.

I listened to a few podcasts on the subject but all of the hosts seemed to have gone down the personalised private healthcare route, blood tests and hormones tailored just for them. My experience on the NHS has not been anything like that. Once I had decided to give HRT a try I had a five minute telephone consultation with a locum GP. To be fair, she seemed very knowledgeable on the subject and said she thought it was a good idea for me to take HRT as it can help prevent both osteoporosis and cognitive decline as long as the woman begins the treatment within six years of finishing her periods. She prescribed Estradiol patches, to be changed twice weekly and Utrogestan tablets to be taken before bedtime every night. She then called me a fortnight later to see how I was getting on. That was it, the extent of the medical advice. It seems to be a strictly “one size fits all” approach. I did ask how she knew which hormones I was deficient it if I didn’t have bloods but she insisted it wasn’t necessary.

As HRT requires a regular prescription you can purchase a pre-payment certificate which is currently £19.80 for twelve months. Beware though! The pharmacist at my local Boots put my migraine medication into the same bag without me realising and I received a £100 fine. In fact, on my last visit they did the same and tried to insist that I did not need to pay for my additional medications. This is incorrect.

I started HRT in January last year but my migraines seemed to become worse than ever and, after six months, I went back to the GP, for an in-person appointment. This time I insisted on a blood test. I saw a male GP who was at a standing desk. I completely understand why he chooses to work this way but it does mean that there is very little eye contact with the seated patient. This GP told me he didn’t really think that HRT offers any protection against dementia or osteoporosis . This completely contradicted what the previous doctor had told me and much of the research I had read. He said that my bone health was determined by the time I was fifty and there now wasn’t anything I could do to change it. He told me to take a break from HRT and see if my migraines improved. I stopped the treatment but it made no difference, my migraines continued to be unbearable until I sort further help , see my Migraine Misery posts. As I left the surgery I realised he hadn’t even glanced at my blood test results.

To be continued…

Thank you for reading

Samantha

Cover Photo by amjd rdwan on Unsplash

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Gym Jitters

On By samanthaIn HEALTHLeave a comment

It is my birthday month, another year older, and time to begin taking my health a little less for granted. I take very little exercise, a couple of walks a week of maybe a couple of miles and running up and down the many stairs in my house, that is about it. I spend about twenty five hours a week sitting at my desk working. I hardly take a break and my husband commented that my posture isn’t as good as it used to be. I have noticed a couple of my friends are losing muscle mass and looking a little frailer as well. I desperately need to do some exercise. There are numerous work out videos available on YouTube but I don’t have a clue about what I am doing and feel I am quite likely to injure myself without some proper instruction. I am going to have to join a gym and actually turn up. The thought fills me with dread.

Where I live there are several gyms to choose from. There is the fancy one ten minutes down the road but I am not prepared to pay £150 a month for membership. Then there is the other swanky gym in the country club where lots of my friends go. Membership here is £119 per month, this is still far more than I want to pay and the place is a twenty five minute drive from my home, I just know I won’t be bothered to go, especially in the winter. In the end I decide to go for the easy option, the local leisure centre. The place where I have taken my children for endless swimming lessons and birthday parties. Membership here starts at £39.50 a month, it is a eight minute drive from my house and parking is easy and free.

I have a drawer full of nice gym outfits that I never actually wear so I put on a T shirt and some Marks and Spencer leggings, trying to ignore the fact that they feel a bit snug, that’s just the compression panel right? I then drive to the leisure centre to sign up. The young woman greeting me sells me the slightly more expensive membership which includes a personal training session every quarter and the ability to book classes a fortnight in advance. She then takes me on a tour. The gym equipment looks both mystifying and terrifying. I don’t really see myself swimming but I would like to take some exercise classes. The last time I took my daughter swimming at the leisure centre someone tried to break into my locker and, on another occasion many years ago, a very respectable looking woman tried to make off with my Mulberry handbag while I was helping my son who was having an asthma attack. “Mummy” my boy wheezed and I grabbed it back. The women scarpered. Anyway, I digress, the staff member asks me if I would like to take a class right then and there. Now??? I pretend there is somewhere else I urgently have to be but arrange an induction session at the gym for the following week. I also sign up for a Core Fitness class but not for a fortnight.

