You are absolutely right babyjane. If we are on combined HRT then we pay a double prescription charge and some HRT preparations are cheaper than the prescription charge!!!! Lack of oestrogen is not life threatening, however, it can certainly be life limiting and the consequences of oestrogen deficiency, particularly if you have an early menopause, can cause many health issues in the longer term. Osteoporosis is costing the NHS a lot of money and this can be reduced with appropriate treatment and HRT, even for 5 years in post meno, can make a significant difference in the long term health of our bones. Many women have to give up work because they can't cope with menopause symptoms and this is costing society - we are now expected to work till we are 66 and beyond and the more people working the more we are paying into the system and this benefits us all.
There is a slow realisation that, though the menopause is 'natural', it does effect many women (we're talking well over 50%) in a very negative way and I think it always has - it's just that there is now help and treatments and many GPs are not giving this help. Women are getting more clued up thanks to sites like MM and becoming more assertive about asking for appropriate treatment. There is still a long way to go and women and the GPs need a lot more education. I'd like to think things will be much better for my daughter when her time comes.
DG x