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Mission menopause: ‘My hormones went off a cliff – and I’m not going to be ashamed’// this is a good read but there is absolutely no need for & no evidence to support expensive hrt from yams. Transdermal oestrogen for hrt is available on NHS -patches/gel. https://www.theguardian.com/society/2021/may/09/mission-menopause-my-hormones-went-off-a-cliff-and-im-not-going-to-be-ashamed?CMP=Share_iOSApp_Other
There are combined HRT patches with oestrogen and progestogen- can either take continuously or alternate the 2 and have a bleed/period. Oral progestogen is available in several forms including utrogeston, micronised, mirena coil, medroxyorogesterone.
There are resources that help. Here are some I recommend. https://www.nice.org.uk/guidance/ng23
https://thebms.org.uk/
https://www.daisynetwork.org/
https://thebms.org.uk/
https://www.daisynetwork.org/
It sad to read women are not listened to-I hear this from my patients. But also it is not necessary to get expensive private HRT. I see women given 3 expensive private prescriptions and not told what they could ask GP for with NHS prescription price.
We did this a a quick guide for those who can’t take oestrogen. Also vaginal oestrogen (vagifem) safe after breast cancer for vaginal dryness and lubricants can help too.
And don’t forget bone health. @RoyalOsteoSoc have great resources. Weight bearing exercise, good calcium in diet https://www.bda.uk.com/resource/calcium.html ( do not need supplements) get vitamin D or take over winter months. buy wherever is in special offer -Superdrug, boots.
Here is a link for exercising for those with osteoporosis to protect spine https://theros.org.uk/media/0o5h1l53/ros-strong-steady-straight-quick-guide-february-2019.pdf but we should all be doing weight bearing exercises and good diet. From teenage years to older. Bone health starts in adolescence.
About HRT patches- good reminder to say estradot smaller so some prefer this. Can out where not seen, usually I suggest upper thighs, by hips. Can go under swimming cossies too there.
