Hi Conolly
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
Sorry to hear about your symptoms and also about your mother dying relatively young, and the genetic condition you mention. I can understand your anxiety. I found some information here which I presume you know about anyway if it is in your family:
https://www.nhs.uk/conditions/thrombophilia/#lifestyle-advice - which gives all the different types of genetic thrombophilia. In your position I would want to know which type your relatives suffered from but also it does confirm that if you have it then HRT is not advised.
However there is also lifestyle advice given that help reduce the likelihood of blood clots - because it is not a foregone conclusion and I am sure you are doing all you can in terms of body weight, exercise, smoking, diet etc.
I'm not sure about lawsuits - I don't think this would apply - not in UK anyway? A causal link could never be proven. Also if a doctor has advised (have I read this right?) that you are OK to take transdermal HRT then presumably they feel that the risk in your case is not great especially as you are taking aspirin before long trips. Do you go on many of these, flying etc?
I think you are doing the right thing by being referred and I would also seek specialist advice re taking HRT on an ongoing basis.
If you are not able to take HRT and the docs/specialist recommends against this, then there are prescribale options available - mainly anti-depressants (even if you are not depressed) which at least have a high chance of working on hot flushes. I can give you a link to a paper which discusses these - with particular reference to breast cancer but the findings (re hot flush efficacy) will apply to anyone who can't take HRT.
Hope this helps and do let us know what you decide
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
Hurdity x