Friday, February 6, 2004
Switching pills is a pain, literally. I don't want to mix different types of hormones, so I'm giving myself a break, thus I have to suffer a week or two of horrid pain. This is only a month since my last period (normally I have three months).
I had been trying to get free of codeine for a bit, as I was needing to ramp up my dose of Mersyndol forte to 2-3 tablets every few hours to knock a migraine/crampy day on it's head. When I get to that dosage, I try to go cold for some months. Codeine dependence actually seems to increase pain levels, so you need more of it. Codeine withdrawal increases depression, moodiness, and overall pain, especially pressure pain (ie - much more sensitive to massage, even a light massage can cause a lot of pain if on knotted muscles). Lying in the bath the other night hurt my back like crazy if I tried to not get my hair wet (and thus leak blueness). But... I can't get through a period without painkillers *sigh*
My ePharmacy order is awaiting stock. Argh! I needed that shipped yesterday/today as I need to start the Minulet pill on Tuesday at the latest. Usually they ship the moment they receive the prescription (which they got on Thursday morning), but maybe they are out of Minulet. There was a $9 difference between the ePharmacy price and a normal pharmacy price, per packet (2 months) for this pill, which is ridiculous! Postage is only $4.50 so I end up saving $14.50 just on this prescription, but if I had known it may not make it in time, I would have paid the extra.
I am surrounding myself with things to help me regain some (any) enthusiasm for life. So I have bought several indoor plants, expanded my gemstone collection, and am awaiting the health to get out into the garden to start the vegie patch and clean up the front yard. Indoor plants have such a calming influence, even though I can't keep them in good condition for long. I really miss the garden I had at my previous house. Bernie bought me flowers (roses!) yesterday. I haven't had flowers for so long, and I used to bring them inside from the garden all the time. The only flowers in this garden are spring bulbs, obviously not available now.
The pond fishies have new playthings - 10 small comets (gold fish) were added, and we can't see them. I hope the big goldfish haven't eaten them. New fish and many plants seemed to have calmed the red-tail black shark in the tank down too. He is limiting himself to only chasing the black widow tetras now and again. The four new angels are very cute, being around the size of a 5 cent piece, a little different to the 8cm monster I lost before I moved. Clown seems a little happier too. I guess plants all round are a good influence, now... I just need to write an exam.... hope the mersyndol doesn't affect me too much. I'll need a bunch of people to test sit it and proof read (no... current students or friends of current students can not do this).
Monday, February 2, 2004
This weekend (and today) has been fairly hectic and stressful. Saturday we had to drive a fair way for a podiatrist appointment, and instead of being consulted, they just handed me my (fixed) insteps, saying they wouldn't charge me for them. I would expect not, they stuffed up the fitting in the first place.
Sunday was a family day, Bobby (my mum's neurotic dog), was usually found flopped on my lap like a cat. Fran asked when Bernie and I were getting a dog. I don't know why I give off dog-person vibes, I'm very definitely a cat person. Anyway, I stole a number of lavender and daphne cuttings to try to propogate them. The lavender bush I mangled was actually grown from one I gave nanna about 10 years ago, and is an incredibly huge plant. I hope the cuttings take, then I can have my own dried lavender to make things with.
Today involved being stuck with needles by a new acupuncturist. He is probably very good, but his english is limited, and I don't know if he knows what adenomyosis is. The practice is also located in Caulfield South, which is nigh impossible to reach via public transport within a reasonable time frame. I'll be trying the acupuncturist at Wheelers Hill in a month, before possibly going back there.
After a detour at Chaddy, I had my yearly monitoring gyno appointment and find out lots about the pill that I didn't know. I am currently on Norinyl 1, which is a very high progestogen, low oestragen pill, and is typically good at controlling endometriosis growth. However, it is an old style pill, which has a load of fairly bad side effects (depression, weight gain, water retention, thickening of all mucous linings, acne, migraines, etc). This may be the root of my recurring sinusitis, bloating, acne, and despair. The newer pills are much gentler, with fewer side effects, however those with high progestogen still cause acne, depression/mood swings and water retention (just to a lesser extent). So I'm changing to Minulet (at twice the cost of Norinyl), in the hope of getting rid of some of the more extreme side effects.
The gyno also recommended a new 5 year IUD, Mirena, which contains a source of slow release progestogen, delivered directly to the uterus (instead of trying to get it there via the digestion/blood stream). This would reduce bleeding, and therefore pain, and has been successfully used in women with adenomyosis (and to some extent those with endometriosis) to get rid of symptoms (but not the disease itself). I would still need to be on a gentle pill to stop ovulation and control oestragen levels to slow/stop the endo growth, but I would not need the high progestogen pill. (Mirena site)
A side note - the adenomyosis is showing up on ultrasound now. Either the technology has improved greatly in one year, or the adeno has got much worse.
Update - Bernie found an interesting study done in Britain about Mirena.