To loose my shit at my GP?

Women can be misogynistic too I’m afraid. The medical profession and medical training are rife with it still.

Tbh, if it's just this one GP/practice that are being obstructive and the rest are generally on board then the obvious solution would be to switch GP and then mention that you've been thinking about the consultant's previous recommendation and have decided you'd be interested to discuss/pursue it.

Its not a private clinic, its the nhs hopsital clinic the gp referred her to.

Reading the letter you posted, I think you got caught in fire between private menopause clinics and NHS GP's - they talk about increased requests following private clinics' requests, plus an off label use.

I'd go in calmly, talk to the practice manager. Not all guns blazing. It's a systemic issue with the NHS / private healthcare split of responsibilitues, poor funding and lack of resources plus risk management on their side.

Similar thing is happening with ADHD meds prescriptions as some practices are refusing shared care.

My consultant prescribed a particular eye drop. My Pharmacy couldn't get it, so I went to Boots who said ah Welsh health have blocked it across the board too expensive. Phoned the hospital to explain. Was prescribed something cheaper which was approved.

I'm not saying you don't need what the consultant is advising. I'm saying, "get it from the consultant who says you need it - it's literally THEIR role in the process."
Why is does your medication need trump everyone else's? Your GP is allowed to say no - plenty on this thread have confirmed this.

What is stopping you from getting from your consultant other than your single minded belief that youare entitled (you're not!) to get it from your GP? Maybe you think a GPs job is just to sign hospital prescriptions 🙄 god forbid they see and deal with their own patients...

That’s not necessarily correct @Peoplecoveredinfishi myself have had a female cancer as a direct result of being given hormones for over 10 years. There is strong evidence behind my saying that.
Now that’s not to say I disagree with you on the GP front I agree. My situation was as a direct result of GP negligence and prescribing something they shouldn’t have without guidance from specialists. But if directed to prescribe something by a specialist then there is no valid argument for not prescribing something because you don’t have the same knowledge as the consultant. Yes the consultant should therefore be the one holding any liability for that prescription so longs as the GP has followed their instructions.
But there is no denying that some medications can cause significant problems when used in the wrong situation. I will now not be able to have children because of it.

A gp is not merely a prescription-writing machine but has to make clinical decisions which they feel comfortable in doing so. They also do not have to obey a consultants request.

Consultants can and do write prescriptions, and it is their job to do so as well. Too many consultants try to pass the buck to gps.

Your consultant is the one recommending it so they are the one responsible to prescribe it. The GP has the right to decline. Check with BMA and NICE -- even if on the formulary, doesn't mean GP has to prescribe. Stop blaming your GP. You say it yourself - they referred you to the specialist - they did not have the expertise and they also do not have the capacity to do the hospital consultants job.
People like you are the problem. You do not accept what is being said due to your self entitlement to what you want. I feel sorry for your GP practice from what you've written.

If the GP has referred a patient to a specialist for a specialists opinion then ignoring that opinion seems odd. By all means the specialist should initiate the first prescription but after that providing there are no issues then really the GP should have to justify why they won’t continue it. If GP’s have no intention of helping to continue treatment initiated by a specialist that they have referred the patient to then it seems a waste of time to refer patients on in the first place.

I’m not sure. If you’re referring to HRT and not testosterone, we may see women with less heart issues ( and far more women die of heart problems than breast cancer) and less women with broken bones bedbound due to hip fractures and osteoparosis.

Completely reasonable response from the GP.

Wait a few years and we'll be seeing an increase in heart disease, stroke and cancer from all this hormonal rubbish women have been fed by big pharma.

It’s not unreasonable to expect a GP to check the position if told by a patient that there has been a new approval granted or policy change.

Lose, not loose. Loosing your shit has an entirely different meaning.

And, of course, yabvu.

You can just take HCG to stop the testes shrinking/preserve fertility. This is the common solution in other countries and in private healthcare. The NHS are just shockingly bad. They don't even test for elevated e2 which is a very common side effect and can tank libido, basically making the TRT pointless in cases where the primary purpose was to address low sex drive.

In any case, it's an odd situation when somebody is left impotent 'in case they want kids' in the future. It's like refusing to remove a gangrenous leg in case they want to take up running one day.

There are loads of threads online very similar to this where men are saying exactly the same thing - ie. that the NHS won't help.

https://www.reddit.com/r/trt/s/8IfFIs27bg

https://www.reddit.com/r/Testosterone/s/Ibs1sYJcX1

Well, a man would be very unlikely to get prescribed it by the NHS solely for things like reduced sex drive, which is one of the common reasons women take HRT.

You mention that three practices across the country are obstructive but the rest are on board with this process. From what I've read on the matter (a lot!) men are very unlikely to get TRT full stop. Most practices are not on board. People on the forums usually just tell men to forget about the NHS and go private or self administer.

Normally, you'd need to have had something like testicular cancer or have lost a gonad in an accident to get it on the NHS. Even men with levels that make them near impotent still get refused - like my friend who hadn't had sex in seven years at age 35.

And of course a man is unlikely to ever father a child with a low libido because unlike a woman he needs to get an erection to have sex. Due to being fobbed off for years my friend will never have a family as he only started getting his life back together at 35 after drifting for years in a job he hated but was too apathetic/overwhelmed to do anything about (which he quickly realised had been down to his hypogonadism).

Sorry, how do men get Tostran online?

“ to lose your shit “ unfortunately is sometimes the only way to get things actioned .. this is usually the culmination of having been polite, well informed , defending your need etc and having some gobshite usually male GP explain to you that you don’t need testosterone, HRT etc and maybe you’d like some anti depressants instead . They bloody hand antidepressants out like smarties … and they have no bother with doing that . I’m so sick of what women have to put up with during menopause , childbirth etc …,,it’s our turn to speak !

Disclaimer .. I am a GP.
I agree with your doctor .. please don’t loose your shit at home/her .. licensing of drugs are not the problem of an individual GP. I have enough shit thrown at me every day .
i am guessing the menopause clinic is a private one ? Their doctors can also prescribe but I am guessing expensive and cheaper for your GP.
In the end the menopause clinic is making money from you without baring the risk of prescribing an off license drug.
The people you should be angry with is not your GP.

We have this argument with our gp. My DC has been prescribed an off licence medication by a paediatrician, which is absolutely needed and after the first prescription completely improved all of his symptoms and life quality. The GP however, due to it being off licence will not continue the prescription, despite the Paediatrician writing and telling them that they unequivocally need it, requesting a shared care plan etc. the Paediatrician is not happy at all and has let the practice know that, but the practice is unwilling to budge. The paed told me that other practices will prescribe it (but we are out of catchment) and that the decision not to will be because it is an expensive medicine. Unfortunately with most practices being run as businesses, finances come first 🙁

Get gynae to prescribe it.