Medicine / herb to relieve anger, stress

[Kenny202]

One other thing, a question for Sheryl, I read that birth control pills can either help or exacerbate the problem. I believe she is on the pill. Would it be worthwhile going off the pill for a while to see if there is any improvement?

I also read the main drug that would be recommended would be an SSRI common antidepressant. Her symptoms from what I know aren't so much like a depressed person....re prolonged sadness, thoughts of self harm, hopelessness etc....though these could be present without her actually admitting it...though it outwardly doesn't appear to be the case. Another symptom of PMDD I read is a lack of focus, wanting to sleep all the time which is definitely her during these phases. Her main obvious issues when these periods occur are resentful feelings for little reason that build up to an anger outburst that seems uncontrollable with little thought for consequences, or people around her....even to the point of her own children being scared witnessing all this and her unconcerned about it or anyone else. It is almost like she looks for a reason to will herself into this state to a huge outburst of energy. I have read Bi polar / PBD people actually sometimes go off their meds as they crave this sort of release. Almost what it appears to be with her. Even after these outburst and in her moments of calm she seems to genuinely believe they weren't her fault and her extreme actions were justified, almost as if, if the minute little thing that triggered her off never happened she would not have acted this way.....therefore not her fault or problem. And it seems to be a real lack of remorse or recognition there is a problem rather than a face saving cover up. 

 

Thankfully it has never been physical violence directed at a person, more verbal....screaming etc, kicking objects, slamming doors etc, but this in itself could lead to a dangerous conclusion where someone around her is triggered into a violent reaction. 

 

By the way, I have no medical knowledge nor am I trying to be an armchair doctor. It is just that I know doctors can only go off the information they are provided without actually witnessing these sort of these things first hand....And I also know (Thais without generalizing I hope) can be either very vague or on the other hand agree with everything the doctor says whether it is true or not....A product of subservience to anyone they perceive at a higher station than them. Just trying to be forearmed and make sure the doctor has all the information...

Edited May 10, 2023 by Kenny202

[IvorBiggun2]

1 hour ago, fredwiggy said:

That's why you see a doctor, and explain your past and present history, so they can prescribe what they think is needed, along with psychotherapy.

I suffer bouts of depression and I had a bad spell about 2 weeks ago, still ongoing. My wife phoned around for an appointment at a couple of hospitals. Best that she could come up with was an appointment in 3 months. I have no choice but to self medicate. I live Buriram/Korat area.

[actonion]

Thai's  contain   their anger  within to stop this" losing face" thing,     surely one day all this built up anger has to get released, and when it does, .... Watch out ....

[jaideedave]

16 hours ago, FritsSikkink said:

Alcohol for an angry person will work great to make them more angry.

My Thai wife is a good example.Give her 4 big bottles of Leo and watch out! The pent up anger comes out like you wouldn't believe.Sober, nice as pie.I believe there are inner issues that are impossible to discuss as I've tried.At 1st I put it off to menopause but thats come and gone I think...    

[Kenny202]

29 minutes ago, IvorBiggun2 said:

I suffer bouts of depression and I had a bad spell about 2 weeks ago, still ongoing. My wife phoned around for an appointment at a couple of hospitals. Best that she could come up with was an appointment in 3 months. I have no choice but to self medicate. I live Buriram/Korat area.

I am pretty sure it isn't depression anxiety. I had that for a couple of years myself in my 40's for a couple of years and do have some experience of it. There are no feelings of hopelessness etc, not that I know about anyway. it is mostly unreasonable and random bouts of anger and aggression. She is on the way to the hospital at them moment. We are keeping our fingers crossed there is some result / solution, hopefully a PMDD issue can be sorted somehow. If it is just normal pent up Thai childhood / anger / self control issues there is only going to be one conclusion which won't be great for anyone ???? 

[proton]

16 hours ago, FritsSikkink said:

Alcohol for an angry person will work great to make them more angry.

Seems to calm my Mrs down, she is easily triggered into shouts and anger over nothing but since she stated drinking is more reasonable, until it wears off.

[jaideedave]

15 hours ago, Doctor Tom said:

Just stay away from her.  People like her rarely accept help, unless it's from a medical professional and trying to placate individuals with an anger/rage problem is almost always counter productive. She needs professional help by the sounds of it, so stay clear until that works; or doesn't. 

