I was lucky enough to ring the hospital in case of any cancellations and there was one 2 days after I rang, so it all moved fast. I had the ultra sound scan and the hysteroscopy this week. I'm glad I had a general anaesthetic as my stress levels were sky high. It was yesterday and I don't feel too bad today. They did a biopsy but seemed confident (though it's early days - results in 2 weeks) that there wasn't any cancer. They said my endometrium was thin, caused by the atrophy. I will know more when I get the letter with my results, but the gynae seemed to say that there was some thickening, which caused the bleeding. I assume this was due to the Tibolone, but before the procedure she said it wasn't then after she seemed to say it was. I think it must have been because the bleeding stopped straightaway when I stopped taking the Tibolone, 3 weeks ago.
She said if the results were clear I could continue with the Tibolone, but if bleeding occurs again then I would have to go through another biopsy, which I don't want. The gynae also said that bleeding could occur with any HRT which would always require a biopsy. She said the vaginal atrophy and dryness would be sorted with using Estriol cream internally. At the moment I just use it externally. I am very confused as I don't want to risk more bleeding with any HRT. On the other hand I have had very bad night sweats since stopping the HRT, though the gynae said these would subside and were worse because I came off it suddenly. I am a bit suprised that she said I could continue with it if I wanted. They also said that my oestrogen levels were very low. In the 2 years since the atrophy was diagnosed I have had no measurement of my hormone levels. I am wondering why this is and how has this affected things?
If I used the estriol cream alone, how would this affect my libido? Would I go off sex altogether? The Tibolone was really good for libido. I will be in the hands of my GP to advise, but they are not that helpful. I am grateful that hopefully there is no cancer, but undecided what to do. If I go back on HRT I would be paranoid that I was bleeding again. On the other hand, how will I cope on the cream alone?