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[Krys S]

I am 68 and until earlier this year I was taking Tibolone prescribed by my very switched on GP. This was working well. Subsequently I moved to Wales and had to change GP. I took the opportunity to wean myself of Tibolone as I felt that the time was right. As it happened my new GP told me that even if I hadn't stopped my prescription she would not, under any circumstances, continue prescribing Tibolone. In the intervening months my quality of life has suffered e.g. poor sleep, poor skin condition, mild anxiety, flushes etc. I went to see my new GP, particularly about the poor sleep/mild anxiety and the only suggestion was anti-depressents and I am most certainly not depressed! So my query is: Are there any contra-indications to re-starting Tibolone therapy as I feel that this is the best way forward to relieve my on-going symptoms. My previous GP would have had no problem in continuing my prescription (she has women in their 80s on HRT) and I have no contra-indications in the way of other health matters (non-smoker, not overweight, no history of heart disease/breast cancer in the family). This may be a Welsh position on prescribing HRT as there is very limited provision within Wales for advice on the menopause e.g. there are no Menopause Clinics within the Principality.

[Joaniepat]

I am sorry to hear that you have had the rug whipped out from under your feet in this way. This sort of thing makes me see red! I am the same age as you and was also given Tibolone by my GP a few months ago, as I'd had no oestrogen supplementation since mine was abruptly stopped in 2004 due to the now discredited WHI study. I was concerned about getting osteoporosis, which my late mother had. In my case the Tibolone has now been swapped by a consultant for Oestrogel, as being more appropriate for those with no uterus. This was what I wanted in the first place, but my GP said I was too old for it, according to the " guidelines".

There have been no proper studies on HRT for women of our age that I know of. Anyone who tells you otherwise is probably referring to the two, now discredited, large scale studies published in the early noughties.

If Tibolone suited you, I do hope you can resume taking it. There is no reason why you shouldn't, and it is too bad that you have been offered ADs when you clearly do not require them. Anyone would think you had asked for crack cocaine!

 Perhaps there might be some private menopause clinics in Wales?

Anyway, rant over, and