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[quote=Anonymous]We had very similar issues when I was going through perimenopause in my mid-40s. I finally decided to get a uterine ablation to stop excessively heavy bleeding that was really interfering with all of my regular activities (so affecting marriage too), and wreaking havoc on my moods. Then the pandemic hit, cue additional pressures on marriage and increased anxiety/depression, and I went on a low-dose anti-depressant. We also had really positive benefits from some pretty intense marriage therapy during that time. Menopause is a B*$!# and I'm convinced we do not get enough support from our doctors, our families, society, etc. to get through this stage of life. I'd recommend making appointments now for (1) regular physical with bloodwork (needed for any gyn decisions anyway), (2) gyn appointment to discuss options for ablation, partial hyster, different pill, etc., (3) therapist or psychiatrist to discuss mood issues. Then tell your husband how hard all of this is for you and that you understand it takes a toll on him too, that you have made all of these appointments and are committed to finding ways to improve your health and need him to support you and partner with you in it. Then take it from there. I'm sorry it's so hard.

Also, this article was really helpful to me - you are not alone! https://www.wsj.com/articles/why-so-many-middle-aged-women-are-on-antidepressants-11648906393?st=ro9wq6s6uxl3tvf&reflink=desktopwebshare_permalink[/quote]

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