Hello corhale and

I am 68 and had a hysterectomy and ovaries removed when I was 47. Although I was given systemic oestrogen afterwards, my supply was stopped against my will in 2003, as a result of the now discredited WHI study. I've had my ups and downs since then, although nothing as severe as your problems.
You may be able to get transdermal oestrogen. According to the hospital gynaecologist I saw earlier this week, there have been no studies of the effects of this on women of our age, and anyone who tells you differently is probably referring to the WHI study. She prescribed Oestrogel and I will be starting it tomorrow.
It would be a good idea to get a Dexascan done if you can. Osteoporosis was one of my concerns as my mother had it, and I will be getting this done at the same hospital. I had mentioned my concerns about osteoporosis to my GP and asked about systemic oestrogen, but he said I was too old. However, he did prescribe Tibolone instead, which I have been taking for about 4 months. Interestingly it has improved the aches and pains in my hands! But of course that will now be replaced by the Oestrogel, which is more appropriate for those who have no uterus.
I hope your GP will take an enlightened view, but if he/she insists on sticking rigidly to the guidelines, I urge you to get a referral to a specialist.
I wish you the very best of luck, and do keep us updated.
JP xx