hi thanks for quick reply I started on the pessaries but they made me sore the doctor was really reluctant to put me on anything but I fought to get the tablets, there is no menopause clinic that I am aware of and my doctor seems to not listen to me I have been back numerous times, I was discharged from hospital with no help what so ever and they didn't start my hrt till I kept telling them what was going on and I see a different doctor each time it's awful x
Hi andrick11
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
from me too. (By the way Annie0710 you read correctly she did say her name was Andrea!).
Am I reading this correctly - as you have been put on Premarin without a progestogen I presume you also had your ovaries removed as well as having a total hysterectomy (unless you have a Mirena?)?. If that is the case then your doc is totally out of order and is negligent in not offering you replacement oestrogen immediately following your operation, (as Claireylou was given) without good reason, because early and surgical menopause are associated with certain health conditions and you should have replacement oestrogen at least until the natural average age of menopause of 51/52.
Premarin is an older type although many women do well on it. It is just not the same as the oestrogen made in our bodies estradiol) as it is a mix of horse oestrogens (made from horse urine by the way). As already said you need to give each type 3 months before deciding if it works for you, but if after a month your flushes and sweats have not abated and you have no negative side effects, then I would ask to increase the dose.
In addition I agree with the others you need to hot foot it back to the doc for Vagifem or estriol cream as advised as well as the oestrogen to combat your soreness. It is criminal that you have been left to suffer like this for so long - I am just appalled that this is still going on - and that your consultants did not recommend this straight away and write to your doc even if your GP is ignorant of menopause - as CLKD says!
Unless you had depression most of your life then hopefully the right dose of hormones will lift your mood.
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
Do please go back to the doc and I do hope your symptoms improve so you feel better soon.
Hurdity x