Post hysterectomy HRT

[JoyApple]

Hi, I had hysterectomy earlier in the year and had both ovaries removed too. I was on 0.75 patch and moved to 2 dose estrogel and felt much better and normal. Only symptoms remaining were extreme fatigue in the morning before gel applied and no libido.

I increased to 3 doses for a week and the morning fatigue has gone but I feel very wired and anxious. I've also got cramp type pain in pelvic area. I tried splitting the dose morning/evening but still happening. I had hysterectomy for severe endometriosis and adenomyosis so I'm worried about cramping. Breast sensitivity did improve though but still no obvious libido.

Can't get a GP appointment for another three weeks. Anyone faced anything similar? Should I decrease the dosage down to two pumps?

GP wants to get my estrogen levels/symptoms right first before considering whether I need testetorone.

Cramping in the pelvic area can be resolved with topical vaginal estrogen.

@JoyApple I think this needs a referral or a call to your consultant who did the surgery.

was all the endo removed?

Pain could be a flare up of endo growing again.

I think you need to push for an earlier appt not a 3 week wait.

How long ago was the surgery? Are you still able to contact the hospital and consultant to ask for advice?

Did you have a review with a consultant re your HRT or is it all done by your GP?

Your GP isn't necessarily qualified to sort this out.

Thanks. My consultant reassured me all endo was removed.

My consultant who did the surgery has retired so is only available privately. I'm considering booking with him perhaps but I'm not feeling very confident as another consultant I saw on NHS post surgery told me to go on combined hrt against my surgeon's advice. It's all so confusing and feels like everyone's playing guess work.

I think you should follow up with the original consultant as they did the surgery and are best placed to offer advice.