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Menopause

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Menopause rant

28 replies

MrsHemswoth · 27/09/2024 18:48

I have been on HRT under a meno specialist doctor for 5 years. I suffered an early menopause with debilitating symptoms for years before I begged to try hRT aged 45.

My dose has been titrated and adjusted according to my symptoms and monitored by blood tests at least annually too.

Before I became stable on my HRT I had been investigated for palpitations, given anti depressants, diagnosed with panic disorder, Anxiety, arthritis, migraines, vertigo.., the list goes on!!

I feel so much better, stronger physically and mentally (not on AD's now either) - no headaches, no palpitations, no joint pain, no vertigo - incredible!!

BUT why is it I was hauled into my GP surgery yesterday to see a pharmacist to try and scare me absolutely sh*tless about cancer and a list of other things.

Ever since the new BMS guidelines have come out it seems that they are all terrified of prescribing anything off license - even if my meno specialist writes them regular detailed letters including my symptoms, blood tests etc etc??!

Every time I log into the facebook group Menopause matters they give their standard, "doctors are under no obligation to prescribe outside of licensed doses" etc etc - it's like they have forgotten who they are advocating for??

They come across as scary and un- feeling and scare women.

I come from a medical background myself which is why I feel so aggrieved by this...

If a consultant wrote to a GP and asked them to prescribe an unlicensed dose of a drug and wrote a long spiel about why along with the fact that as GPs , they are not specialists, BUT the Consultants are!! I would expect them to generally prescribe it or if not, contact them to discuss it??

Why is it that it's okay for GPs to just tell me they might not continue to prescribe some thing that's been helping me hugely?

Do Menopause Specialists not hold the same kudos or importance as other Specialists Doctors?

And as for menopause matters, I'm sick of their shaming and scaring of people who are genuinely suffering dreadfully, it's like MM is an offshoot of the BMS!

The reason there is insufficient research to discover whether these doses are safe is because no one has bothered to do any. Maybe I can wait 10 years to discover while I'm suffering....!!!

In my case I'm a poor absorber - if my surgery bothered to read my letters etc they would see that!

I have a thyroid issue and my doses are adjusted annually. Because it's a hormone!

My mother in law has recently been prescribed a drug off licence by a hospital consultant - and her GP prescribed it!

Last rant -do men who have low testosterone require this amount of absolute shaming and gaslighting??? Or are their symptoms, blood tests and levels adjusted accordingly with zero fuss and questions!?

I rest my case!!

OP posts:
MrsHemswoth · 30/09/2024 09:12

*I meant when I was aged 40!! My typing is so bad!! 🙈

OP posts:
meemeemammy · 15/10/2024 21:32

@MrsHemswoth I'm in a very similar position. The pharmacist at my GP prescribed my initial HRT which was 25mcg oestrogen and 200mg progesterone. After 3 months I felt suicidal. I couldn't get a follow up appointment,so went privately and have been increasing oestrogen over the past 5 months. The private GP increased my oestrogen,and it was only when my dose got to 150mcg that my dizziness/ palpitations/negative thoughts ended. I've also been taking 300mg body identical progesterone.
Today, however my GP practice declined to prescribe over 100mcg. I see the reasoning why they are concerned about this being off license,but it is very frustrating that finally I feel better and am scared that I'm going to feel like I did again. I'm a nurse, so can see things from both sides,as I would also likely use the British menopause guidelines in prescribing. I'm now really concerned about endometrial cancer and not sure what to do! ( Also the GP pharmacist was quick to offer me antidepressants today, which I find so bizarre they're happy to do this, but not body identical hormones ( which contain less oestrogen than the contraceptive pill!) I understand that more studies need to be done on higher doses. It's all so confusing.
I have been using patches that are quite big, and my private specialist suggested estradot patch as they are smaller, and may stick better. The Evorel were getting water under them at times and giving me a rash, so I'm hoping that the smaller estradot patches may stick better? I'm sure you'd have tried the patches over the gel?
I'm planning on continuing to get the higher dose privately until I work things out, but will probably try the small patch and use gel if I suffer. My GP has offered to refer me to NHS menopause specialist, so maybe they can help me find a suitable treatment? The doctor that I see privately also works as a gynae doctor in the NHS , but this doesn't seem to have made any difference to my GP prescribing.
What did you decide to do in the end?

OptimismvsRealism · 15/10/2024 21:35

The health service is rationing. It is no longer to care for you but to find the maximum amount of suffering it can reasonable force each patient to live with.

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