Yes you are post-menopausal Ciscola. No reputable gynae would have prescribed you high dose sequential Prempak C at your age and stage. You are on the cusp of the "window of opportunity" for HRT re cardio-vascular protection - which is within 10 years of menopause or under 60. After this stage risks increase and if started on HRT transdermal route is preferred ie patch or gel (the latter with separate progesterone).
Please do not accept you are at your doctor's mercy - shame on him if he is being that difficult.
If you think you might encounter problems - firstly can you go to another doc in the practice? Secondly if you can afford it (it costs £25) I would have an e-mail consultation with Dr Currie
http://www.menopausematters.co.uk/index.php (scroll down) and ask her professional opinion - explaining your age, years since menopause, what your doc prescribed, and how you felt on the Norgestrel. You can then print off her reply and take it to your doctor.
She will most likely suggest a transdermal HRT - patch with separate progestogen. Evorel conti is a combi patch HRT but the progestogen in that one is similar to the Norgestrel so I wouldn't suggest that. Femseven conti is another combi patch that some women find they tolerate better.
If you are happy having a withdrawal bleed then oestrogen patch or gel with separate progesterone (Utrogestan) for part of the cycle could be the way to go - but the utrogestan can also be taken continuously.
At your age I would also start low and build up if necessary eg you might find that 25 mcg patch is sufficient - and the oestrogen only patches do come at this dose. All the preparations are listed in the top tab under Treatments/HRT preparations - and the various sub-tabs.
Hope this helps - good luck and keep us posted
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
Hurdity x