Print

Please login or register.
1 Hour 1 Day 1 Week 1 Month Forever
Login with username, password and session length

[joziel]

You can register here(!): https://www.fourteenfish.com

It's free. I felt like saying I was a practice manager I was at least not claiming to be a medical professional 

My Newson Health GP was very impressed her patient had done the course    In my review, she even said to me "So, now you've tried going back on desogestrel, what do you think you should try next?", as if I were a medical student    And I said "Double the utrogestan?" and she said "Exactly".

Maybe I've missed my calling 

[Smurph]

Brilliant  I know where to come for more advice then!

Thanks for the link 👍🏼

[CLKD]

joziel - may we join the queue ........ your Fees might be 

Isn't it awful that those 'giving advice' can't agree within themselves 

[Nicodemus]

So sorry you went through all the hoops and still have a crap GP. It must be very frustrating when you are as knowledgeable as you are and they are dismissive. I am glad that you at least have access to a private GP that seems to know what they are doing.

On point 1 about having to take progesterone even if on desogestrel: I saw my GP on Thursday and he told me that the advice had changed since my previous appointment (which was about a month ago so it's very recent) and you are now not required to take additional progesterone if on deso. So she's wrong about that (or my GP is).

[joziel]

Nicodemus, I wish that were true - but it's not    Not unless you double the desogestrel and take 2x POPs every day:

"Earlier studies have reported that desogestrel 150 micrograms is effective as the progestogen component
of HRT with no increase in the risk of endometrial hyperplasia.33-34 There is lack of evidence on the use of desogestrel 75 micrograms as the progestogen component of HRT. If desogestrel 75 micrograms is used as contraception in women receiving HRT, it would be recommended to add further progestogen (e.g. Utrogestan 100 mg daily or 200 mg for 12 days a month) to provide adequate endometrial protection."

Taken from here: https://thebms.org.uk/wp-content/uploads/2021/10/14-BMS-TfC-Progestogens-and-endometrial-protection-01H.pdf

I've looked around the BMS site and can't see any other info there about it. The study which used double the POP dose is here: https://pubmed.ncbi.nlm.nih.gov/8429799/ 

[joziel]

Thanks everyone. The sad thing is that I believe I know the bare minimum but clearly some GPs who fancy themselves to take a specialist interest in the menopause, know even less than that. Which just leaves you wondering around in a kind of shock at the level of knowledge out there. Frankly I wouldn't care, except that GPs are the gateway to meds and healthcare.

[CLKD]

I wonder who funds their 'research' in order for them to be so pedantic?

[Kat36]

I’m so sorry you are going through this. I too have had a frustrating appointment with my GP this week. She is meant to be the knowledgable one in the practice when if comes to hrt. I have POI and she basically said (after only trying two types of hrt) that maybe hrt just doesn’t suit me and that they’re giving it to me because of my age (39yo) but maybe instead they will just pump me with loads of calcium😡….shocked! At this point I too am thinking about a move to another surgery. Useless and never seem to have any answers. 

[Marchlove]

Who do you think mind fund the research CKLD?! x

[joziel]

Kat36, that's awful. At your age you for sure need estrogen. Goodness....

I think I'm just going to wait till October and see if this local menopause doctor's clinic is any good. It's private but the prices are really reasonable. Till then I just keep on with Newson Health. There is also the option of seeing a gynae locally also privately, who has come highly recommended for menopause stuff and HRT.

But at the moment I don't need any particular help. It's just if something goes screwy, you can need someone quite soon with all this and if you don't have the right person in place, then you get in a mess. Which is why, even though I have nothing urgent going on, I was trying to find someone... ho hum...

But we are also going to be moving house in the next year so spending loadsa money trying to find someone local here who can be My Person, might just work out not very cost effective....