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It can take up to four months for the pessaries to work. All that you are doing will make GSM symptoms worse until you get it under control and only topical oestrogen will help. Leave out the HA to give the treatment time to work, you can always experiment with moisturisers as time goes on.

The link below will explain more about the condition.
https://bssm.org.uk/wp-content/uploads/2023/02/GSM-BSSM.pdf

It's The Change - does what it says on the tin.  Many of us thought that menopause was the end of periods and a few flushes!  For many this may be the case, however add daily life as well as a huge operation: do not underestimate how big hysterectomy actually is : the body may well go into shock.

Is it possible to change your GP Surgery?

Yes its certainly not a walk in the park any part of menopause, mentally and physically draining, and having to carry on with normal everyday life whilst feeling like this is testament to how strong we women are,
I actually like my surgery despite the dr i spoke to, who i havent ever met, its so hard getting an appointment and you basically get who your given sadly, and thats if you get threw for a callback and then an actual face to face appointment.

Surgery can have a major destabilising effect both physically and mentally.

It is not uncommon for it to be the straw that breaks the camels back, unmasking problems that were possibly simmering in the background and may otherwise have gone unnoticed at least for now.

Perimenopause creeps up insidiously in many cases however others like you find themselves plunged into symptoms following a seemingly unrelated illness or stressor.

I would definitely recommend seeing a menopause specialist if you can afford to do so. At 48, and having a hysterectomy can hasten the onset of menopause even when both ovaries are conserved, you will be perimenopausal.

Whilst hormone therapy may not be the entire answer to everything you are experiencing, it is certainly a good place to begin, and sensible in terms of your future health.

Fortunately now there are also plenty of companies offering reliable direct to consumer blood testing - I personally use medichecks and forthwithlife - for anything you can't get on the NHS.

I would recommend getting a venous blood test done (many pharmacies offer this) for any tests you choose to have, rather than a finger prick, which often results in a great deal of frustration, a black and blue finger and an unreliable result.

Yes I feel like the operation triggered something in me and I just no everyday my mental wellbeing was getting worse and it had nothing to do with the hip replacement, that was obviously major surgery but I feel the symptoms ive been having are more centered towards hormones, all i know os i feel absolutely awful and need to get speaker with a different dr to work out what's going on! Thanks for reply

You'll be fine! 

I have a headache on 1 side worse when I bend forwards  - we stopped our statins last week on advice  so of course, I've got a stroke approaching.

Otherwise fine.  Tnx.

Hyaluronic acid?
J x

Thank you xxxx

So shall I just wait and see what Gp says on Monday re the increase? She may ask me to wait anyway. There again she may suggest increase.
I wish I was closer to the 12 weeks then it would be easy to know that increasing was the right thing to do.

I take propananol sometimes when anxiety is bad but not always as I dont feel it helps. Its helped.previously with palpations but not with this awful dread in my stomach. This was to be the crutch to use until review on 29th.

I may just start taking a propananol on a morning and afternoon which is when the anxiety is at the worst. Suppose it can't do any harm.

I will have to wait till Monday. I found a box of 0.5mg sandrena gel that a colleague gave me as it was no good for her. The expiry date is 11/25, she gave it to me a couple of years ago and I have just found it.

As it has expired wouldn't be wise to use it I know that. But have been tempted not that anything magical will.happen with 2 days use until GP advises on Monday.

I wish I had a magic wand to increase my levels to sort my anxiety out as I am sure we all do. 

Sorry for waffling.

No, it’s not as good as it gets! Your GP won’t think you’re mad, they’ll know just how difficult it is to wait through 3 month periods during dose changes.
You’ll be going to loads more concerts, you’ve just got to find the right dose and take a bit of time. Roll on Monday with the GP!

Keep going and know how you feel right now is temporary.

Thanks DM.

Yesterday was so bad, that yes, I've nothing to lose.

I'll start tiny dose E. If I flare even worse - I'll just quit all hormones. 

Thanks xx

So have woke up with awful doom and gloom feeling and how I am going to get thru the day.

Its such an intense feeling in my stomach just awful!  .

Why are things this difficult after 8 weeks of increased gel. To think I have till the 29th potentially to see if this dose of gel sorts this debilitating feeling.

It seems so far away but I know I have to wait to know fully if this dose suits or not.

My GP is going to think I am totally mad as I left a message yesterday about increasing the gel. When we had both agreed to wait until the 29th to see how things were.

Am I completely going mad?!.

I should of been going out tonight to see a band with friends but sold my ticket as couldn't face it with feeling like this.

I had bought the ticket in July when things were great and I enjoyed life.

Is this now as good as it gets?

Hi The Kirst

 

First of all - apart from the fact that you were given sequential HRT when you were post-menopausal ( and as bombshell says there is nothing wrong ie dangerous with this - though very long term there is apparently a very slight increase in risk of endometrial cancer) one thing struck me was that you had no bleed for 9 months after introducing oestrogen.

The main point is that you are SUPPOSED to bleed on a sequential HRT though apparently a small percentage of women don't (in fact after several years of HRT on a 28 day regime I also stopped bleeding which led me to lengthen my cycles safely). Lack of bleeding either means you are not building up sufficient lining to be shed or sometimes that the progestogen dose is insufficient. You were using a proprietary brand of HRT so I would suggest the former.

In terms of investigations and a hysteroscopy - this is being overzealous due to ignorance! (as bombshell says). What you are experiencing is NOT unscheduled bleeding - notwithstanding that you hadn't bled on the sequential regime fo 9 months. As explained sequential or cyclical HRT is designed to produce a withdrawal bleed.

Now the fact that you've had a scan (OK no problem with this - it's not invasive) which has been pronounced as OK should be reassuring. Could you tell us what your results were - lining thickness, any reports on the endometrium. You may be able to view this from your online records?

First - I am surprised that the consultant has ordered a hysteroscopy if your scan is OK and I suggest you query this.

Second - you do NOT need to stop HRT pending investigation especially as so far there is nothing to indicate that this is unscheduled bleeding. I urge you to go back to your GP and ask to be put back on it immediately  (if your symptoms warrant this and this is what you want). Several times over the past years I have had investigations and a couple of hysterosocopies and have NEVER stopped HRT. It is appalling that you have been told you cannot take HRT until after the outcome of the results of the hysteroscopy . The fact is, if your scan shows a thin lining then it is extremely unlikely you have cancer - I mean I would say it is almost impossible. If your GP won't comply then if you have multiple GPs in your practice I would go to a different one. Just say you want to go back on it and there is no clinical reason to stop pending an overcautious investigation.

As for paying for private care - you really don't need to do this. If every woman who could afford it went privately at every minor setback - nothing would every change and so I hope you feel able to challenge the GP decision and request the HRT that was helping you.

I'm sorry I can't help with the tremors.

Wishing you well and do keep us updated!

Hurdity x