Endocrine Withdrawal Syndrome after stopping HRT

Posted by monarchbfly @monarchbfly, Jan 8, 2023

Hello,
I am wondering if anyone has experienced endocrine withdrawal syndrome after stopping hormone replacement therapy? I am 54 years old. Last June, I was prescribed Premarin .45 and 100 mg progesterone daily to combat hot flashes. I felt great the first month, then felt horrible by September, like I was overmedicated. I then stopped cold turkey. Two days later, I was awoken in the middle of the night by a heart rate of 155 and high blood pressure that lasted a few minutes. I went to ER and they couldn't find anything. A month later, I started having tachycardia episodes, high and low blood pressure episodes, shaking, extreme insomnia, feeling like I was wired, anxiety and dread, etc, all day and night. After 3 paramedic visits, 2 ER visits, an endocrinologist, rheumatologist, cardiologist, gynecologist and a PCP, all giving me a full workup and blood tests, they didn't find anything wrong with me. I felt like I was going to die. I ended up couch bound for 7 weeks. The endocrinologist thinks I may have had endocrine withdrawal syndrome that mimicked opioid withdrawal syndrome. Apparently this can be a thing after discontinuing estrogen. He put me on .25 divigel and no progesterone. I am slowly stabilizing, but still have occasional symptoms that are or mimic POTS (postural orthostatic tachycardia syndrome). I can function somewhat but am nowhere near my original energetic self and it is destroying my life. Has this happened to anyone else? How did you fix it? Thank you.

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Profile picture for achase311 @achase311

@nicscud22 Hi, it WILL pass. There are plenty of women on the FB group for whom it has passed, and we need to count on that. I recovered from benzos prescribed for anxiety in the wake of breast cancer 10 years ago so am doubly sensitive--would never have taken it if I had known how cross-tolerant progesterone was. I started in January with 100 mg. and after two months same thing--woke up one night like a bat out of hell, and then didn't sleep again for three nights. Since then sleep has been rough. Lots of night sweats, intrusive thoughts and depression in the day, and panicky feelings. I will hold us all in my prayers. Just keep holding on and knowing you are not crazy--this is the drug.

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@achase311 Yes, we will get through this one day at a time. I find comfort knowing many women, unfortunately, have experienced this hell and have recovered. Keeping you in my prayers for a speedy recovery. 💗

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Profile picture for nicscud22 @nicscud22

@achase311 Yes, we will get through this one day at a time. I find comfort knowing many women, unfortunately, have experienced this hell and have recovered. Keeping you in my prayers for a speedy recovery. 💗

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@nicscud22 Feel free to FB message me via the P group. xoxo

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Profile picture for meingan @meingan

@smr25
Wow! This is not what I want to hear. I just started HRT to combat sudden onset of anxiety disorder.

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@meingan

Are you having these symptoms or afraid you might have them?

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Profile picture for gravity3 @gravity3

@meingan

Are you having these symptoms or afraid you might have them?

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@gravity3 No, I don’t have these symptoms. How awful! My dosage is very low (40mg progesterone, 0.625) and it’s a topical cream. Actually I don’t know if it helps at all with my anxiety. I been doing it 6 months now. I need to follow up with my doctor.

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Profile picture for achase311 @achase311

@nicscud22 Feel free to FB message me via the P group. xoxo

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@achase311
Yes! And you the same.🩷

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Profile picture for achase311 @achase311

@nicscud22 Help! I am going through the same thing! Used a small low dose of cream for 6 years without issues then changed to oral and all hell broke loose.

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@achase311

Why oral? And what were you taking and at what dose? How old were you when you started?

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Profile picture for marybhillman @marybhillman

Same here. I was vomiting in the middle of the night. I could barely eat. Also had morning sickness and that is getting better as I have stopped taking the HRT however my mental health has deteriorated to a degree that I've never felt before it's really scary to me I hope it goes away

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@marybhillman
I’ve been experiencing extreme nausea, dry heaving, scary mental health symptoms since removing the estradiol patch in early April. I tried cross taper with a much lower dose of compounding estrogen and it made things worse!
It’s taken me sometime to put the pieces of the puzzle together-I’m in estradiol withdrawl. Forums such as this are so needed. Reading this has truly been a saving grace (not that I wish this on any of us). Knowledge is power! With the uncertainty of what tomorrows symptoms may bring as my brain and body recalibrate, this information arms me with insight as to what my body I going through-which helps me to know that I’m not going crazy and over time the mind and body will heal.
I was considering going back on the 0.025 mg E patch due to not knowing what my body was going through and debilitating the symptoms are. Now I thinking I’ll hold off and try to get through the withdrawals w/out reinstating estrogen. I never felt right on the patch. While this experience is truly scary and debilitating, adding E back into the equation may lead me back to the not feeling quite right feelings I had while on the patch.
I am truly thankful for you all taking the time to spread awareness about this very real Endocrine disruptive state that one can find themselves in when going down the HRT road.

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Profile picture for miriza @miriza

Going through this at the moment but was not validated by Mayo Drs. There are hundreds of women going through the same in online forums on Facebook, Reddit, Menopause Matters, etc. It may be rare but HRT withdrawal can cause very severe neuropsychiatric symptoms. Many of the women in the forums have healed over time even from severe HRT withdrawal symptoms like akathisia and psychosis. If you are reading this and going through something similar, please comment so other women know they are not alone.

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@miriza how are you doing? I am going through this, too, and it is awful. did you heal?

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Profile picture for plopez38 @plopez38

@marybhillman
I’ve been experiencing extreme nausea, dry heaving, scary mental health symptoms since removing the estradiol patch in early April. I tried cross taper with a much lower dose of compounding estrogen and it made things worse!
It’s taken me sometime to put the pieces of the puzzle together-I’m in estradiol withdrawl. Forums such as this are so needed. Reading this has truly been a saving grace (not that I wish this on any of us). Knowledge is power! With the uncertainty of what tomorrows symptoms may bring as my brain and body recalibrate, this information arms me with insight as to what my body I going through-which helps me to know that I’m not going crazy and over time the mind and body will heal.
I was considering going back on the 0.025 mg E patch due to not knowing what my body was going through and debilitating the symptoms are. Now I thinking I’ll hold off and try to get through the withdrawals w/out reinstating estrogen. I never felt right on the patch. While this experience is truly scary and debilitating, adding E back into the equation may lead me back to the not feeling quite right feelings I had while on the patch.
I am truly thankful for you all taking the time to spread awareness about this very real Endocrine disruptive state that one can find themselves in when going down the HRT road.

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@plopez38

It was made very clear to me by my functional medicine provider that if I ever wanted to stop bhrt it should be done very gradually and with the guidance and support of my provider. Were you trying to do this w/o your physician?

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Profile picture for achase311 @achase311

@miriza how are you doing? I am going through this, too, and it is awful. did you heal?

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@achase311 no, the akathisia is still pretty severe. Also got intermittent dystonia and dyskinesia, more than 100 symptoms. Recently read a story so similar to mine on Reddit, the post is something like “progesterone withdrawal nightmare” and it is the last comment there. I am seven months out like her and suffering from the same issues as her and many more. This is SO REAL! It is a brain injury but “modern” medicine doesn’t want to admit it. Many women having the same issue in “Progesterone withdrawal” FB group.

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