Hi Emz 😀
Don’t worry about not having a letter, but maybe give the Sefton suite a call and request a confirmation email, for piece of mind?
I think bloods test results are key, as is a summary of your existing symptoms and any HRT you have gave been taking previously ( which is evorel 50?)
What I would consider doing, is to try and request an oestrogen blood test ASAP. Then, you can explain that you have been on the 50 for 3 months but still remain symptomatic? This will either be because you aren’t absorbing or you need the next dose up ( 75). If you feel the symptoms are largely under control, then just request testosterone ( Dr Briggs is all for testosterone for low libido!).
She isn’t a fan of large oestrogen doses ( but that could be just because I’ve had breast cancer in the past and she’s erring on the side of caution).
I guess if you feel that your only remaining symptoms are lack of libido and/ or cognitive function, then you could just ask for testosterone and continue with the 50 patch? If you feel that there’s still room for improvement oestrogen wise, then perhaps ask your GP to trial you on the 75 patch?
It’s all about how you feel at the end of the day. Dr Briggs would prescribe testosterone no issue if that’s all you wanted.
Good luck 🤞😀