Washington Babies

What to do about possible PPD?

I had some anxiety/depression issues my first year of college.  I tried an anti-depressant and now can't remember what it was called.  I tried it for 6 months and then my doctor took me off of it.  I've never really felt the need to go back on anything since. 

About two years ago after our wedding I started having extreme fatigue.  It was literally hard for me to get out of bed in the morning.  I was always late to work and my work quality started to dwindle.  We built our house and moved in and it only seemed to get worse.  I went to my PCP in October of '09 and she thought maybe it was my BC so we started trying all different sorts of things.  However, I'm very sensitive to BC and the wrong combo can make me crazy.  We decided to get PG in Spring of '10 and then I had A in Feb of '11.

During my whole pregnancy I actually felt wonderful.  Even after I had A I have felt great.  No fatigue, lots of energy and just really happy.  Then I went back to work.  I used to love my job and now I just hate it. I hate everything about it.  The people, the work, the politics, it just seems so dull now.  A is with her great-grandma and I know she is in wonderful hands.  I have no anxiety leaving her, but I am a different person.

My husband and I were talking and he was commenting on how different I am.  My humor is gone, my sex drive is gone, my energy is in the dumps and I'm very high-strung.  I have been on the "ring" since early May, but don't feel like it is related to that.  At this point, do I make an appt with my OB or my PCP (who I haven't seen in two years)?  Is it even PPD or just getting back into the swing of things?

Thanks for your help. :)

M + K = 05.16.09 | A.P. = 02.27.11

Re: What to do about possible PPD?

  • I don't have any advice as I'm trying to figure this out myself.  My PCP happened to be my OB so it was an easy choice.  If that wasn't the case I'd probably make an appt with my OB.  I would think they might know more about PPD and BC hormonal issues than your PCP (unless you PCP is a gyn?). 

    It could be getting back into the swing of things or it could be more.  Definitely go see the doctor and start exploring.  

    Good luck!

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  • I recently went on meds for what I thought was PPA after 8 months of dealing with it, however after ive been on it a few weeks I totally realize now that I've probably had depression for the last 2 years. We moved out of state, married, had a baby, moved back (I was horribly homesick) so now the my moods have stabilized, I honestly feel like my old "real" self that I haven't felt in probably 2.5 years. I went to my OB but she had me talk with my PCP instead since it was awhile after the birth of my DD. I'm so thankful I did. My marriage is better and my relationship with DD after only 3 weeks on the meds. GL!
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  • I would also suggest having a blood draw to test other stuff like vit B12, vit D, iron, thyroid etc. Deficiencies can also cause those symptoms. Certainly talk to a Dr about the possible ppmd though. No use in feeling awful if there is something that can help. It took a few months for my hormone levels to balance out after baby was born even with the medication I was already taking, so there is some level of feeling crazy to be expected after a baby.
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  • First, I'm sending you some virtual hugs.  ;)

    Honestly, I think I would talk to your PCP.  It may be different for me because I go to a MTF, but I saw my "primary" when I went in for what I thought was PMS related issues, and was diagnosed with PMDD.  I know it's not the same as PPD, but just knowing that someone was taking me seriously and that I was getting some help, made me feel 100x better.  Like a PP, I started to feel like "myself" again.  Good luck mama!  Whoever you see, I hope you are able to find something that works for you! 

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  • I don't know how sleep is going for you but I think I had a touch of PPD and started meds which only really gave me horrid migraines and I went to talk to someone which was good at first and then I resented going because it took precious me time to go talk to a stranger.  Anyway dh and I made a deal.  He would get up with the baby if I put out lol!  Totally funny but not only did it get me back in the saddle in the bedroom but I got the sleep I desperately needed.  I actually had to wake up in the night and pump so I would do one of the feedings but it helped SO much.  Also I feel like once we hit about 4 mo old I started to feel a lot better.  I still have nights when I'm up and it sucks but for the most part I am about 95% better.
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  • Thanks everyone!  I'm going to be going to my OB on Friday morning, so I will know more once I go see her.  I'm kinda nervous. 

    I've actually been blessed in the sleep department because A has been STTN since 6 weeks old.  I just ended up letting her do it because she was thriving and have grown tremendously!  I feel very lucky and she is such an easy baby. 

    Hopefully she'll do some blood tests and we can assess what could be going on!  Thank you so much for the support.

    M + K = 05.16.09 | A.P. = 02.27.11
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