hello,

I have been trying to figure out why I have sensory PN. My burning started in my feet during my one & only pregnancy. I was 39, had endometriosis, fibroids and ovarian cysts. After I had the baby, my PN progressed. I also started to have hot flashes and other symptoms of peri-menopause.

I am 46 now and in menopause according to my extremely low levels of estrogen, progesterone and testosterone. I am now supplementing with Bio-Identical hormones. I just wonder if the decreases in hormones over the past years have caused my neuropathy. We have not found any other reason. I am a member of a menopause message board and many women there experience burning feet. Makes me wonder.

I know estrogen is considered to be neuroprotective....do you think lack of hormones could casue or exacerbate PN? Ladies, I am curious if any of you were peri-menopausal or menopausal when you came down with PN?

Ann

Hi Ann. Yes. I was menopausal, and having very strong menopausal symptoms when I came down with PN. I am still looking into my medications, and back problems as well as other issues as possible causes of my PN, but I have also heard and read many accounts of women in the menopausal phase of life getting PN. It makes one wonder....

I was premenopause when all of this sensory neuropathy started, 3.5 years ago. Lately, when I thought I have progression in my PN - I asked my neurologist, about the connection - and he said that they don't know why, but during menopause - there are progressions in somw cases.

I am 59 yrs. old and have gone thru menopause already. Within the last 3 or 4 months I have started having burning on the soles of my feet, and also a weird sensation occasionally that I have stepped in ice cold water. I went to a podiatrist who sent me to a neurologist. The podiatrist has since given me a prescription for Neurontin and Metamx - he believes I have hormonal neuropathy. The Neurontin is similar to Lyrica but with fewer side effects, and the other is a mega dose of B6, B12 and folate. This is my 3rd day on the meds, so we will see. Never heard of hormonal neuropathy before. I also have burning on the roof of my mouth and tongue. Weird...

Marilyn, your post sure got my attention. Hormonal neuropathy??? My neuropathy came on one month before I became officially post menpausal. I went through a horrendous menopause with every symptom imaginable, and even after my menstrual cycle stopped, every other menopause symptom has fully continued. In fact I am having a major hot flash while writing this. I have heard about other women experiencing neuropathy during and after menopause, but I was always curious if neuropathy could actually be caused itself by a menopausal hormonal imbalance. Did your doctor ever say that your hormonal neuropathy could possible heal if a balance was obtained? BTW if you look up burning mouth, lips tongue, etc, you will find that menopause can cause this. I would sure love to know more about hormonal neuropathy!

hi jean

I am on coumadin for life (and have been already for about 15 years) due to a clotting disease. I am on a low dose transdermal bio-identical estrogen due to premature menopause in my 30s. This is important for my bones as I am on steroids which put me at high risk for osteroporosis.

I have done a lot of research on this and talked with many doctors about this and this seems to be a safe option for me provided I remain anticoagulated.

I haven't clotted since being on transdermal hrt so I feel very comfortable with this. But you will find that most hematologists don't know about the differnce between transdermal and oral estrogen and their respective clotting profiles. I would never take the BCP though. The people that I find know most about this stuff are actually reproductive endochronologists

hth
raglet

Hi Ann,

I am convinced that I began developing a peripheral neuropathy about 2.5 years ago when I discontinued the use of birth control pills. I am not menopausal, but due to abnormally low levels of hormones and lack of periods, my doctor put me them when I was about 20. I was on them for about 20 years.

When I got a blood clot 2.5 years ago, I had to stop taking the bc pills. My ob/gyn wanted me to start on HRT after I had discontinued the pills for about 6 months, but my hemotologist told her absolutely not. I begged and unfortunately, he said no, and I accepted this at the time, thinking he knew best.

I am now paying for it. I was an extremely healthy marathoner and gym enthusiast with no health problems whatsoever, to being someone with joint pain, a neuropathy, and possibly osteoarthritis along with many other problems. I have also had some early signs of lupus (mainly just the rash), but the rheumatologist started me on some medication which has kept the lupus from developing. (They suspect hormone level changes play a big part in the development of lupus also.)

I have done alot of research lately, and based on facts and my own unique health situation, I believe I could have simply prevented all these health problems from coming up with the HRT.

I am trying to cope with this new information, but have really been struggling. Running was my passion. It was like a drug for me. I am now very limited in what I can do.

I wondered if you had any advice for me, as far as what has helped with the neuropathy pain (hands and feet). Have you heard of any ways to reverse or help stop the nerve damage from worsening.

I am currently having foot and hand pain. I take about 200 milligrams of neurontin a day to help.

I am also looking into what HRT to start on. I want to be very careful, because since my hormone levels have been so low for the last 2.5 years, I am concerned that a spike up to levels that are too high, might also cause problems. Do you have any advice on this? Do you think my neuropathy will improve once I start?

I would really appreciate your insight.

Thanks,

Jean

I have often wondered myself if those of us who are low in hormones due to whatever reason might feel better with our neuropathy if we were able to try and balance our hormones out.

Speaking of hormones, i just had a massive hot flash....

Neither my doc nor I haven't ever noticed anything peculiar in my
hormone levels in over 10 yrs of this crud.
Mebbe its only affecting women's hormones ?

There was a doctor --Dr. Northrup on Oprah yesterday, who claimed that bioidentical hormones used topically in transdermal fashion, were safer for women with clotting problems. This is still controversial but many women use bioidentical forms of estrogen and progestin, this way. Different hormones are used and are very distinct from the synthetic ones taken in oral birth control or other products like Premarin or estradiol. Oprah's website may still have info on it from program yesterday.
The doctor's name is Christiane Northrup.
http://www.drnorthrup.com/
She has books out there too.

I would read up and then discuss with your doctor. Blood clots are a serious thing...not to be taken casually.