Finally, I had my follow up gynae appointment, and to cut to the chase, I have been prescribed Tibolone…
Now the lengthy detail… I have been off HRT for nearly six weeks. I feel remarkably ok, apart from the return of the frequent headaches - they came back within 10 days and I get at least one a week. No fun. No return of VA but I am taking vagifem maintenance dose. And I still feel quite resilient, mentally, despite everything, though who knows how I will feel in another six weeks if I carry on ‘au naturel’.
Anyway I saw a completely new consultant who explained everything clearly and carefully without being patronising, and listened to me and answered my questions. It was a very different experience to the chaotic communication when I had the hysteroscopy (though the actual care around the procedure was exemplary).
First of all the very thick endometrium they found on the ultrasound in fact turned out to be a messy sandwich of endometrium and fibroid. My endometrium was actually very thin. But they did find the three fibroids which are poking into the uterine cavity and they would have caused problems with a Mirena, which is why they didn’t fit one.
The original consultant suggested a hysterectomy! New consultant agreed with me that it was a very drastic solution and definitely didn’t recommend it! He says it’s totally possible to remove the fibroids but it’s another invasive procedure and healing time might take a while, so his first approach is to try and find a way for me to go back on HRT first and then review.
The problem is I bleed on conventional HRT, hence his suggestion of Tibolone.
I’d only heard of it because I’ve been browsing this site, and realise it’s a little unusual (and honestly I just want to be normal when it comes to all this!)
The prescription won’t come until next week. I’m a bit nervous to try it and would prefer to be on a bio identical transdermal, but will give it a go.
Anyone else on it for similar reasons?