Dr Tom, Thats not really possible when she's the wife and you live under the same roof? Please tell me how to stay clear when we live in the same house.

I've tried being nice to the extreme but it does not work in the least.

[Sheryl]

@Kenny202

 

Xanax is NOT over the counter here.  It is tightly controlled and illegal to obtain except on prescription from a hospital or clinic. It will also not help much if at all. By the time you can see it coming it is already way too late...and she has already suffered a great deal inwardly.  

 

Tramadol will not help in the least.

 

As I have tried to explain the action of SSRIs in PMDD has nothing to do with depression.

 

There is no test for PMDD. It is diagnosed based on symptoms and timing and requires keeping a careful diary for a few months at least.  Thai doctors are often not well informed about it but wait and see what the doctor she consults comes up with.

 

The woman herself often does not see the connection to menstrual cycle until it is suggested to her and she starts to keep track,  since the symptoms can happen anywhere in the last half of the cycle. But once paying attention to it, it becomes obvious. Particularly striking is the sudden   dramatic relief within a day after  menstruation starts and a full return to normalacy for  2 weeks or so...then it starts again, some months being worse than others. 

 

What you see happening is just tip of the iceberg, when it has gotten so bad it erupts. Like a tea kettle boiling over.  She is enduring a great deal of inner tension and intense discomfort well before that.

 

It is human nature to try to find objective outer explanations for one's feelings. With Thais there is also a need to "save face". However the fact that she is seeking medical help means she is in fact aware there is a problem. She would not agree to see a doctor otherwise. She is suffering a great deal, more than you can tell, and not feeling at all herself during these episodes. 

 

 

 

 

 

 

 

[Doctor Tom]

1 hour ago, jaideedave said:

Dr Tom, Thats not really possible when she's the wife and you live under the same roof? Please tell me how to stay clear when we live in the same house.

I've tried being nice to the extreme but it does not work in the least.

I've been there mate, back your bags and leave, or pack her bags and off load her.   If your wife follows you, or agrees with you, all well and good, if she doesnt, well you know where her loyalties lie.  My advice, don't destroy your life in trying to sort out someone else , who you really can't help.  In my case, I threw the said person out of my house, paid her off and out of my life and I was all the better for it. 

[Kenny202]

1 minute ago, Doctor Tom said:

I've been there mate, back your bags and leave, or pack her bags and off load her.   If your wife follows you, or agrees with you, all well and good, if she doesnt, well you know where her loyalties lie.  My advice, don't destroy your life in trying to sort out someone else , who you really can't help.  In my case, I threw the said person out of my house, paid her off and out of my life and I was all the better for it. 

I been there too, and easy to say....if kids weren't involved

[Kenny202]

20 minutes ago, Sheryl said:

@Kenny202

 

Xanax is NOT over the counter here.  It is tightly controlled and illegal to obtain except on prescription from a hospital or clinic. It will also not help much if at all. By the time you can see it coming it is already way too late...and she has already suffered a great deal inwardly.  

 

Tramadol will not help in the least.

 

As I have tried to explain the action of SSRIs in PMDD has nothing to do with depression.

 

There is no test for PMDD. It is diagnosed based on symptoms and timing and requires keeping a careful diary for a few months at least.  Thai doctors are often not well informed about it but wait and see what the doctor she consults comes up with.

 

The woman herself often does not see the connection to menstrual cycle until it is suggested to her and she starts to keep track,  since the symptoms can happen anywhere in the last half of the cycle. But once paying attention to it, it becomes obvious. Particularly striking is the sudden   dramatic relief within a day after  menstruation starts and a full return to normalacy for  2 weeks or so...then it starts again, some months being worse than others. 

 

What you see happening is just tip of the iceberg, when it has gotten so bad it erupts. Like a tea kettle boiling over.  She is enduring a great deal of inner tension and intense discomfort well before that.

 

It is human nature to try to find objective outer explanations for one's feelings. With Thais there is also a need to "save face". However the fact that she is seeking medical help means she is in fact aware there is a problem. She would not agree to see a doctor otherwise. She is suffering a great deal, more than you can tell, and not feeling at all herself during these episodes. 

