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What Causes Panic Attacks While On Hormone Therapy?

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Posted on Tue, 6 Dec 2016
Question: I am 48 years old in menopause and had BioTe pellet 3 weeks ago. I have 125mg teststerone, 12.5mg estradiol in the pellet and take orally 100mg progesterone. I am having terrible side effects, very bad anxiety, like all day long. My doctor told me to stop the progesterone for two days and see how i feel. He also said that is safe to not take it during the cousre of the pellet which is 3 months. I was prescribed 200 mg at first, but felt really bad the next morning, so he lower it to 100mg. I still feel bad with the 100mg. A few days ago i did not take the progesteron and felt ok thee next day. But then when i took it back the neext night i woke up feeling shaking again. Taking xanax 0.5 mg to deal with it. I also have a panic disorder, that is why i decide to do the pellet because was told it will ease it up. But it made it worse. I don't know which hormone exactly is causing it. I am feeling slagish, can't leave the house, feeling miserable. Are the dosage of the hormones he gave me too much? prier to that on my blood work my testostorone was 5 and estrogen <5. Please advise me what to do, thank you
Thanks or the reply.
The problem is that the pellet can't be removed, they will wear off in 3 months. And if i stop the progesterone isn't that dangerous since estrogen and progesteron goes together?
doctor
Answered by Dr. Aarti Abraham (2 hours later)
Brief Answer:
As below

Detailed Answer:
Hello
Thanks for trusting us with your health concern.
Yes, the hormone therapy generally eases up the panic disorder.
You might be reacting adversely to one / more hormones that you are taking.
Since you felt better when you did not take progesterone, I think that is the likeliest culprit.
Since your doctor has said it is okay to stop the progesterone , if that makes you feel better, try doing that.
Give yourself a week off progesterone and then take a call.
If you are still poorly off, then the pellet can even be removed as a last resort.
Do not worry, just remember there are options and remedies out there.
Just keep going.
All the best.
please feel free to discuss further.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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What Causes Panic Attacks While On Hormone Therapy?

Brief Answer: As below Detailed Answer: Hello Thanks for trusting us with your health concern. Yes, the hormone therapy generally eases up the panic disorder. You might be reacting adversely to one / more hormones that you are taking. Since you felt better when you did not take progesterone, I think that is the likeliest culprit. Since your doctor has said it is okay to stop the progesterone , if that makes you feel better, try doing that. Give yourself a week off progesterone and then take a call. If you are still poorly off, then the pellet can even be removed as a last resort. Do not worry, just remember there are options and remedies out there. Just keep going. All the best. please feel free to discuss further.