Before I even get home the leisure centre email me cancelling my induction session which is not a promising start. They ask if I can come the same evening instead. I have a stonking migraine, I really just want to take some co-codamol and crawl into bed. Nevertheless I pull on my leggings and drive back to the gym, I am surprised at how nervous I feel. Am I going to look a complete, uncoordinated idiot? When I arrive I am met by Kyle, who is going to carry out my induction A muscular, tattooed chap of about thirty who has such a professional and unpatronising manner that I begin to wonder what I was apprehensive about. He asks what my goals are and I say I want to get stronger and fitter. I do not want to lose weight but that is probably obvious from looking at me. Kyle shows me around, demonstrating how the various pieces of equipment work and then I have a try with him supervising, he explains how my legs shouldn’t be too straight as I don’t want my knees to lock and that the downward movement is more important than the upward movement when using the weight machines. He adds a 5kg weight and I just about manage. I am pleased to see the other gym-users are just minding their own business and not in the least bit interested in what I am doing. After about forty five minutes I am ready to go home. Kyle suggests I book a complementary personal training session. He says it won’t take much time for me to get fitter and suggests an exercise class that he thinks will suit me . He said that, once I have gained a little confidence, it will be beneficial for me to learn how to use the free weights. I leave the gym feeling pleased that I made the effort to go. I can do this! I go home and lie down with an ice-pack pressed to my temple.

Thank you for reading

Samantha

Cover Image by Nhi Nguyễn Tường from Pixabay

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New York Nerves

On By samanthaIn FAMILYLeave a comment

My seventeen year old son is going off on a school trip to New York and Washington tomorrow. He has a very laissez-faire attitude to preparation which is the polar opposite of my own. The long list of things I am currently worrying about includes :

  • Oversleeping and not getting to the school in time for the 3.45am drop off
  • Him losing his passport
  • Something being wrong with his ESTA and him being refused entry
  • The customs discovering his perfectly legal dermatologist prescribed medication that I haven’t disclosed to the school because he didn’t want to have it dished out by the teacher
  • His feet hurting as he has only just mentioned his second pair of trainers are too small
  • His debit card, which he just told me is badly cracked, not working
  • His wallet being stolen
  • The zip breaking on his bulging suitcase as he is packing every T Shirt he owns
  • Him not having enough smart clothes for the more formal visits
  • Us ignoring the teacher’s strange directive that boys can only wear shorts that come past their knees
  • Someone planting drugs in his suitcase
  • His suitcase going missing
  • Him not wearing his retainers
  • Him running up a massive bill on data using his iPhone

You get the neurotic picture. My other son left for Spain with his fiancée yesterday and my daughter is in Croatia with friends from university. I checked they both had appropriate travel insurance, gave them a hug goodbye and didn’t really give it too much thought. They know what they are doing. My youngest son is very intelligent but there is something about most teenage boys that is a bit dreamy, or at least that’s how they can come across. I fear he will be so busy chatting with his friends that he won’t notice somebody dipping into his backpack or his passport lying on the pavement.

Worry – what a colossal waste of life it is. My husband says it achieves nothing but that isn’t quite true. When I am anxious about something like this I find that making a list and crossing everything off makes me feel calmer and it also ensures nothing important is missed. After all, it wouldn’t be much fun walking around New York in the pouring rain if we hadn’t packed his waterproof, these things do matter. Worrying can certainly drain the pleasure out of life though and it is important to recognise when it is getting out of hand.

I am sure lots of people will think that teachers have a great deal, going on these incredible trips for free, but the amount of work that goes into organizing them must be enormous. In one day my son is vising the UN, the Museum of Modern Art and The Empire State Building. The responsibility of ensuring all these teens cross the busy roads safely, don’t sneak off trying to have a drink etc. would just about finish me off. I am sure they will all have a fabulous time. My son’s, rather overstuffed, suitcase is now packed, labelled and I am feeling much more relaxed already.

Thank you for reading

Samantha

Photo by Nik on Unsplash

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Migraine Misery – Part Two

On By samanthaIn HEALTH1 Comment

In my recent post, Migraine Misery, I was complaining about my frequent and painful migraines. I finally got around to going back to my GP and asking for some help. On the day of the appointment I was on the fifth day of a migraine and my left eye was pulsating with pain and felt very nauseous. Although it is never good to be ill, I think my GP could tell simply from looking at me that this wasn’t just an ordinary headache. During the past year I have had migraine pain on more days than not and has really been getting me down. My migraine attacks became much more frequent during my peri-menopause but improved after my periods stopped but, once I started taking HRT, they were back with a vengeance. I stopped taking HRT months ago but there has been no improvement. I am keen to restart HRT for some of the long-term benefits that it offers.

