Hi Nellymoker
So sorry to hear about your dismissive treatment from your GP - but quite right you should not and do not need to seek an expensive private consultation in order to be prescribed HRT (notwithstanding that many women have benefited from private treatments). That is what this website (through Dr Heather Currie) and many GPs and gynaecologists are aiming to change, along with organisations such as British Menopause Society and Women's Health Concern.
Blood tests cannot conclusively tell you where you are in menopause but a raised FSH level (which would have been measured) is an indication that you are peri-menopausal. I gather there is evidence also to show that some women who have hysterectomies retaining ovaries enter menopause before they would have done otherwise.
Regarding your factor v Leiden - HRT does increase the risk of developing clots if you have this condition - according to the info on the web here:
https://ghr.nlm.nih.gov/condition/factor-v-leiden-thrombophilia#genes and here:
https://www.mayoclinic.org/diseases-conditions/factor-v-leiden/basics/definition/con-20032637Taking oestrogen only because you have had a hysterectomy puts you at lower risk of breast cancer (than HRT that also includes a progestogen) not blood clots. If you do take HRT then it is transdermal oestrogen HRT (gel or patches - by the way I don't find patches "horrible" - I have been using them for 10 years + very happily and successfully!) which does not increase the risk of blood clots whereas oral HRT (tablets) may do so.
As you know there are other factors which increase this risk - notably body weight, smoking, blood pressure amongst others. If your BP is OK and you take plenty of exercise it sounds like you are minimising your additional risks anyway. Perhpas you are taking blood thinners or other meds?
In your position if your doctor refuses to prescribe oestrogen due to the concerns about your genetic condition I would ask your doctor to refer you to a specialist - not sure quite which one - whether a menopause specialist or a consultant who specialises in your condition - to talk this through with you and see if for example there any tests that can be done to assess your specific risk?
Interestingly there was another new member who joined recently called Connolly ( scroll down the new members' thread) who also has a similar genetic condition (thrombophilia tendency) but she didn't know which one, but she has been refused HRT - maybe she is investigating whether she can or not? Perhaps you would like to look at her posts and maybe even post on her thread so she might notice you?
Hope this helps and good luck with all your endeavours to get the right treatment - but it is important in your position that this is achieved though the proper specialist channels
Hurdity x