Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: Jayneyg62 on May 11, 2019, 12:37:36 PM
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Utrogestan availability on NHS. Does anyone know if this is prescribable in Wales please. My gp says not. Grr !
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I had to ask for micronised progesterone - maybe try that? But I'm not it wales!
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I mentioned that to her, still a no ! Be really grateful if someone could let me know how to find this out. Thanks
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I found this : https://www.nhsdirect.wales.nhs.uk/Encyclopaedia/h/article/hormonereplacementtherapy/#Types
Peppermintyx
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Thanks pepperminty. Had a read but cant find where it says utrogestan prescribable in Wales. Perhaps I am not looking properly.
Have any lovely Welsh ladies been prescribed utrogestan ? I want to follow the nick panay regime of estrogel and utrogestan. I have the estrogel but gp not heard of utrogestan. I did try the micronised progesterone description but no luck there either ! Will I have to go privately ??
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Hi Janey- can't help you re Wales but it sounds similar to Scotland. HRT and Utrogestan isn't available although it's licensed for assisted reproduction.
I ended going to see a consultant privately ( nhs and private practice) who wrote to my GP and told her to prescribe it on the NHS. So, I get it no problem. Not sure if she's checked the prescribing guidelines though!
You may have to do something similar? Or why don't you e mail Dr Currie and ask for her advice ( although she is based in Scotland)
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Thanks Michellemabelle. I have printed off some info re Utrogestan to show to gp . Pretty sure 1 pump of estrogel twice weekly isnt going to deal with night sweats and norgestan for 7 days isnt enough progesterone. Will post my success or failure ! I will ask to be referred privately if no success
Hi Janey- can't help you re Wales but it sounds similar to Scotland. HRT and Utrogestan isn't available although it's licensed for assisted reproduction.
I ended going to see a consultant privately ( nhs and private practice) who wrote to my GP and told her to prescribe it on the NHS. So, I get it no problem. Not sure if she's checked the prescribing guidelines though!
You may have to do something similar? Or why don't you e mail Dr Currie and ask for her advice ( although she is based in Scotland)
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Hi Janey- can't help you re Wales but it sounds similar to Scotland. HRT and Utrogestan isn't available although it's licensed for assisted reproduction.
I ended going to see a consultant privately ( nhs and private practice) who wrote to my GP and told her to prescribe it on the NHS. So, I get it no problem. Not sure if she's checked the prescribing guidelines though!
You may have to do something similar? Or why don't you e mail Dr Currie and ask for her advice ( although she is based in Scotland)
I live in Scotland and have had no problem with my GP prescribing utrogestan
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Hi LibraLady- glad we are able to get it but there are others who have been told no, it's not available. I didn't understand this so checked it out and it's correct. It's only licensed for IVF purposes in Scotland.
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This is very puzzling. Surely if it wasn't licensed for HRT in Scotland (or Wales) then this info would be on the HRT treatments menu?
Are you sure the docs are not just referring to the prescribing guidelines for their particular Trust or formulary because some docs only go by these and some insist they cannot prescribe?
For example none of the HRT that I get on NHS from my specialist gynae GP is on the formulary list but she overrides the system by justifying why in my notes or her notes to the dispensary. All docs can do this.
Hurdity x
(Edited due to afterthought about availability)
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I live in Scotland and was prescribed utrogestan by menopause clinic at Dundee hospital 200mg vaginal pills. Too high dose tho think I'm progesterone intolerant seeing GP tomorrow
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Hi
I live in Wales & I have Utrogestan & Oestrogel prescribed by my GP👍😘
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I get my gel and utrogestan on the NHS in Northern Ireland. 👍 I think it is the prescribing policy at your practice Janeyg62. Some practices are really tightening up on what they will and won't prescribe to save money but I know the gel isn't as expensive as some of the patches and I don't think Utrogestan is an expensive drug either?
Either that or your GP isn't very clued up - there are a lot of them about unfortunately x
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I'm in Yorkshire, and my GP hadn't heard of Utrogestan either. GPs are shockingly ill informed IMO.
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Update for you. Saw three drs at my gps yesterday who all agreed they cant prescribe utrogestan. I have contacted NHS Wales who say it's not on the formulary list and gp cant prescribe. I am going to email back later to see if there are any plans to include it as it is prescribable in England ! My option now is to visit private consultant. The final gp I saw advised me not to take HRT at all and drink soy milk !!! This is a ridiculous situation isnt it
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If I told the same gp I wanted to use utrogestan vaginally I think she would go and sit in a corner !! NHS also advises there alternatives available. Maybe but this is now highly recommended by a number of experts
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Oh for flips sake - drink soya milk!!!! :stupid: :angryfire: had to be bloke...please tell me it was a bloke and not a women?
I'd email the practice all the links to Menopause Week discussions which were aired on the BBC last week and tell them they need to get some training. Ref the GP she needs to go sit in a corner anyway Janey - preferably with a dunces hat on!
It's beyond a joke though. Birdy says her sister gets it in Wales in a post below. Where in Wales is your sister Birdy? How can NHS Wales say not prescribable if she can get it?
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No Ladybt28 it was a woman !! She also proceeded to tell me that she had seen for herself the consequences of HRT and that to avoid it. Unbelievable isnt it. Anyhow Birdy I think different parts of Wales have different health boards so different formulary for each. Thank you for your support. I walked away from the gps frustrated and a little upset at the complete lack of interest. The support on this forum helps. X
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I despair!!! "Seen the consequences of hrt", I suppose she may have encountered someone who was on hrt and "got" cancer, either that or she still lives in the days of the discredited study that was produced. Anyway, she should keep her own feelings to herself and be objective and read up on the new studies. How many of her patients will get osteoperosis and lifetime of pain for her views :-X sorry rant over but they really make me mad!
I suppose you're right about the formulary but that's no help to you is it.
x
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NHS Wales have given me a contact number of a person who puts drugs forward for the formulary in Wales. I cant believe this hasn't been mentioned to them before ! This doesn't solve my immediate problem though does it. I am right in thinking that a private consultant in North Wales would be able to prescribe utrogestan despite it not being on the boards formulary?? Thanks ladies
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Thanks Birdy. I have made apt at a menopause clinic 15 miles away.The stress of battling with a gp is not what I need. I am sure a great deal of other women have had to deal with this too. Totally wrong. All GP surgeries should have menopause trained medics.
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As far as I understand any doc can prescribe any med that is not on the formulary list if it is licensed (or even if not in my case), anywhere in UK, as long as they note this and justify it. It sounds like the docs are just sticking to the recommendations so you should actually be able to get hold of it if you can stand your ground!
Hurdity x
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Hi All,
I'm sorry to hear about the hassles and rubbish ladies in Wales are having trying to get utrogestan. In England it is a standard (and relatively cheap) medicine that the GP can prescribe from the Menopause template they have on their computer system.
I'd like to suggest if you've had your consultation with a menopause specialist and have a very clear understanding of the HRT regimen prescribed but your GP won't/can't prescribe it, you may buy HRT via an online pharmacy. It is legal to do this because they will ask you to go through an online consultation before actually prescribing the medicine. You will have to pay for this consultation as well as the medicine but it will be delivered to you. The cost and the process may be prohibitive for lots of us but it might just be the answer for some. Good luck!