Hi Kathleen
After c10+ long years of trying to find the right HRT (under guidance of Chelsea & Westminster Meno Clinic) I gave up last October (thought it would be easier then than in the heat of summer) and came off everything - including Vagifem. I never felt that great on HRT anyway - highly progesterone intolerant and in spite of trying a range of progesterones over years, none of them suited - Utrogestan 100mg vag-route, 6 weekly for 10 nights still gave hideous systemic effects / depression / made VA worse, irritated bladder - and I never felt that great on estrogen only. I'm now 57 and had an early meno at 44.
The sequi regime and fluctuations created by it was worsening my migraines and I couldn't take any conti progesterone or Mirena/Jaydess due to intolerance - and I loathed creating a cycle and having a withdrawal. From this I know that my biochemistry is highly sensitive to even *miniscular fluctuations*.
Last month, I tried a re-load of Vagifem that triggered awful Telogen Effluvium (scalp tingling, hair loss) and migraine - the fluctuation the tiny amount of estrogen created upset my system.
9 months on, just starting to feel I *may* be coming out the other side, flushes/sweats/insomnia are slowly diminishing, sleeping through the night, more energy - think it will take *years* for things to settle and for my adrenals to produce some estrogen. I feel taking HRT stops the body from adjusting, finding its equilibrium.
It took about a month for the HRT to leave my system but I was only on a low dose 25 Estraderm patch.
I take Magnesium Taurate, Vit E, Vit D, Fish Oil, B Complex and some others - and a recent addition that may sound a bit bonkers but seems to really help - is Extra Virgin Olive Oil.
Big bonus: I never have to take the hideous Utrogestan again - I only have to see a box in the drawer to shudder!
The regime of Utrogestan/Oestrogel that seems to be promoted as the cure-all by the likes of Vorderman / Frostrup certainly does not suit everybody.
K, would you consider a trial period off HRT, see how you fare?