Dear Autumn!!!
I was advised by my Anaphylaxis Consultant to do the same, and I also have chronic urticaria.
I have now commenced ERT, and so far no problems in that respect. I think it's imperative that you see a Menopause Consultant or Endocrinologist who can liaise with your Immunologist on this to ensure the best care for you.
Do you know the cause of your urticaria? Mine is caused by histamine release from the mast cells, but isn't mastocytosis (thank goodness)! I just get 'histamine overload' so I have to take a large off licence dose of Cetirizine daily. Urticaria can be tricky I know, as it is often categorised as 'idiopathic' if they can't seem to find a cause.
I also don't know how long you've had it, but it can resolve spontaneously over time. There is much research on this if you go and have a look, so don't give up hope!
Estrogen raises histamine levels - this is why the experts in immunology get in a tiz about it. If everything is properly managed, you may still be able to receive some treatment to help your menopausal symptoms.
Sending you hugs - and please know that you're not alone!
![hug :hug:](https://www.menopausematters.co.uk/forum/Smileys/extended/hug.gif)