Hi Quandry
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
You do not have to be on continuous combined HRT if you would prefer not to. Many of us opt to remain with a cycle either because we are intolerant to or get side effects from progestogens, or because of the possible health risks ( re breast cancer) or because we want to go onto a longer cycle. There is an increased risk of endometrial cancer if you remain on a cycle but this may be easier to detect at an early stage than breast cancer.
Sorry to hear about your mum. I agree that the most natural route/type you can use would be best in your circumstances. Have you been tested for the breast cancer gene? The risks are not even supposed to start until after the average age of natural menopause of around 51/52. However it would be a good time to change.
Many of us swear by that combo ie patch/gel and progesterone. Is your GP sympathetic or knowledgeable? You may have to print out the info from the relevant sections and insist. If you say you want transdermal GP may try you with one of the synthetic progestogens eg Evorel or Femseven patches. However if you say you want to use products that are biologically identical with your own hormones then there is no argument - and especially in your circumstances.
If you need any more help please do ask.
Hurdity x
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)