I happened to come across these NICE prescribing guidelines, and it struck me a) there's much more acceptance of some of the problems people have had with some regimes, and b) there's a lot more focus on 3 monthly regimes and decent mentions for urogenital symptoms and treatments and c) choice of hormones has some specifics on symptoms of intolerance and what to try to swop to...so I thought it might be useful to some - but bear in mind it is intended for medical practitioners, so perhaps for bringing to doctors, not just changing by yourself...either way here it ishttps://cks.nice.org.uk/topics/menopause/management/management-of-menopause-perimenopause-or-premature-ovarian-insufficiency/
Separately, under the updates section it has this little note, which might be good news for some?
Bijuve (bio-identical estradiol and progesterone) capsules as hormone replacement therapy (HRT) has been approved as the first oral combined HRT with bio-identical hormones for use in the UK. It is a combination of 1 mg bio-identical estradiol and 100 mg bio-identical progesterone in a once-daily oral softgel capsule.