Chemical Cocktail, Please

His hand is outstretched with an ornament in his palm; he says, “Do you want to hang this one?”

A week ago, Bryan and I put up the Christmas tree in my living room.

With the new Gilmore Girls Series playing in the background, we spread all of the ornaments across the floor and began to hang.

It was a home-made ornament from my co-worker Heather with one of my favorite photos of Zen and me on it: I’m in my thread-bare bathrobe, snuggling him in a deep embrace while smiling.

me-and-zen

I immediately broke out into tears. Big alligator tears.

I don’t know if it was that I was completely taken by surprise or that it was the beginning of the week where my hormones get all wacky thanks to my silent passenger, PMDD. It probably was a combination of the two, but I was a tiny ball on my living room rug, crying hard while apologizing through snotty wails.

Losing Zen a month before Christmas last year was such a whirlwind that I had erased from my memory that I ever received that ornament. And unfortunately, it wasn’t the only one. After I recovered myself, we continued to hang ornaments, and minutes later, Bryan finds another customized Zen ornament that my sister had made. Another one I had forgotten about. He hands it to me, and once again, I am on the floor, tears streaming down my face.

I have always been “highly sensitive” and “overly emotional” since I was a child. In the past few years, it has intensified. Recently, I’ve discovered I have what is labeled as Premenstrual Dysphoric Disorder, where my hormones go hay-wire for approximately a week to a week and a half each month, usually during ovulation.

So, it makes me wonder, was I really that distraught over my deceased cat or was it just my crazy hormones acting up?

Knowing that I have a hormone imbalance and being able to regulate it with birth control and natural remedies, such as exercise, dietary changes, and herbal supplements, has basically saved me from losing my mind and firing off at people with no self-control. Yet, it has also enabled me to use it as a crutch or an excuse when I do act ‘roided up on emotions.

That bothers me, sometimes.

Some of the magic of life’s moments are blanched when I have the knowledge that a specific combination of neurochemicals and hormones are having a rager in my body and that’s the reason why something makes me wistful, depressed, nostalgic, deeply affected, or impassioned. Things like my libido and emotional acuity can be altered with the application of a pill each day.

However, I cannot deny that PMDD is a real thing and I can actually see the signs of it now that I know what it is. It’s not just a made-up crutch with which I scapegoat my behaviors. I’ll come home from work and have that “I just want to go to bed now” feeling that I used to attribute to laziness and always gave myself a hard time about, but I know now that it is the onset of PMDD. Knowing that helps me get through it and actually motivates me to go to yoga, start cleaning the apartment, or make dinner. These subtle signs always happen during a specific time of the month, providing some proof that the chemical cocktail is coursing through my body.

Crying over Zen was unexpected and real. It may have been heightened by my levels of hormones in that moment, but I love and miss him fiercely.

I refuse to let the knowledge that we’re all varying mixtures of chemicals ruin the incredible luster that is cherishing a lost one, smiling because a memory with an old partner feels painfully beautiful, or hurting because my heart is breaking. It might not always be a fun feeling, but it’s me.

It’s always been me.

Here’s to Health (Update)

I’m a smoker and my doctor has warned me that pretty soon I would have to stop, because once in your thirties, your risk for blood clots increase if you smoke.

I had my follow-up appointment on Friday to see how the birth control (that I’ve begun taking two months ago for my PMDD) is going.

For the first time in my life my blood pressure has elevated. It’s still pretty healthy. I think it was 120/84. She said according to all my records, my blood pressure has pretty much always been 120/70.

Well… she’s pretty sure the cigarettes are causing the increased blood pressure, and if, in 6 weeks, I go back and my blood pressure is still going up, she has to take me off birth control.

I really, desperately do not want that.

For the first time in a few years, I am starting to feel more normal during that one heinous week of each month where my emotions and depression become monsters with their own agendas.

I do not want to switch to a different method, such as an anti-depressant, because the side-effects are greater, and I feel fine most of the month.

After this weekend, I have to try hard not to smoke anymore.

This is something that should have happened a long time ago, anyway; I just never had a “good” excuse to be motivated enough to quit.

If I don’t quit, I could be compromising the positive changes occurring in my life, and that would be foolish.

So, here’s to health!

Premenstrual Dysphor–What??

About once a month I kind of lose my mind.

For the past two years, I’ve been experiencing bouts of depression, crying jags, insomnia, irritability, suicidal thoughts, fatigue, and complete lack of motivation. The thing is, I experience this for a few days to a week, once a month, around the time that I’m ovulating.

