HiMagg22, you are in a awful situation and everything CLKD has suggested is good advice, and your GP should definitely be referring you to a specialist and not just privately, it's very sad that you are suffering like this, there are definitely other options for va there's also a weaker cream that may suit, I believe but not 100% sure there are some new va treatments on the NHS now that can be used if you are not on systemic hrt, maybe someone else will come along with more knowledge of them, I have pernicious anemia aswell, and your symptoms fit with that condition, are you on b12 injections?, that's what I have every 3 months done at the gp surgery I've been on these for 10 years and was told it would be for the rest of my life, I'm assuming you are because without treatment the condition can be very serious, also I started with stroke like symptoms, loss of vision, weakness, numbness and tingling in left leg, arm hand and face, I also passed out with it, I was referred to stroke clinic after attending A&E, turned out I was having hemiplegic migraines, no head pain though, is this similar to what you are experiencing?, by the way I was also only 38 when peri menopause began for me, I've also had a hysterectomy done for large fibriods and continuous heavy bleeding, if you got a referral to gynaecology I'm pretty sure they would consider doing a hysterectomy considering your medical problems, if you are progesterone intolerant it would be easier to do estrogen only hrt, I'm not sure having a hysterectomy would benefit you though if you can't use estrogen hrt you say they said no hrt due to being a cancer risk so not sure you would be able to use systemic hrt, depends what the reason is to being a cancer risk, there are other ways of managing your health issues, hrt by my own experiences is not a cure all I still have awful joint and muscle pain dispite being on hrt for 4 years, there are other treatments for osteoporosis, my mum has it and takes two different tablets for it, not sure what there are called. There are menopause clinics on the NHS, but not in all areas but directly ask your gp about this don't let them fob you off with going private, regarding the joint and muscle pain my gp referred me to rheumatology for that, don't accept life has to be this way, there are many options and not just hrt, go back to your gp and explain you would like to know what other options there are for you other than hrt, as alot of your symptoms do sound menopausal, do a Google search to see if there is a NHS menopause clinic is your area if there is tell your GP you want to be referred to it, be a long wait but will definitely benefit you, I hope you find some answers and hope you start to feel better.