 

 

 

 

 

 

 

Agree with everything you say Sheryl, just looking for something to avoid these events in the short term. She is actually at the doctors now. I have seen the look on her face when she has these fits and her eyes look like they are pleading for help nearly like her eyes are doing the opposite to her actions.....like a person completely lost control. Not insensitive to the amount of anguish she is experiencing, it is apparent. But there are the realities of life and others are experiencing anguish as well including small children.

 

The doctor actually just called me and asked me to describe the symptoms. She is giving her some short term / take as required calming meds and get her started on SSRI's. I suggested PMDD and she went ohhhhh yes, so not sure if she was just agreeing with me, had already made the diagnosis or hadn't occurred to her. Anyway she was helpful and kind so a good start. She is going to organize some anger management training as well. Thanks for all your help as always Sheryl. Definitely will be monitoring when the issue appears and at what time in her cycle. Do you think she should stay on the pill or maybe give it a break and see if any improvement?

 

[Sheryl]

Sorry forgot to respond re the birth control pills.

 

Yes they can make this much worse...or even cause it.

 

While some women seem to do better on one type vs another this is not uniformly true and the best approach is to switch to a nonhormonal form of birth control such as the IUD. Otherwise may just go from bad to worse.

 

But careful she doesn't get pregnant. 

 

 

[Doctor Tom]

27 minutes ago, Kenny202 said:

I been there too, and easy to say....if kids weren't involved

Yep.  Its easy for us to give advice on a forum, but hard to follow it in reality.  I just know this, I was incredibly miserable during that time myself, and I have been happy ever since. We all have one life, some people live it in the best way that  they can, helping where they can, not doing ill to others, but basically living their own one life. Others dedicate their whole lives to helping others and sacrifice much, if not all,  in doing so.  I would not criticize the later, but I follow the former. The solution with this lady, if there is one, does not lie with you, your wife, nor indeed Sheryl, who gives good advice and guidance.  Once you acknowledge that, and act on it, the path forward may become clearer. 

Edited May 10, 2023 by Doctor Tom

[Kenny202]

26 minutes ago, Sheryl said:

Sorry forgot to respond re the birth control pills.

 

Yes they can make this much worse...or even cause it.

 

While some women seem to do better on one type vs another this is not uniformly true and the best approach is to switch to a nonhormonal form of birth control such as the IUD. Otherwise may just go from bad to worse.

 

But careful she doesn't get pregnant. 

 

 

Wow, yes will make sure she stops taking the pill at least to see if things get better. Hubby will have to grin and bare it. Thanks again so much for your trouble Sheryl. Hopefully on the road to a solution

[Sheryl]

1 hour ago, Kenny202 said:

Wow, yes will make sure she stops taking the pill at least to see if things get better. Hubby will have to grin and bare it. Thanks again so much for your trouble Sheryl. Hopefully on the road to a solution

The other thing that often helps is bioidentical progesterone taken only during the second half of her cycle. Needs to start 14-16 days before next menstruation is due and continue until period is due then stop, so have to first know her cycle.  Starting too late or too early will not work and failing to stop in time may prevent menstruation. 

 

You will find conflicting information online about progesterone supplementation. Largely this comes from the incorrect use of synthetic progestins instead of natural or bioidentical progesterone . 

 

It must be bioidentical progesterone and not a synthetic progestin which would make it much worse.

 

Outside of a few anti-aging specialists, Thai doctors are unfamiliar with bioidentical progesterone. There is only one preparation available in Thailand, a micronized oral form called Utrogestan  imported from France.  Can be hard to source but I have gotten it from

 https://bangkokdrugstore.com

It will not show in search function, have to email them. 

 

IF this is PMDD the combination of a low dose SSRI plus bioidentical progesterone (and going off the pill) will usually improve matters by at least 75%. She may still feel a bit uneasy/irritable in the 7-14 days before her period but at much lower intensity so more controllable. Also just knowing it will improve when her period comes  helps. 

 

Although worst during the perimenopause  PMDD resolves completely after   menopause. 

 

BTW all I have said is based on firect  personal experience. I suffered badly from PMDD for over a decade. 

[Sheryl]

1 hour ago, Kenny202 said:

Wow, yes will make sure she stops taking the pill at least to see if things get better. Hubby will have to grin and bare it. 

Actually unless she gets IUD (recomended unless some medical contraindication) he should do the opposite of bare it.....

 

(pun intended. ????).

 

Or consider vasectomy. 

