Hi Linsey44
Just wanted to say

and sorry to hear about your health problems - and particularly that you are unable to take conventional HRT.
I have no experience of livial so hopefully there will be someone else along who does. The one good thing about taking it with a hysterectomy is that you don't need to worry about any effect on the womb lining, as possible thickening is cited as one of the side effects or long term effects for some women. I read that it also helps to protects bones against osteoporosis.
However I don't want to sound alarmist but the information on Livial does say:
"Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:.... have a family history or other risk factors for developing breast cancer or any cancer that is sensitive to oestrogen" I assume your GP or specialist gynae will ensure you are monitored regularly and you yourself will take special care in this regard ie re examining your breasts regularly? Apologies if you know this already.
I do hope it works for you and that you manage to avoid some of the worst menopause symtpoms, and hope you have a good recovery from your operation.
Hurdity x