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[Sickntired]

Anyone who gets it prescribed?(uk based)
 Am at wits end , now looking for legit brand name so i can buy online. 
Had enough with medical community.

[Mmelody]

I've spent many hours searching to buy it online with no joy. I have a private prescription now but want to stockpile it a bit as it's really quite precious. If the house was burning down I'd grab my kids and my hrt. Can you see a private Doctor?

[Joaniepat]

Anyone who gets it prescribed?(uk based)
 Am at wits end , now looking for legit brand name so i can buy online. 
Had enough with medical community.

I have Testogel sachets prescribed on the NHS. You might be able to get it online, but will probably have to pretend to be a bloke  . Or if you have a male partner, get him to do it. Good luck!

JP x

[Sickntired]

Thanks all, thats a start.   GP mentioned my testosterone was at the low end, did i still want to get prescribed as previously asked at local menopause clinic -  all great but its the time scale of waiting.  Tired of being tired , unmotivated and no muscle strenght- its multiplied jin the last month.  Im marathon training but finding it harder to motivate as each run is harder and shows less improvement.   GP falls down by not understanding the necessity for excersize.

[Tc]

Just want to say. If you have had your ovaries removed you can argue the case for testosterone.  The ovaries continue to i produceit t after menopause. It declines with age. But oopherectomised  women face a sharp sudden decline and it is recommended in this situation.

[NinaH]

You can buy it from ukmeds online. I've used them before and it's been fine

[Zara69]

Hi mamachunk did you tell them you were female or just complete questions as a man?

[NinaH]

Yes I posed as my husband 

[Zara69]

Thanks ladies! X

[kdee69]

Hi mamachunk did you tell them you were female or just complete questions as a man?

You have to be male. My chap got mine for me by saying his erections weren't strong and that his doctor had suggested testosterone but he didn't have time to see his doctor.

This is so interesting!! How much do you use?

[Wrensong]

Hi TC, interested in your comment above

oopherectomised  women face a sharp sudden decline and it is recommended in this situation.

I had a BSO last year & feel a difference even though I'm well postmenopause.  I knew before the surgery it would mean I'd be even lower in T than I was before & strongly suspect I need to supplement, assuming we can ever get my basic HRT right & I decide to stay on it.  My Meno Clinic will prescribe T for me, so I don't need to argue the case, but I'm interested to know whether you're referring to official guidelines & if so are they only for women who have ovaries removed before menopause?  If you could supply a link it'd be really helpful. 

[Tc]

Hiya wren.  How do I attach a link?

The NICE guidelines under menopause management state "consider testosterone supplement for menopausal women with low sexual desire if HRT alone is not effective"

I cant find any specific reference to surgical meno and T in their official guidelines but I have found info on other sites.

For example Chelsea and Westminster menopause clinic on their site "testosterone should be prescribed with HRT after a surgically induced menopause".. I've got a pdf file with all their testosterone info.

Also. BMS under "testosterone replacement in menopause". Loads of information. They mention "the loss of testosterone is profound after surgical menopause," interestingly they mention that testosterone was previously licensed for  surgical meno women on Eastrogen but was stopped for "commercial reasons".
There info is well worth a read, they mention tibolone as well.

From the studies I've seen I think it's pretty indisputable that testosterone plummets at surgical meno , many say by at least half) whilst post natural meno the ovaries continue to make it for many years.  After a few years post natural and surgical E levels are not remarkably different but T levels are.and indeed because of the lack of E to balance it in natural that is why some ladies get "androgenic" side effects. It's also seems to be the reason some professionals dont believe in prescribing it without E. Although I've read a report which also questions this and seeks to establish that it is safe to take alone without E supplement. I will look for that one and post all the links when I find out how.

Incidentally while I was reading up I noticed that the nice guidelines state "after medical or surgical treatment  offer referral to healthcare professional with expertise in menopause". Didnt happen with me and I'm pretty sure from reading on here it's not happening as often as it should.

Crikey my brains going to explode in a minute. Any tips on how to post a link?

[Wrensong]

Hi Tc, thanks so much for going to the trouble to post all that.  It was kind of you.  In answer to your question, if you copy the web address then paste it into your post on a thread, that should work.

I was interested in seeing anything official that specifically stated that women who have BSO when they are already postmenopause should be offered T.  I was offered it years ago when I was already post & knew it was recommended to have a good level of E before adding T, but had not had BSO at that stage.
Wx

[Wrensong]

Sorry Tc, forgot to say please don't worry about posting all the links to the articles you referred to - I have copied out your post to go through later & will check the various articles when I have more time, so thank you.  Pretty sure I've read most of them before but what I couldn't remember was whether any of them made reference to best practice as regards T being offered to women who have BSO when they have already gone through menopause.  So not those for whom BSO causes an abrupt menopause.  Interested to know whether they think postmenopausal women's ovaries produce so little T that replacing it if they then go on to have BSO is not necessary.  I was 6 years postmenopause when I had my BSO. 

[Tc]

https://academic.oup.com/jcem/article/90/7/3847/2837204

Can you see this. Did it work wren?
.
The one I've tried to link is probably more what you're looking for. Try to have a look at this one.

I must say reading up on BSO is pretty grim isnt it. ?

Take care xxxx