[Kenny202]

What do you think about a contraception pill called Yaz Sheryl? It pops up everywhere as a great birth control pill, and actually can help in the case of PMDD. Of course it could all be fake news put out by the manufacturers lol

[Sheryl]

21 hours ago, Kenny202 said:

What do you think about a contraception pill called Yaz Sheryl? It pops up everywhere as a great birth control pill, and actually can help in the case of PMDD. Of course it could all be fake news put out by the manufacturers lol

 

It can make it worse for some women, others seem to think it helps.

 

Personally I am of the school of thought that all synthetic progestins and extra estrogen are best avoided.  In addition to conflicting study results, the synthetic progestins they contain compete with natural progesterone at body receptor sites. And, mixing BC pills with natural progesterone supplements is somewhat uncharted territory - and natural/bioidentical progesterone definitely helps PMDD.

 

But that does assume ability and willingness to use alternative forms of contraception. Again, at her age and presumably not wanting more children, IUD or sterilization (preferrably male) would be good options. If for some reason these options are impossible then she could try switching to Yaz but be forewarned it might make things worse.

 

This is a  good read, from one of the few doctors in Thailand really familiar with the issue:

 

https://www.bangkokpost.com/thailand/pr/1953160/women-…-hormones-…-and-moods-asst-prof-dr-nilarat-narula

 

Besides utrogestan, there is a natural progesterone gel  available in Cambodia, imported from France. It is also apparently available at Bumrungrad Hospital (at marked up price) but nowhere else in Thailand that I know of.

 

Creams/gels have an advantage over the oral form in that they provide a steadier blood level, but beware of the ones on iherb and the like as those are actually made from wild yams and do not contain reliable amounts of progesterone. Better avoided unless one can get pharmaeceutical grade gel like Progestogel.

Otherwise,  the micronized oral form (Utrogestan) works well enough, main limitation compared to cream or gel is less even aborption (a spike then a drop). On the plus side this means some drowsiness after taking which can be helpful at night, and it is also quicker acting.

 

What I actually did, pre-meniopause, was use the gel regularly (second half of cycle) and then take the Utrogestan on top of that if and as needed, usually a few times per month.

 

Besides Bangkokdrugstore. com can also get Utrogestan it from medtide (have to create account first, then it will come up when searched for).  https://medtide.com

 

 

[d4dang]

19 hours ago, wprime said:

Tramadol is readily available from pharmacies and can calm her down on a temporary basis while you seek better help. It's very mild and she should be able to live her life normally on it. It's addictive and only ideal for short term use though.

 

If you're willing to try herbal remedies, cannabis indica a safer alternative and is more broadly effective. She won't be able to function well on it though as it dulls the senses and makes it difficult to think.

 

I should add, try at your own risk, a small percentage of people react badly to the above suggestions.

tramadol is codeine...

[Hummin]

23 hours ago, Kenny202 said:

I didn't know that Sheryl but I will make sure we are taking note of when the incidents occur. I would say in 2 - 3 week cycles. She doesn't appear to suffer from any PMT symptoms like some do.....pain, cramps etc. I really don't think anti depressants would help her. I have had a bit to do with depression and anti depressants and she doesn't really fit that mold. Depressed people tend to be negative and sullen and get worse...spiral down. Not so much Dr Jekyll today and Mr Hyde tomorrow. This person doesn't sit around moping etc. Although loves attention and pity. Sounds like Bi polar sort of thing on the surface but from what I have read about that doesn't seem to fit. If anything like that maybe BPD. But I think you are right...either hormonal imbalance or PMT or both. It's totally irrational and mass over reactions to every day little blips at random times. She is going to the hospital tomorrow to start the ball rolling but you know these things take time (tests etc) so was hoping maybe there was something she could take immediately should she get these feelings, if not for anything but to calm her down and hopefully have a reset. Would something like Valium help in the meantime if the doctor will prescribe it. Even if it zonks her out, better than the alternative. The good thing is she is open to trying to do something about it....today at least anyway. Just hoping she will follow it through. The person is generally a good, decent person and its such a shame to see her destroying her life and happiness as well as those around her if it is something that can be treated.  

Look up Lithium Orethate, which I believe helped me as one key through my severe depression. 

 

At the same time changed my diet, started exercise more again, and made sure I got my quality sleep early evening and up early with the sun, as well moved to Thailand ????

