I hope everyone had a Happy New Year.
I need some "logical" help here. Because my HA kicks in, and sometimes my logic flies out the window. And again, googling does me no good other then send me over the edge.
I am 43 years old. My mother, who is mentally ill, claims she went through menopause at the age of 48. I asked her twice, on two seperate occassions to make sure she was not lying. Both times, she said 48. Okay, so if this is true, I understand that menopause usually happens to you, based on the age your mother went through it. Is there any truth to this?(I don't want to look it up).
My mother also said she just stopped getting her periods, and never had any hot flashes, problems etc. So not sure where that would fit in with me.
Getting back to my anemia. Since I had the Mirena IUD taken out last Sunday, I have been bleeding since Tuesday. I was told I could bleed for up to two weeks. I am sure this is not doing my anemia any good at all. Not to mention I had my period on December 10 and ended on the 15th, and only had about 5 days in between with no bleeding.
I think many of you know of the trouble I had with the last two IV Iron infusions. The first made me deathly ill, the second made my BP plummet so low that I was literally on the verge of passing out, and maybe I did. All I know is that was a horrific feeling I never want to experience again.
If you were in my situation what would you do.
1. Forget doing anything about slowing or stopping my periods with any artificial hormones or surgery, and just deal with the anemia until I get into Menopause. But who knows when that could be. Could be another 5 years, or even 10 years. My Hematologist says he will ensure me that what happened to me before will not happen again. I might only need IV Iron every 4-5 months, and just keep taking iron supplements in between
2. Take a chance again, and try estrogen only. Called the "mini-pill", and pray that helps, and I do not suffer any side effects. But then I have to switch Dr's because for some reason, my GYN will not prescribe it for me due to my age, HBP, and smoking, even though another Dr in that office said it was no problem. But the estrogen in the Mirena made me so darn tired. And the mini-pill may cause more problems as far as breakthrough bleeding. Not to mention my husband does not like the idea of artificial hormones, and neither do I.
3. Get an endometrial ablation. Take that chance that it will stop my periods, but if it does not work, he cannot repeat the procedure as the scar tissue would prevent that, and if the bleeding got worse, I would end up with a hysterectomy. I cannot do the Novasure, which is a type of endo ablation that has better results, less recovery, and can have a repeat procedure because my insurance will not pay for that.
In the end, how bad IS anemia? Do people die from this?
I am very bad at making decisions, and I cannot, for the life of me determine which is the lesser of two evils.
Let me say this.
1. I am asymptomatic for anemia as far as I know. Although Heme Dr. claimed that my anxiety and depression is caused by anemia, as well as my spotting and heavier periods. I am not tired or fatigued.
2. My periods are annoying. Yes. But nothing I cannot deal with. I go about my day, I can leave the house, I am not soaking through pads every 15 minutes. I spot before I get my period with cramping, which is annoying, but again I am so used to it, I just go about my business.
Someone also mentioned to me that maybe my heme Dr. is treating me overly aggessive. That candidates for IV Iron are reserved for people who cannot tolerate oral iron, have a malabsorption issues, or is experiencing very bad symptoms. None of which apply to me.
I have also been told that how does he know that my ferritin levels, and HGB and HCT levels are not the "norm" for ME??? My numbers have been off for the past 2-3 years at least.
And lastly, every woman seems to experience heavy bleeding at some point. Even to the point of soaking pads, yet I never hear of them saying they are anemic. What gives with that???
So, I need some logic, and input. I know nobody can MAKE this decision for me, but I would love to hear advice as to what you would do.