I don’t have time to go and lay down in a darkened room and, even if I could, it wouldn’t make me feel any better. Sometimes I sleep with an ice-pack wrapped in a tea towel balanced precariously on my temple. Paracetamol won’t make any difference and I don’t like to take Co-Codamol unless nothing else has worked, it will usually relax the knotty, tight feeling in my temple but don’t take it if you are hoping to go to the toilet in he next week! There is a roll on menthol medication called 4-Head that may work with a mild headache but, if my migraine pain is at 100 it will maybe bring it down to 99.9.

I was hoping my GP would agree to send me for a MRI but, as the pain has not changed the way it presents, she said it is not necessary. I have been taking a drug called Sumitriptan for about fifteen years but lately it has not been very effective. My Doctor has prescribed Zolmitriptan instead. Triptans don’t prevent migraine but, if taken at the onset of an attack, they can be very effective in treating it. As a preventative measure my GP prescribed a beta-blocker called Propranolol. I have to take 40mg, twice a day, every day. There was some delay with the pharmacy having the medication in stock and I have to admit I was very reluctant to start taking the tablets, a daily medication feels like a significant step. I have friends who take Propranolol for anxiety and my dad takes beta-blockers since suffering a heart attack. The pharmacist telephoned me twice within the first fortnight of me starting the beta-blocker to check I wasn’t experiencing any unpleasant side effects such as “vivid dreams”. Well, three weeks in and I have never had such strange dreams in my life! I dreamed about my childhood bedroom and the detail was incredible right down to feel of the anaglypta wallpaper that I thought I had forgotten ever existed. It is amazing what our sub-conscious can dredge up.

A month into my new treatment plan and I have only had one migraine and that was on a day when I was dehydrated, always a trigger. The Zolmitriptan was extremely effective and I only needed one dose as opposed to three or dour doses of the Sumatriptan. Usually in this time period I would expect to suffer from as many as five migraine attacks so, so far, the results have been excellent. Other than the weird dreams, I haven’t had any side-effects other than feeling much better.

Thanks for reading,

Samantha


Cover Photo by Myriam Zilles on Unsplash

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Supermarket Style

On By samanthaIn SHOPPINGLeave a comment

My son is going on a school trip in a couple of weeks and I have been nagging him to choose some new clothes. He knows what he likes so there is little point in me picking out things for him. For T shirts he usually chooses Urban Outfitters as does my daughter. They are fairly expensive at around £35 and the quality isn’t fantastic in my opinion. I bought my daughter a purple T shirt with a yellow sun design which had completely vanished after the second time of washing (inside out and with non-biological washing powder). Anyway I was in Sainsburys this week and decided to have a mooch around the Tu Clothing section for a change. They had a 20% off offer. I was surprised to see a few T shirts very similar to my son’s Urban Outfitter’s tops all priced from £9- £12 before the discount. Bargain! I chose a pinky colored one. I also bought him a lightweight, plain black hoody. I sheepishly presented them to him when I got home fully expecting to have to return them on my next trip but my son really liked them.

I actually refused to set foot in Sainsburys for abut three years after I was accused of shoplifting after a cashier forgot to remove the magnetic strip from a leg of lamb. The security guard was incredibly rude to me. I really should have made a formal complaint but, once he actually acknowledged that my receipt quite clearly showed all my shopping had been paid for (obviously) he mumbled an apology. I didn’t want to be what I believe is now termed as a “Karen” about it and get him into trouble so I let it go. Anyway, on this recent visit the alarms also blared as I left the shop. I kept walking this time, receipt firmly in hand. I tell my children to hold onto their shopping receipts until they are off the premises. My daughter had a part-time job in a Sainsbury’s Local last summer and said shoplifters came in on every single shift. She had to wear a camera. I told her it wasn’t her job to confront anyone. At this particular branch they had no security staff at all. You could say that due to the cost of living crisis people cannot afford to buy food but, according to one manager at my local branch, it is the higher end cosmetics and skin care products that are targeted.

So, back to my purchases. This week I also bought a black leather Paul Costelloe backpack from Brand Alley. I had a £15 discount code and ended up paying £45 for a really high quality bag. It has now sold out on Brand Alley so I have linked the Paul Costelloe website where the Outlet section is well worth a look. I have been on the lookout for a backpack that wouldn’t be easy for a thief to just dip into and this one has a folded zip top and zipped pockets inside and out for valuables. It is quite small but definitely big enough for days out. I really like the silver hardware and think it looks quite expensive.

After also buying my son some much needed new jeans from ASOS for £25 , this has been a successful week in terms of inexpensive but good quality purchases.

Thank you for reading,

Samantha

Header Photo by Parker Burchfield on Unsplash