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[walking the dog]

Just saw my fab GP I said how I wished I could go see prof studd but financially unrealistic even by phone,  she said that there's no reason I cant have his regime from the meno specialist locally on the nhs , which makes me think should I ask for gel instead of patch and should I ask for less dosage of utrogestran but for a longer period ? GP says the testosterones really only to help sex drive (now I'm off ADs in ok in that department) I'm trying to sort out my severe pmt and anxiety , I'm sceptical about the meno specialist here I have seen 2 at same clinic and 2nd one said hrt doesn't help anxiety ! I'm so confused . I thought of e mailing Dr curry but would meno specialist here have to listen and act on her response ?
Any help would be fab I'm in a right muddle hrt wise plus I have 9mm womb lining and polyps cysts and changes in womb that been kept eye on

[CLKD]

Sometimes GPs etc. don't like being told  and some will prescribe the cheapest medication they can get away with. 

If the e-mail facility is here I would use that first.  The reply would give you the answer which you can then take to your GP for discussion.  He/she may be OK about prescribing something suggested by a Medic who is dealing with HRT problems on a daily basis.

I would go to my GP, "Have you heard of Dr Currie who runs a popular Menopause related Forum where we ladies discuss issues?  I've sent an e-mail of my symptoms and she has suggested ……….  Do you think this is something we can work on together so that I get the best result for my horrible symptoms?" 

[walking the dog]

My gp is great and would follow Dr currie its my gp who told me about this website and she goes on gynaecology training etc its the specialist at menopause clinic im anxious about as she's a specialist in her own right travels world giving conferences etc so don't want to feel like im under mining her by going to Dr Currie for advice, though I probably would be , I'm getting myself confused now 😐 what I need is someone who has knowledge of pmt hormone depression etc along with my womb issues who can tell me what to take hrt wise ? The meno specialist I saw second time (not so  much expert as 1st specialist) wasn't interested in my perimenopausal mental state just my physical state .
Now I'm under the meno clinic which I tried a long Time to get referred to I think my gp wants them to handle my hrt , would i have to discharge myself and ask gp to deal with hormones but reason she referred me to meno clinic was for more specialist help which I have had to extent but can I really ask them for prof studd regime without been rude/detrimental to what they have offered ?

[Mary G]

Can your doctor prescribe the exact Professor Studd regime i.e. 2-3 pumps of Oestrogen and 100mg Utrogestan (vaginally) for 7 days each month?  If she is prepared to do that, it would be fantastic.  Also, because of your other issues, I am sure she will agree to your having regular scans to check that all is OK. 

Could the message finally be getting through?

[walking the dog]

The meno clinic did mention gel in Feb but said try patch first as easier and as my flushes went in 24 hours I was so pleased that stuck with them they also prescribed me 200 mg micronised progesterone for the first 14 days a month , I assumed this was to make sure I get a proper bleed due to my womb lining been too thick? Would I get a good bleed on 7 days and would the gel help my anxiety ? Does he help anxiety as you can increase and decrease your dose daily as needed? As gel has been mentioned and I'm already on the utrogestran I don't think i will have a problem getting it recommended off the menopause specialist , she just gave me a note for my gp the last time and my gp gave meca prescription forthe patches and the progesterone so imagine it would work the same ? Do you really think it would work to cure my hormonal depression and anxiety ?

[Mary G]

I would definitely ask for the gel because, in my experience, it works better.  It is more flexible too because you can adjust the dose to suit your needs.

If you have had problems with womb lining, it is important to have regular scans but I can't see why this would be a problem with the NHS.  Have you been using the Utrogestan orally or vaginally?  It is much more effective at lining clearance when used vaginally meaning you can take less of it and get the same result.  When taken orally, there are more side effects and about 50% of it gets lost in your digestive system.

If you suffer with anxiety then too much progesterone is not going to help you.  The feelgood factor comes from the oestrogen and I think you would feel better and more in control with the gel (you might well find you need an extra pump as a booster every now and then) and I think you would also benefit from using less Utrogestan vaginally. 

Professor Studd has spent his entire career treating hormonal depression and this is his tried and tested regime.  I truly think you would benefit from it. 

[CLKD]

I can't remember whether you have charted your associated hormonal depression and anxiety or whether these symptoms are a constant.  I know I had depression the night B4 a bleed started, even if 1 wasn't due; I would cry buckets! and that would stop once the bleed was half-way through. Until the next month  .

Regardless of what is causing the depression and anxiety, it is those symptoms that need addressing.  Anxiety can be helped by various Valium-type as necessary medications, it's a bit Trial and Error to find an AD which suits.  My regime isn't a cure but it enables me.

[walking the dog]

It all sounds too good to be true maryG I'm def asking for it when I'm at meno specialist in July, I take the micronized progesterone orally but did try it this month vaginally but got sore and itchy pretty much straight away so on day five went back to orally so may have a problem taking it orally I did think 200mg for 14 days progesterone was a lot I'm under a gynaecologist but he has written to menopause clnic and they are going to do a vaginal scan in July so it seems I would be looked after womb wise ,
I have been chatting my depression ckld and it shoots up normally the day before my period I showed my gp the charts today she agrees there's a pattern and said to tale them to meno specialist in July. . I hope this works ladies I'm getting so excited at prospect of having some normality

[MIS71MUM]

Hi WTD
If you ask your specialist at meno clinic for the gel because you want to tweak the doseage and say that you can't do this with the patches, I don't think that they can refuse you.

The utrogestan is what Prof Studd prescribes so maybe you could ask about taking less but for longer.  Surely they won't be funny with you after all, your only tailoring the HRT to your own individual requirements.  They can't/shouldn't expect 1 regime to fit all.

Sounds like you have a good gp.

[walking the dog]

Thanks mis71mum I have the worlds best gp I know I'm very lucky. I'm going to ask at clinic in July and taking hubby with me ! He doesn't know yet 

[walking the dog]

Sorry to be a pain so what I need to ask for is oestrogel and micronised progesterone (which I already get ) but discuss with specialist to maybe take 100mg for three weeks of the month ? 😊

[Mary G]

WTD, Professor Studd prescribes 100mg Utrogestan (micronised progesterone best used vaginally) for 7 days each month.  You might want to run that idea past your doctor and tell them that this is what Professor Studd prescribes along with 2-3 pumps of Oestrogel and testosterone.  I am on this regime and it works very well. 

[Tinkerbellj]

My meno.clinic gave it to me no problems. ..well the registrar did tje actual consultant got shitty when I mentioned proff studd but the registrar was much better! Didnt blink an eyelid when I mentioned testosterone . Tje consultant just laughed at me. I wont be seeing her again.!

[babyjane]

How unprofessional to laugh at you  no matter what their opinion you deserve to be treated with respect, not laughed at.

[Tinkerbellj]

I agree! For.someone who is dealing with ladies in my.position everyday she was horrible and really patronising. Registrar was much much better!