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  • IssieCol
    replied
    Have you tried Curology? A couple of my girlfriends who've had some tough times with adult hormonal acne swear by it. I don't see them that often (maybe a handful of times a year), but I haven't noticed them have bad skin in forever.

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  • cajun
    replied
    I never had acne growing up. I turned 40 last year and it's like my face has revolted. I've tried various face cleansers and they make it worse. It's mainly centered around my chin/jawline. Big, nasty, super-sore spots that never really get a "head". They're like small planets that hurt.

    I haven't had a period since my ablation 5 years ago, so it has to be something hormonal, right? I've done the labs and my doctor says my hormone levels are normal.

    I don't wear makeup and I've searched online for solutions. Have any of you experienced this? Suggestions?

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  • dada_teacher
    replied
    Your pelvic specialist sounds amazing! I know it's not what you want to hear but no surgery (meaning no anesthesia or severe pain afterwards) sounds good to me.

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  • vanessa
    replied
    I love your doctor for helping OGirl.

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  • isadora
    replied
    This is alllll very positive, o! Glad to hear it (especially after the hormone issues in the other thread).

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  • ophy
    replied
    My mom had a hysterectomy in her late 40s, I think? Might have been right around 49 or 50, I'm not sure. And I'm pretty sure her mom also had a hysterectomy at around that age as well. So I don't know what is going to happen naturally. My mom was the exact age as me when she started having hot flashes, though.


    Forgot to say that the other fantastic thing about my pelvic therapist is that she sat down with the ogirl for and hour and a half after the ogirl started having periods (the ogirl is TWELVE. Can you believe that? BECAUSE I CAN'T) and explained all things puberty and vaginal-ish and period-esque to her* and it was amazing. She didn't even charge me for it, because she's the sweetest pelvic specialist who ever walked the earth. The ogirl wouldn't stop hugging her afterwards. It's made the whole transition a lot easier for both of us. The ogirl doesn't burst into stress tears about it any more. Well, other than the normal hormonal tears, I mean, we still get plenty of that.

    The doc also recc'ed this book for girls:







    And my kiddo loves it. So if any of you have pre-teens who are having trouble grasping some of the details of What Is Going On Down There, I can recommend finding a pelvic specialist in your town who is willing to talk to kids. This one had plushy uteri and internal models for the ogirl to handle, which was really helpful.



    * obviously I had already had 'the talk' several times with the ogirl, but she had all kinds of questions about tampons (which she calls 'tampoons') which I had never really used at that point and internal anatomy that I am not an expert in. And she's got an anxiety disorder and was obsessing about the whole experience, so talking these things over with an expert really helped her to be much more confident about it all.

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  • vanessa
    replied
    This was a VERY BIG DEAL for me, after 40 years of being a gyno failure and disappointing all of my previous doctors in this arena.
    Fuck all of those doctors. I mean, if you are only there to treat the easy patients, youíre not much of a doctor, now are you?

    I am glad you found someone to work with you, O, though 10 more years of periods is ugh. Maybe youíll transition earlier than that? How old was your mom when she stopped bleeding?

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  • ophy
    replied
    An update on my vag! Because I realize everyone has been WAITING A YEAR for me to give you one.


    NOBODY WILL TAKE MY UTERUS AWAY. That's official, so no hysterectomy in my (near) future.

    I didn't get knocked out for the transvaginal ultrasound last year because a week before the procedure I was on the phone with the anesthesiologists office when they called to tell me all the risks and whatnot and I realized for the first time it was NOT the kind of anesthesia they give you at the dentist (lovely lovely happy gas) it was the SCARY kind where they hook you up to an IV and you might not ever wake up again. Also, they were going to charge me $1000 for it out of pocket and totally not covered by my insurance. So I decided not to do it . . . and a couple of weeks later I got a certified letter from my gyno saying they were dropping me as a patient and asking me to never return. Okay!


    the general recommendation is to see a pelvic floor specialist who will do physical therapy and teach me how to use dilators which sounds really terrible.

    I ended up being wrong about this. Going to see a pelvic floor specialist was one of the best things I've ever done! I recommend it! I used the $1000 I didn't spend on the anesthesia to go to a wonderful woman with a PHD in physical therapy who helped me get over my vaginismus in five months. It turned out that my vaginismus was mostly related to my over active nervous system and wasn't really all that mental or emotional after all. The dilators were not that scary! And they worked! I'm even able to use tampons now! (they feel really weird, and they don't work great for me, but I can get them in if I really need to).

