I am no big fan of the use - over-use in my humble opinion - of ADs/SSRIs during Peri/Meno. All probably based on vry personal, but indirect experience of them generally.
I have been around mental health issues from a very early age. I see how they help very specific conditions. I also see the fallout of 'cold turkey' withdrawal/ weaning. Not so good.
My eldest sister (71) has L/T MH issues. Poor cow obviously picked the short straw: she was the 'quiet' one in a noisy, confident, happy family of 5 kids.
She had all the gynae issues, having a Hyste in her late 40s. Think her early years on HRT (took for 15yrs) were her best times.
I don't recall her being 'depressed' then.
But one particulraly bad time I recall asking if she was still taking HRT - "No". Made sense a she showed absolutely classic Peri/Meno symptoms at their worse.
I also understood that the meds she was then given were v.specific for her MH needs, but all the while her Peri/Meno needs were totally ignored.
I appreciate that all such meds impact on the liver and probably interacted. But I really felt her obvious 'hormonal' imbalance impacted on her 'chemical' imbalance.
Have you ever read the info sheet inside a pack of SSRIs? Chilling read! For a drug that's bandied about as 'non-addictive' and 'life changing' during Pei/Meno, but I question that.
And are we being hoodwinked to a degree because surely if by taking HRT it only 'defers' Peri/Mno symptoms, surely when withdrawing from SSRIs would do the same??
I read of many women who have taken ADs in particular for years. Will they be taking them for life, in and around their Meno?
I read recently that a study in the UK had found a vast majority of women in Peri/Meno had been prescribed ADs/SSIs without even meeting 30% of e reognised symptoms that warranted their us. I believe to.
I have absolutely no problem with anyone using these meds - for the right reasons - but I personally feel they are dished out as there is very little alternative help for women at this I'm.
Look back at our own mums: did they rely on these to get them through their Memo? I suspect very few did.
I've experienced lots of stress. I've had to cope with bereavements (and I do mean plural!) after watching loved ones pass after long, debilitating illnesses. Yes they were totally 'depressing' times. But I don't believe I have ever really been 'depressed'. For me, with a family and a Business to run, I don't think I had time to be depressed.
My sister, by stark contrast, had been a 'homemaker' and even though she was/is part of a big sociable extended family, she maybe was a little isolated socially, giving her time o manifest her own MH issues.
I'm very interested in seeing the role ADs/SSRIs will play in the newly-announced Meno Guidlines fom N.I.C.E. I feel that GPs have ha enough of not knowing enough about how to help us all at this time (which for most is as expected as menstruation and pregnancy in their lifetime) and have sent N.I.C.E a distress flare that after all these years they've only just - reluctantly - reacted to!!!
Absolutely no offence intended to any of our friends using ADs etc. These are just my views which, given my vantage point on their uses, makes me a natural sceptic.
Should be said too that I am 54, been in Peri for years. Never had a major illness in my life. Have a lifelong aversion to taking any meds, and am out currently using trad HR (just bioid'l log cream and Menopace). Best of all I have a great marriage, family and enjoy my own company!! :-)
Sx