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[AngelaH]

I am going to have app with gynaecologist in my local NHS meno clinic tomorrow morning to discuss Tibolone, my GP couldn’t prescribe it herself, so made the referral for me. When I mentioned Tibolone to my GP, she looked scared, I think they are very careful with prescribing synthetic tablets to those who are 50+.

[bombsh3ll]

That's bonkers, I would argue that all the antidepressants, statins, blood pressure medications, antibiotics for urine infections and painkillers for osteoporotic fractures being prescribed are far more synthetic!

Regarding the mess with transdermal I meant the gels mainly however the surgical dressings that I had to buy to stick over the patches to keep them on leave a sticky mess on your skin especially if you've showered in it!

[AngelaH]

I don’t think Tibolone is a choice, as well as antibiotics, statins, antidepressants… there is a reason why you ask to prescribe them. I am not sure if “I don’t like the mess with transdermal” can be considered as a reason.

[Violetta808]

I did have some choice in the sense it was either no HRT, fibroid surgery/hysterectomy, or tibolone. Hobson’s choice! That said, it’s without a doubt the most effective and straightforward form of HRT I’ve taken and knowing what I know now I would have chosen it from the start.

Tibolone has been used safely for decades but because transdermal, body identical hormones are now regarded as the gold standard, I don’t think GPs are taught much about it these days, unless they have a particular interest in menopause. Tibolone is designed for use in postmenopausal women so most of us who take it will be 50+. If one is otherwise healthy it’s no more risky than any other form of HRT.

[AngelaH]

When I mentioned a choice I meant the case when you were able to take body identical HRT. This type of HRT always comes first. To be honest even after more than a year trying different forms of body identical estrogens, which made me completely ill and not able to function, I never was offered Tibolone. It is higher risk drug and medical professionals are aware of this. My GP practice doesn’t prescribe it at all, if I want to try it I have to talk to meno specialist.

[AngelaH]

I just have talked to a very nice lady and she is writing to my GP right now to let me try Tibolone. So I need to go back to my GP.

[Violetta808]

This is excellent news AngelaH. Fingers and toes crossed it works for you as well as it’s working for me. I hope the meno specialist is able to reassure (and educate) your GP practice.