 

Change, dicipline and motivation is the keys, but a pill placebo or not, can be the gamechanger to get started.

[Sheryl]

An off topic post and my reply to it has been moved to a new thread as follows

https://aseannow.com/topic/1294506-sexual-response-after-menopause/#comment-18073377

[jaideedave]

21 hours ago, Doctor Tom said:

I've been there mate, back your bags and leave, or pack her bags and off load her.   If your wife follows you, or agrees with you, all well and good, if she doesnt, well you know where her loyalties lie.  My advice, don't destroy your life in trying to sort out someone else , who you really can't help.  In my case, I threw the said person out of my house, paid her off and out of my life and I was all the better for it. 

Thanks T..I'll be 73 my next b/d so that makes it difficult for me to move away.Beside its my house not hers.By following this blog I've learnt a lot.I used to think she hated me when an outburst would occur.I now realize that her sporadic anger/rage is coming from inside and she can't control it.She knows something isn't right.After a few hours the anger subsides as quickly as it happens.I now know that it's a mental issue.With that knowledge I now have a more pragmatic attitude and will try to encourage her to find help.I see it thru different eyes now that I know whats causing the anger.

I do notice that she's taken up walking each morning with her sister.I bought her a pedometer and she does about 5-6k steps in the am.

Thats a start.Wish me luck.

She's bull headed and will never admit she has a problem though.(saving face)

   

[Doctor Tom]

1 hour ago, jaideedave said:

Thanks T..I'll be 73 my next b/d so that makes it difficult for me to move away.Beside its my house not hers.By following this blog I've learnt a lot.I used to think she hated me when an outburst would occur.I now realize that her sporadic anger/rage is coming from inside and she can't control it.She knows something isn't right.After a few hours the anger subsides as quickly as it happens.I now know that it's a mental issue.With that knowledge I now have a more pragmatic attitude and will try to encourage her to find help.I see it thru different eyes now that I know whats causing the anger.

I do notice that she's taken up walking each morning with her sister.I bought her a pedometer and she does about 5-6k steps in the am.

Thats a start.Wish me luck.

She's bull headed and will never admit she has a problem though.(saving face)

   

I do wish you all the best.  The good thing about being older is that life should be easy, relaxing the stress free.  You need that, as we all do, so I wish you all the best in sorting it out.  If you ever feel that you need someone to off load to privately,  just PM me, we can at least chat via PMs. 

[Sheryl]

17 hours ago, Hummin said:

Look up Lithium Orethate, which I believe helped me as one key through my severe depression. 

 

At the same time changed my diet, started exercise more again, and made sure I got my quality sleep early evening and up early with the sun, as well moved to Thailand ????

 

Change, dicipline and motivation is the keys, but a pill placebo or not, can be the gamechanger to get started.

Lithium is a very serious drug with a very narrow therapeutic range (toxicity can easily occur, needs close monitoring) so should never be self prescribed.

 

The person described in OP does not seem to have depression.  Probably (but not sure) a hormonal issue. Lithium is not used for that. 

[Hummin]

48 minutes ago, Sheryl said:

Lithium is a very serious drug with a very narrow therapeutic range (toxicity can easily occur, needs close monitoring) so should never be self prescribed.

 

The person described in OP does not seem to have depression.  Probably (but not sure) a hormonal issue. Lithium is not used for that. 

Lithium Orethate is not carbonate, which need much higher doses to work. We are talking very small dosages in comparison, as well not a prescription drug.

 

Lithium orotate might also be considered when the mood is unstable, for example in someone who has a lot of irritability, agitation, or frequent mood swings. And also in people who had previously gotten relief from medications, but where they've become less effective over time

 

https://www.naturalmentalhealth.com/blog/lithium-orotate#:~:text=Lithium orotate might also be,become less effective over time.

 

 

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8413749/

 

 

 

 

[Kenny202]

The upshot of yesterday Sheryl was they put her on 50mg Zoloft and she has gone off the pill. I wish they would have also given her something can be taken as needed but they didn't, maybe there isn't anything like that available. The pharmacy also gave her some evening primrose oil and she is going back to the hospital in a month. Time will tell. Appreciate your help so much. You are truly an angel. At least we have some hope. Feel free to close the post if you wish, seems to have gotten way off subject

 

[jaideedave]

21 hours ago, Doctor Tom said:

I do wish you all the best.  The good thing about being older is that life should be easy, relaxing the stress free.  You need that, as we all do, so I wish you all the best in sorting it out.  If you ever feel that you need someone to off load to privately,  just PM me, we can at least chat via PMs. 

