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[Hurdity]

The NICE Guidelines do give the option of GPs or menopause specialists to prescribe testosterone off licence for low libido in women - but also I think tablet HRT and possibly some of the synthetic progestogens (?) also act to reduce libido - as well as some anti-depressants.

Hurdity x

[Dandelion]

Dandelion - if you read the link the survey showed that actually a staggering 80% of women (surveyed) experience symptoms. Clare663 - if the 42% is typical I was one of those too - ie found the symptoms much worse than expected and was totally unaware of the effect of oestrogen deficiency on libido, vaginal dryness, oesteoporosis.

Hurdity x

Thanks, Hurdity

[Dandelion]

I think the whole thing needs a serious revamp and that Menopause Clinics should become a natural progression from Family Planning Clinics.  All things menopause (no pun intended) should be hived off to Menopause Clinics with well trained doctors who specialise in the menopause and HRT.  There is a definite overlap between the two services with women using the BCP and Mirena coils for birth control and vice versa.  It would make the transition much smoother and women could very easily pass from one clinic to the other - they should also be able to carry out blood tests and uterine scans.  Most importantly, women would be getting the specialist care they so desperately need. 

HRT should not only be offered for symptom control either, it should be used as a preventative medicine to protect women from the ravages of oestrogen deprivation in later life.  At present, there is far to much emphasis on short term symptoms and many women think they have got through the menopause with ease only to realise (usually too late) that the early part of the menopause is the thin end of a very big wedge. 

This part of medicine needs to be revolutionised and available to all women.

that's really scary. My hrt has helped loads with flushes etc, but not the increased anxiety and depression that came with it.

[Dandelion]

My meno symptoms were certainly worse than I expected too. I was always lead to believe it was just hot flushes. If that's all it was I could cope with it, but absolutely no one ever told me that the insomnia (and associated anxiety and depression) were so debilitating that I would be contemplating suicide. Even now when I tell people that's my worst symptom (and can still show its ugly head sometimes) they look surprised, like I'm some kind of freak, or I'm exaggerating.

I too comtemplated and planned suicide at Xmas so I know what you mean to a certain extent and I am very sorry to hear you feel this way. I hope you don't get too depressed in future.
I dont think you're a freak, most women my age have no bother with perimeno, so I feel a bit like the odd one out, and I hope it doesn't get worse when I go post meno.

[Trufflecat]

Very interesting. I suspect it's not talked about because it's tantamount to standing up shouting 'Im OLD now' and not seen as sexy. Too many jokes about growing a beard etc. Here's hoping this helps.

[Miss Lemon]

It can only be a good thing to share experiences and knowledge. When I was a teenager we had two neighbours who were 'agoraphobic' (sp?). Both ladies were too anxious to leave their homes. One was the mother of my friend and I know that she had horrendous sleep issues and would do laundry all night etc and would cry all day long, according to my friend. Looking back now, both ladies were late forties/early fifties and had led normal lives previously. So it was obviously meno related. Poor women; they got no help.

We are so much better off.

[Trufflecat]

Those poor women. I had a friend who was training as a GP 30 years ago. I mentioned PMT to him on one occasion and he informed me that it did not exist....and he showed me his textbook clearly stating that it wasn't real.

[CLKD]

?? Maryjane

[Maryjane]

Thank you CLKD😊... I can't find those to questions/answers I have seen them put up here before from the guidelines. .....ummmm🤔

[CLKD]

I looked physically in the Forum and website news to start with