Hi honeyblossom
I understood that for extreme progesterone intolerance and when HRT is required for debilitating symptoms, then a hysterectomy can be offered - there have been women who have had this posting on here. In fact there is a woman on here who also posted the same recently - I think in her case the gynae recommended the hyster but the finance people refused it - so may be a bit of a lottery here.
Please yes see another GP and insist on a referral. For a start you need the oestrogen to protect heart and bones at your age so it is essential that you are able to take oestrogen at least until the natural average age of menopause (around 51/52) so if you have not consistently taken it since your last period 5 years ago you especially may need it to protect your bones. Also if you have been without it for much of the past 5 years ( is this the case) then you should also ask for a DEXA scan to check your bones.
Your doctors have a duty to ensure you are able to take replacement oestrogen at your age and if you are progesterone intolerant they absolutely should refer you to a gyanecologist and follow their recommendations.
I would suggest a longer cycle (2-3 months) but you would need to ensure your level of oestrogen is at least medium dose to protect your bones, you would then have to take a longer 12 days course of progesterone, and your bleed would be heavier than with a monthly cycle.
Can you manage 7 days of progesterone of some sort and which types have you tried? Prof Studd recommends this shortened dose for progesterone intolerant woman, but you would need to be monitored with a scan say annually (or maybe a bit more often) as there is increased risk of endometrial hyperplasia with reduced progesterone. Your gynae may be able to sanction this if you can cope with it?
Hurdity x