Dr T..thanks mate I may do just that if okay.Shes been away for 4 weeks and returns today and  It'll be interesting to see things go now that I have better knowledge about the root cause.BTW I'm doing some research on Fish oil Omega 3 supplements with emphasis on DHA/EPA. You have any comment on that? Its been tested and proven to help BPD patients.

[Kenny202]

1 hour ago, jaideedave said:

Dr T..thanks mate I may do just that if okay.Shes been away for 4 weeks and returns today and  It'll be interesting to see things go now that I have better knowledge about the root cause.BTW I'm doing some research on Fish oil Omega 3 supplements with emphasis on DHA/EPA. You have any comment on that? Its been tested and proven to help BPD patients.

I wouldn't be so certain about root causes. I am quietly hopeful our lass will calm down with the anti depressants but have been down this road before unsuccessfully. Many of these people grow up amidst violence and abuse and it all becomes normal and very ingrained into them. And the village culture of raising your voice to appear hard / don't mess with me. Not to mention the probable emotional scars they have from childhood / abandonment / abuse. Someone mentioned before how they are hardwired to respect any government / teacher / authority types here, even prostrating before cement statues, giving money to free loaders they don't even know in the hope of some magical redemption or boon credits.....yet continually "bite the hand that feeds them" and possibly the only person that ever truly cared for them. Even their families often use and abuse them, make problems in their life when they have an opportunity to improve themselves. And the loyalty they have to these people is unwavering. Must be Stockholm syndrome or something. I heard someone refer to it as "crabs in a bucket" syndrome. One crab gets near the top and just about out and the others pull it back in. I been here 10 years and still don't have a handle on any of it

[jaideedave]

36 minutes ago, Kenny202 said:

I wouldn't be so certain about root causes. I am quietly hopeful our lass will calm down with the anti depressants but have been down this road before unsuccessfully. Many of these people grow up amidst violence and abuse and it all becomes normal and very ingrained into them. And the village culture of raising your voice to appear hard / don't mess with me. Not to mention the probable emotional scars they have from childhood / abandonment / abuse. Someone mentioned before how they are hardwired to respect any government / teacher / authority types here, even prostrating before cement statues, giving money to free loaders they don't even know in the hope of some magical redemption or boon credits.....yet continually "bite the hand that feeds them" and possibly the only person that ever truly cared for them. Even their families often use and abuse them, make problems in their life when they have an opportunity to improve themselves. And the loyalty they have to these people is unwavering. Must be Stockholm syndrome or something. I heard someone refer to it as "crabs in a bucket" syndrome. One crab gets near the top and just about out and the others pull it back in. I been here 10 years and still don't have a handle on any of it

Kenny,I must admit that you've hit on some very valid points here.We've been together off/on for about 20 years so I've got some feelings invested.She takes any statement from a Dr as gospel.The "bite the hand that feeds them"strikes a cord.I've done nothing but contribute to her and her families welfare yet I'm always the bad guy if anything goes sideways.Maybe I'm fighting a battle I can't win.I could go on but I don't want to air the dirty laundry in this forum.Thank you sir. Good luck to you also in your struggles.    

[Sheryl]

4 hours ago, jaideedave said:

Dr T..thanks mate I may do just that if okay.Shes been away for 4 weeks and returns today and  It'll be interesting to see things go now that I have better knowledge about the root cause.BTW I'm doing some research on Fish oil Omega 3 supplements with emphasis on DHA/EPA. You have any comment on that? Its been tested and proven to help BPD patients.

If she has BPD she needs a great deal more tban a supplement.

 

 But nothing you have said in any way suggests BPD, a complex diagnosis the only a pyschiatrust can make.  From what you  say the issue is uncontrolled rage after significant alcohol intake in a post-menopausal woman.

 

Problem more likely alcoholism and/or hormone imbalance related to menopause. I know you said it can't be menopsuse because that "has come and gone"  but it does not work that way. The hormonal changes are permanent and symptoms can last decades. 

 

As this is off top8c I am closing the thread. Feel free to start a new one about your issue if you like.