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[Stargazer]

I am awaiting a phone call consultation with a GP with special interest in Menopause next week, after waiting 6 months on the local NHS Menopause Clinic list (you only get to see the Consultant apparently if she fails to help you).

Two blood tests have revealed I have not absorbed Oestrogel and now Oestradot over the last year and cannot take oral Oestrogen because of focal migraines.  I am intolerant to Progesterone (even my own long history of bad PMS and menstrual migraines (in bed every month). I had to stop Utrogestan recently having tried it orally and vaginally over the last year as my irritability had reached crisis point and I was finding I was unable to control my anger (so against my personality) my husband told me to stop and removed the Utrogestan he was very worried. I could never tolerate Povera, Depot injection of Progesterone and the mini pill in the past.

I had a failed endometrial ablation 5 years ago and so the Mirena coil not possible to insert due to scarring from ablation at the time of the ablation the Gynae Consultant said I had a small womb and it would be very difficult to insert a coil later on. At the time of the ablation they inserted a copper coil which was extremely painful and then weeks later I had to be admitted to hospital with extremely heavy bleeding and have it removed.

Within 24 hours of stopping the Utrogestan i mellowed considerably, no anger.  I still have some irritability, no anger, terrible joint pain and pee at night 3/4 times despite stopping drinks at 7pm.  I have Vagifem and continue to use that.  I have no libido, I get very tired I think I need the HRT to function properly.

I think I need a hysterectomy and Oestrogen implant do you agree?

[Nik2502]

Hi Stargazer

In my experience, gynaecologists are loathe to give you a hysterectomy for progesterone intolerance.  I also believe you can’t get the oestrogen implant on the NHS.

You could try long cycle progesterone - I’m under Newson health and used to do 7 days every 3 months before I went on to a continuous regime. It’s as much as I could tolerate.

Hopefully your consultation will be helpful.

Best wishes
Nik x

[3isenough]

Hi Stargazer you sound exactly like me, I did manage to get a hysterectomy and BSO due to pelvic pain and generally bugging them... I also had existing prolapses which were likely to get worse and which also needed resolving and as i was in early meno at 40 we agreed to take it all out, I was also able to use my private medical cover although i did get referred to the consultant on the NHS via my local meno clinic but chose to do the op privately as it was mid 2021 and stood a better chance of getting it done.

Not having to have progesterone has been amazing... Sadly SINCE the Op i have become a non absorber and the last 12 months i have seen a massive decline in my Oest numbers despite trying every possible transdermal method i react and my numbers get ever lower, now back to where i was pre HRT... i tied oral tablets briefly but also suffer from migraines and i was useless on the tablets after a week. I am not keen to try them again without first improving my estrogen numbers to give me a buffer... SO i have found a private consultant to try the implant next week.
Fingers crossed this works as the NHS clinic sent me a letter today (after many emails and calls re my bloods) basically saying we can't offer you the implant here, you can be referred to a London clinic or go private or if you stay here you get stuck with the gel you can't use or the patches that don't work... so not a lot of help there.

Happy to update /answer q's...? If i was reworking the whole process I would trial the implant privately first, maybe try and persuade someone to let me do a continuous progesterone low dose trial as well, but ultimately i am glad i had the hysterectomy. So I would not rule that out as a solution. But i think getting the right estrogen dose would be my first target to hit.