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[KiltedCupid]

Certainly is hurdity. I did notice the effects of E around ovulation. Biologically understandable. I guess. Interesting you mention high E levels post meno. I have been seriously going into some considerations about the E implant due to the fact it can give unpredictably high levels of E but that's for anotherthreadt. I have plenty of time until fitting.

It does seem there is some conflicting  info out there around T. I dont think its disputed that it halves on ovary removal. But some info I have read links falling T as purely age related and seperate from natural  menopause. But it would seem many ladies on here have low T readings around meno which would suggest to me maybe a link. Either by some conversion mechanism orr that T falls significantly around the age that just happens to be around the time meno occurs.

It seems like there is little research on the long term effects of T replacement 
Or about  why it helps some women and not others etc. More research needed.

I wonder whether the patriarchal medical profession are not interested in this issue. Im sick of reading in medical info  how sexual function is more complicated in women than in men. That it's not purely physical for us. This thinking doesnt help. This idea that we like sex for different reasons to men.

Hmmmm.... Xxx

The patriarchy know how to make a fuss when they ain't getting any though!

They should be mindful....

[Tc]

Too right KC. I wonder whether in history this was always the case or whether those Victorians  have got a lot to answer for.

[Joaniepat]

Too right KC. I wonder whether in history this was always the case or whether those Victorians  have got a lot to answer for.

I think in days of yore (Middle Ages perhaps) women were thought to have a higher sex drive than men. I don't know when or why this changed (unless to keep women in their place) but I don't believe Queen Victoria had a libido problem!

[sheila99]

She might have done by the time she was meno.

[KiltedCupid]

I blame the Victorians for everything.

What a right shower they were.

[Hurdity]

Certainly is hurdity. I did notice the effects of E around ovulation. Biologically understandable. I guess. Interesting you mention high E levels post meno. I have been seriously going into some considerations about the E implant due to the fact it can give unpredictably high levels of E but that's for anotherthreadt. I have plenty of time until fitting.

It does seem there is some conflicting  info out there around T. I dont think its disputed that it halves on ovary removal. But some info I have read links falling T as purely age related and seperate from natural  menopause. But it would seem many ladies on here have low T readings around meno which would suggest to me maybe a link. Either by some conversion mechanism orr that T falls significantly around the age that just happens to be around the time meno occurs.

It seems like there is little research on the long term effects of T replacement 
Or about  why it helps some women and not others etc. More research needed.

I wonder whether the patriarchal medical profession are not interested in this issue. Im sick of reading in medical info  how sexual function is more complicated in women than in men. That it's not purely physical for us. This thinking doesnt help. This idea that we like sex for different reasons to men.

Hmmmm.... Xxx

Yes studies seem to show that there is a decline in T levels which is age related rather than menopausal because the ovaries (and adrenal glands) continue to produce androgens even after menopause. With surgical menopause this is different as one source of androgens ( precursors to tesosterone) is cut off so you are reliant on adrenals. I think the loss of oestrogen also plays a part.

The things about oestrogen levels is interesting - I mean we only have those very high oestrogen levels ( >1K pmol/l sometimes almos 2K) just before ovulation and then of course much higher in pregnancy. Would we want to recreate those extremely high ovulatory levels all the time? I wonder what that would make us feel like? Also it would presumably need far more progesterone than most of us would tolerate - so HRT is a compromise. I did read somewhere that HRT is aimed at prpviding an average level acorss the menstural cycle eg maybearound 300 pmol/l if I recall (very approx)? However we know that levels don't actually translate into symptoms  which are an individual thing....

Yes - soooo much more research needed!

Hurdity x

[KiltedCupid]

An interesting side effect I found with both norethisterone and levonorgestrel when used in patches was an increase in libido. It waxed and waned usually highest at patch change so I must have had a whoosh of the prog at that point. I guess because they're both testosterone based, that would explain it. Unfortunately I can't tolerate the full patch strength anymore so don't get the same effect. I wonder if any other ladies have found this?

[Tc]

I havent had a level of E  above 200 since surgery so I dont know how my body will react to a higher level and this is my worry with the implant. It is unpredictable. It gives a level between 300 and 600 but can be much more and levels can continue to be high even after the end of its "life" it cant be removed.

So I'm thinking being as I dont know I might find  a level of 300 might be enough for me to feel well and would cover bone health, so I could be getting a higher dose than I need. Which goes against the HRT ethos of lowest effective dose and increases risks too.

I had thought a while ago "I'll take as much E as I can get. " but I now realise that's not a good idea, plus if 600pmol makes me feel unwell there is nothing I can do to reduce it.
I need to explore it more with the doc.

The mirena can raise T as it has androgenic properties. We didnt discuss the T implant. It's off license as with all T for women. But again. The fact it cant be removed is a bit of a concern for me. Xxx