minuette, I'm sorry to hear about your problems but your post made my blood boil because it is completely unnecessary for you to suffer in this way. Unless you have a very, very serious illness that prevents you from continuing with HRT (I assume you do not) then why on earth would you stop taking it? You were obviously very happy with Tibolone so there is no reason why your doctor should suddenly decide on some whim that he will no longer prescribe it for you - for what purpose, did he give you a good reason? Does he know that the HRT prescribing guidelines have changed and there is no longer any time or age limit on taking HRT? Is he working with out of date information? What risks are you referring to? Apparently Tibolone carries the same breast cancer risk as oestrogen only HRT which is virtually none, it is only HRT that contains synthetic progesterone that increases breast cancer risk very slightly. As far as I know, HRT is only more risky in your 60s if you suddenly introduce it 10 years post menopause and have never taken it before - as in the MWS.
Despite the changes to the guidelines, it seems that many women are still being very short changed and not given the right menopause/HRT treatment. I find it staggering that women struggle on for years with horrendous, embarrassing, life ruining symptoms and their doctors do nothing and tell them 'it's a natural process'. Lots of things in life are a natural process but you don't necessarily want to go there. The only way to treat oestrogen deficiency is to replace it with oestrogen, it's not going to go away on its own and the symptoms can drag on for many years.
The menopause and HRT needs a whole new approach and a good place to start would be to very publically consign the two deeply flawed and now discredited HRT studies to the history books forever. The benefits of taking HRT are immeasureable and make a huge different to your long term health in terms of cognitive function, heart function, blood pressure, bone density, the list is endless. The benefits of HRT far outweigh the risks.
Going forward, you can do several things, tell him you want to take Tibolone indefinitely and get him to prescribe it or find a private doctor who will prescribe it for you. I know someone who manages to get a private prescription for Tibolone in the UK but she buys it over the counter and without a prescription in Spain because it is cheaper.
In years to come, this type of appalling menopause treatment will be cited in medical books instructing doctors how not to do things.
I hope you get back to how you were as quickly as possible.