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[bombsh3ll]

That is generally true but for someone with no uterus, or not bleeding due to an IUS or ablation, a raised FSH can be definitive, however it may not necessarily influence clinical decisions so if you are within the expected clinical age range the NHS might not fund it.

For others eg with an IUS or ablation it can be helpful to know when contraception is no longer required although that isn't you.

It should be done if someone is young to avoid undiagnosed POI/early menopause.

[joziel]

bombshell I think you've hit the nail on the head really. It is so hard to pick your way through this and to determine whether there really is any scientific hard-backed evidence that older women 'need' less estrogen, or whether it isn't more the case that providers would prefer to give them less estrogen because they are (always) so terrified of it.

And then there is also a big difference between what a woman 'needs' for symptom control and what a women 'needs' for ongoing prevention of osteoporosis, heart disease, blah etc.... Just because someone feels their symptoms can be controlled with less, doesn't mean they are necessarily gaining all the benefits. What does it mean to 'need' something - and who gets to determine how much of a hormone someone 'needs'.... This is just prescription power-play, as usual.

[Lesred]

This is really interesting! I am 3/4 years post menopausal and can’t quite believe how bad the symptoms still are so off I trotted to see the menopause nurse practitioner at our surgery the other day! I took myself off hrt a year ago as I felt it wasn’t really needed and side effects were annoying, but after about 6 months oh boy, not great! Anyway she said there was no way I was going to feel better without hormones and was shocked I was put on such a low dose ( 1 pump Oestrogel + utro continuously) she said the starting point should def be 2 pumps! That was her starting point even post meno! Soo different to the last person I saw who wanted to be very slow and careful! So my experience has been that attitudes to post menopause hrt seems to have changed in a year and half! And this thread has been very timely! I would also say that obviously if you are ticking along nicely that’s great, I was struggling so hence the reason for hrt again!!

I do feel us post menopausal women sometimes get left in the ether, with no one quite sure what to do about us and often under prescribing as we “should” be on an even keel by now, sorry probably a little over dramatic  . Anyway let’s hope this time round is more successful! And yes what indeed constitutes an older woman? I’m 56 is that an older woman? No idea!
 

[Epona52]

Noooo lesred, your not old at 56,
I think it all depends on our mental and physical health, 

[bombsh3ll]

I wish someone would clone that nurse

[Lesred]