Thanks for input.
Bluebutterfly, thanks for info, I often wonder about my Mum not taking estrogen, whether she would have benefited as she had amongst other things, osteoporosis, heart disease and bowel cancer- but probably not from what has been experienced in your family.
Hurdity, thanks for suggestions - in the past even on low dose 25 patch and 12.5 for a few years too - I had endo thickening and had to take double dose Cyclogest, maybe there is some form of undiagnosed endometriosis connection although ... in my 30s I had a laparoscopy through the naval to investigate painful periods and possible endo, nothing conclusive was found. Previously I think you suggested that maybe somehow my biochemistry processes/uptakes HRT in a different way which I think is probably true.
Unfortunately I was getting monster migs when on estrogen only, so couldn't even blame the progesterone - so a hyster wouldn't necessarily sort things, such a gamble. This is to be discussed at next Clinic appointment.
A while back I asked the Clinic about Bazedoxifene, however it's not something they prescribe on its own and apparently Duavive is being phased out due to unpopularity. I wouldn't take it on ethical grounds though, the horse pee thing really does bother me.
Ladybt, how awful to endure such pain in your face for 40 years, good grief! Great that you have found relief after all these years, a true success story of how for some, HRT can be the magic bullet.
I still had migs on high dose oestrogen, medium, low, all of it - but now slightly less without any HRT, maybe I just have to hold on to that small encouragement for now.
I'm more than aware that I'm an impossible case to treat! - which is why I'm feeling right now it's the end of the line for HRT and I'll just have hope for some natural equilibrium and adrenal (hormonal) input with the passage of time. If not, it will be back to the drawing board again.
Thanks All for your thoughts and suggestions, I will re-read and mull things over.
xx