    She recommended an equally wonderful new gyno who was the BEST EVER and I managed to have a successful pap smear and transvaginal ultrasound without any sedation at all. I didn't even need to take a Xanax or anything. This was a VERY BIG DEAL for me, after 40 years of being a gyno failure and disappointing all of my previous doctors in this arena.






    The end result of the ultrasound was that my stupid uterus is "too healthy" and the fibroids were "too minor" and my ovaries were "actually perfect" and "no surgeon would ever agree" to remove them, which I suppose is good, but not exactly what I wanted to hear. My only resolution last year was to be Uterus Free By 43, but it ain't happening.


    That means I get to enjoy periods and hot flashes for the next ten years huzzah huzzah.



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  • vanessa
    replied
    I am going to be mad if it does, 7 years after my last cramp.

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  • ophy
    replied
    Holy shit, I wonder if this actually works:


    https://mylivia.com/how-does-it-work/


    Leave a comment:


  • isadora
    replied
    Seriously, the uterus goes crayyyyyy around 40. We're lucky it doesn't just fucking explode.

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  • ophy
    replied
    I mean, once the other pains/discomforts disappear, perhaps your muscles will learn to relax in time? It sounds like vaginismus is the body's defense mechanism from creating further discomfort and pain and can be overcome with practice and retraining.

    That's kind of what a pelvic floor specialist will do for someone with vaginismus. Vaginismus is mostly mental/emotional . . . so there's a certain amount of emotional therapy involved as well as physical therapy and retraining the muscles to relax. It's a super duper specialized area of women's health, for obvious reasons, and they aren't that easy to find. I think we have two of them in my town, but they require a referral and I think there's a wait list involved, etc.

    Imma resolve the uterus/anemia issue first, then wait til after recovery to tackle anything else.

    Most of my symptoms can be traced right to the anemia, no doubt, but the gyno wasn't sure there was any connection between whatever my uterus is doing to me and the sudden weight gain/metabolism slowdown that I've experienced. Maybe if I really do have fibroids the size of grapefruit, that could explain it, I dunno.

    Did a test to see if I have any hormonal imbalances and will wait for those results. An estrogen imbalance could definitely be causing weight gain and metabolism problems.


    BEING A LADY IS SO WONDERFUL YAY.

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  • vanessa
    replied
    Have I mentioned that I think CBT is the answer to like 80% of life problems?
    I go around every day telling people to try CBT; I'm a believer!

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  • isadora
    replied
    Get rid of that uterus! It's been nothing but trouble, tbh. Every woman I know in our generation who had a hysterectomy had very positive results because it was truly needed (unlike in the 1970s and 1980s when they handed them out like parting gifts after you had a baby or two).

    Vaginismus rhymes with Christmas? That's mostly all I got where that's concerned, tbh. Altho, perhaps you have vaginismus for good reason? You/your body maybe developed it as a defense mechanism to deal with the pain of having a flipped around uterus that caused incredible discomfort? I mean, once the other pains/discomforts disappear, perhaps your muscles will learn to relax in time? It sounds like vaginismus is the body's defense mechanism from creating further discomfort and pain and can be overcome with practice and retraining.

    You might even be able to employ cognitive behavior therapy techniques with some physical practice (and does it even need to be a dilator? I mean, start with your own finger and see if you can relax it over time). Have I mentioned that I think CBT is the answer to like 80% of life problems?

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  • ophy
    replied
    If you have an ultrasound I don't think it's necessary to be sedated?

    Oh, no, the sedation would not be for the ultrasound. The doc is just concerned that it's been a decade or so since I had a pap, but she can't get in there to do one. So they would sedate me mostly for that, I guess. She called it general anesthesia, but I assume she meant the kind of thing you get when you have an invasive dental procedure. I've only had anesthesia once, when I had my tonsils out at age 20, and I threw up over and over and over for hours afterwards. But that was the real deal, and surely this wouldn't be so intense. Of course, the hysto would be the full dealio . . .

    My mom did have heavy bleedings because of fibroids and did have an operation and always said it was the best decision she ever made.

    Every female in my family has had fibroids big enough to result in a hysterectomy, which is why I'm assuming I've got them, too. My mom swears her fibroids were the size of a grapefruit, but that sounds like an exaggeration. But honestly, I'm thinking about having the hysterectomy even if I don't have fibroids. I just feel like it's time to rid myself of this troublesome organ. It's a pain in my ass (literally, given the way it's pinching into my colon).


    Even if they yank out my wackadoo uterus, I will still have to deal with the vaginismus, I guess? The general recommendation is to see a pelvic floor specialist who will do physical therapy and teach me how to use dilators which sounds really terrible. Alternately, I can just stay a closed ecosystem, which sounds less terrible in some ways.



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