Hi Alesia,
I'm so sorry to read your story and all of your symptoms. What's happened to you has happened to me too.
I was 52 when it happened, but had been on estrogel 4 years. I don't believe it's a 2nd meno tho, I think it was just masked before by the estrogel, which has now stopped working for us.
Anyway, no need to thank me, you are so welcome. Anything I can do to help.
I believe Nick Panay is booked up until at least August/September probably longer. He does have associates but I think most women would rather see him. He has a good reputation of course, but he doesn't have access to medications that any other specialist doesn't.
I thought Louise seemed dedicated and caring. She has the 'human touch' that others lack. She will do phone consultations if you're not near her (Solihull).
I hope you find an answer to your problem, after 21 years that is such a long time isn't it? I know how upsetting and shocking it is when it happens, you just can't believe it can you? And, as you say, you'd never think in a million years it was meno. It took me months to realise (to my horror) what it was. While GPs psychys and gynaes told me I was wrong. Turns out I wasn't - tho I am not glad to be right.
Wishing you the very best and hope for a solution for you soon.
Love, xxx