47 HRT 12 Years after Hysterectomy

[McJibes]

I've asked for HRT via econsult and have an in person appointment with the Advanced Nurse Practitioner in a few weeks. I saw a locum a few weeks ago for another quick reason and they asked if they could help with anything else, so I mentioned HRT. They ordered bloods, which have all come back as normal.

I've obviously had no periods for 12 years and don't know how long my symptoms have been running. I had started gaining lots of weight about 8 years ago and put some of the symptoms down to that, although of course could have been peri.

Mounjaro haa fixed my weight and lots of other issues, but night sweats and hot flashes are hard to ignore now.

What can I expect from the appointment? I put on the econsult that I'd like estrogen patches if suitable, but they didn't prescribe and arranged the appointment instead.

Any insight would be appreciated, thanks.

Were your ovaries removed too? If not then you wouldn’t necessarily enter surgical menopause immediately.

I would expect the ANP to talk about the various types of HRT that is available, what is available to you specifically given your history, the forms (gels, patches, tablets).

OMG, I thought I'd included that - sorry! No, I retained my ovaries. I had the hysterectomy in order to remove my cervix with multiple pre-cancerous cells procedures over the years.

I know/ presume I was still ovulating as I would get tender breasts monthly/ periodically. I didn't keep track, but don't recall the tenderness in the last few months.