Unfortunately, it took me until just this year to realize there was a pattern and maybe the things I were experiencing weren’t because I’m really emotional, have a lot going on, or am just a depressed mess.

It seems as though I have something called PMDD (Premenstrual Dysphoric Disorder).

After a really bad argument with an ex (who is still a friend) a few months ago, when I threatened to harm myself, I realized something was really wrong. I was fine two days later. I scheduled an appointment with my gynecologist to discuss what I believe to be a hormonal imbalance of epic proportions.

I have not taken birth control in approximately ten years. I kinda really hate it, truthfully. I have tried several types and have had some kind of adverse reaction to each one. That is part of why I’ve put off this self-diagnosis for so long. One of the first measures a doctor will suggest is birth control to regulate the body’s hormones. And, well, once you come to terms with the fact that you could have really hurt yourself, you’ll do just about anything to feel like yourself again.

I’ve only told a few friends about my attempt to harm myself, because, naturally, it is something that typically angers and worries friends; it’s something that makes me feel guilty and ashamed.

At the end of April, I had my appointment with the doctor on the same day I was going to NYC for the weekend with a female friend to visit some of her friends and the guy I’ve been emotionally attached to for the past year.

The amount of relief I felt as I stepped out of the doctor’s office was amazing. I wasn’t better–but I was finally out of denial and making the first step to being a healthier, happier person.

Fast-forward to the next day, where I am sitting on a patio somewhere in Brooklyn with this gorgeous man who’s holding my hand as I swallow my pride and tell him that I’ve finally decided to do this for myself because I have a problem. Instead of scoffing at me or telling me that PMS isn’t real (ways I fear people will react), he said he thought it was great, that a lot of people won’t come forward and confess they have had “bad” thoughts, and that I shouldn’t worry about silly things like side-effects (bloating) from the birth control.

I started the pill a few days after returning from NYC, and it’s been one month and a few days of shutting off my phone alarm at 8pm and swallowing a tiny, pink disc packed with hormones.

So how am I feeling?

It’s not a panacea. At least, not yet.

Week one was terrible. Every side-effect I could have from the pill I did. Nausea, indigestion, fatigue, irritability, insomnia, headaches, and my period lasted for 13 days or something ridiculous like that.

Then, the side-effects began to level out. However, around the time I would start ovulating–week three or so of the pack–the familiar feelings of sadness for no reason started creeping in. I recognized it right away. Nothing was going negatively in my life (at least, not more than usual) and I was doing good things for myself like going to yoga and spending more time writing, yet when I got home from work, I wanted to go to bed immediately so I could just restart again the next day.

Commercials would make me cry, I would get snappy. I had trouble sleeping at least one of those nights. Although, I will say, it was less pronounced. The symptoms after only being on the pill for a few weeks were already beginning to smooth out.

In a little less than a month, I have my follow-up appointment with my doctor, where we’ll discuss if this is working for me. I’m on month two, and am feeling better already.

This isn’t all unicorns and daisies–Feelings I didn’t even know I had began to surface after the first few days of taking the pill:

  1. I can’t have children
  2. What happens if I stop taking the pill?

I am 33 years old and am not in a committed relationship. I have wondered if I would ever have children at this point. After beginning the pill, this massive fear came over me that I might never have children if I’m already 33 and I’m going to be on the pill for a while.

Of course, there’s the counter: What happens if I stop taking the pill, because, by some miracle, a man wants to spend his life with me and we decide to spawn life? Will I spiral into hormonal imbalance? Will I have postpartum depression? Do I need to take the pill for the rest of my life to feel sane?

I’m trying to heed the advice of my friends and take it one day at a time, and focus on the immediate and getting better now.

I have also begun to think of my intake of birth control as a temporary aid.

There are so many other healthy adjustments I have made to my life after years of alcohol use, late nights, and drama:

  1. I have a regular exercise and yoga schedule
  2. I spend at least a couple of nights a week completely by myself, sober, and choosing positive activities, such as cooking, chores, reading, or writing
  3. I have separated myself from situations/people who were making me unhappy
  4. I am eating better
  5. I am reconnecting with my spiritual self

All of these things are natural ways to enhance serotonin, dopamine, and endorphins. They are also probably things that will help naturally regulate my hormones.

Once I’m feeling good enough, perhaps I can try going off the pill again to see where I’m at.

But for today, and in approximately two hours, I will punch that tiny pill through the foil, swallow it down, and feel comfort in knowing that I don’t have to suffer.