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[Kathleen]

Hello ladies.

As promised an update after my recent HRT review with the Senior Nurse Practitioner at my GP surgery. The results were a mixed bag!

I reiterated that my main symptoms continue to be the emotional ones where I feel that I am on a mood rollercoaster every day. This was diagnosed by my Consultant in a letter written a year ago so the surgery are aware. I also mentioned that my VA symptoms have increased but I can manage those.  The nurse noted that my blood test in February showed very low Oestradiol and that she would like to see my levels increase to 200 pmol/L.  I am reluctant to increase my Sandrena gel dose as I am fearful of spotting etc so we agreed that I will stay on one sachet and test again in a few months.

I asked if I could be referred to a psychiatrist because I need to know if my problems are entirely hormone related. I have been told many times by various medics that HRT is not very effective  in treating the psychological symptoms however I have also been taking an AD for a long time. Amazingly she said that there aren't any psychiatrists available and there is a national shortage! This was surprising to  hear as a quick Google shows NHS and private psychiatrist in my area.
The nurse did point out however that there is capacity in the mental health service for the over 65 s. I assume this is to help with dementia but the nurse didn't really know. I have agreed to be referred so I will let you all know if it is helpful in any way. I sort of doubt it but at least I am in the NHS system now so perhaps I will get to see a psychiatrist via this route.

I hope this is helpful ladies and any of you over 65 may want to see if a similar service is available to you.

Wishing you all well and take care.

K.

[CLKD]

There is a national shortage across the UK of Coroners, GPs, Consultants in most specialities, Nurses, Pharmacists - due to retirement age, low morale and lack of support.  There mayB access to various specialities listed on NHS websites but many have such long waiting lists    even in the private sector.