Well...third GP at my practice agreed to start me on evorel sequi patches - cautiously as I have migraine with aura (fair enough) I'm 47, with peri symptoms but still insisted on blood tests, 2 months patches given...come back in a month.
I've found them great, no migraine and no side effects yet (early days I know) most symptoms controlled/improved. I told her this...not what she wanted to hear!..v strange reaction from her "oh dear, I thought they would surely increase your migraines...you know I wasn't keen on the idea of hrt for you?!! ..what happens now?!" Me..." Err well I thought I'd tell you this and get another prescription ?" I then explained I have vaginal sore/dryness (she didn't want to have a look) and could I have vagifem? She said...no..systemic hrt should address these problems..you haven't taken it long enough..(which is maybe true) but she said in any case she would not prescribe anymore oestrogen! I said why not? Systemic is not always enough and it's not absorbed etc etc all fell on deaf ears. So I was thinking going forward I would be able to tweak dose as I'm quite young and maybe move onto gel but I highly doubt it judging by this appointment...I think it will be these patches or nothing! So I live fairly near London...is my best bet asking to be referred to a London menopause clinic? I obviously know the answer 🙄 But what a nuisance. Why do you think this happens? Is it ignorance of what's available or cost?
Also advised vaginal dryness can be treated with any moisturiser put internally and externally! I said at best it could sting and at worst cause an infection!. On my god!! I left bemused....