Missing Period. Have Cold And Sweaty Feet. Getting Panic Attack And Started Spotting. What Is Wrong?
Thanks for your query. I understand your concern with the symptoms. The episodic anxiety symptoms along with the depressive symptoms you are reporting are typical of hot flushes in the perimenopausal period. It is due to hormonal imbalance due to deficiency of oestrogen. Hormonal levels and psychiatric symptoms are closely linked ! I would suggest you undergo an evaluation by either a psychiatrist or gynaecologist. The treatment options include SNRI drugs like venlafaxine that would address your anxiety as well as depressive symptoms. Evening primrose oil and vitamin E supplements are the other treatment options that are likely to benefit you. Oestrogen supplements are generally avoided due to carcinogenic risk. Wish you good health.
Regards
Dr Sundar
Psychiatrist