Best thing I ever did was seek help privately. My gynaecologist was recommended by my GP, who I have respect for. She rated this gynaecologist, with whom she had worked for as a registrar a few years before. You need to do your homework though. I did consult another gynaecologist before, who happily took my money only to tell me I was too old for HRT. She told me to go back to my GP to discuss my having CFS. My gynaecologist says I can take oestrogen forever, so long as there are no contraindications. She sends a report to my GP and I am able to get NHS prescriptions. My prescription is tailored to my symptoms and needs. An appointment is not cheap, but after the first two initial appointments, I need only go annually unless I have any problems. I can contact her through her secretary either email or phone and was able to have a telephone consultation when it was necessary. There was a fee for that, but it saved a three hour round trip. I would recommend my gynaecologist to you, but it's a long way from Nottingham.