Hi, Jooleea!
You definitely need to see someone with good knowledge of how the surgical menopause should be managed. I'm so sorry that you didn't get to see Mr. Scudamore this time around. I'm wondering where you are in the UK, and if we can find out if there is a specialist Menopause Clinic near you? Is Mr. Scudamore General Gynaecology, or does he run a Specialist Menopause Clinic?
You most certainly can ask to have your Testosterone level tested by your GP. Are you aware of the latest NICE guidelines regarding prescribing this to ladies like ourselves? And is your GP up to date on the guidelines? It never hurts to print off your own copy and have it to take with you, so that you can point out that it clearly states also that any woman experiencing complex problems relating to menopause (and this most certainly is us surgical ladies) is entitled to be referred to a Menopause Specialist Clinic. Your GP should be able to arrange this for you, or if indeed Mr. Scudamore covers this speciality they can contact him and ask that you are seen specifically by him due to your difficulties with finding an effective HRT since your surgery.
I know when I got to the point where I felt as if I'd had the stuffing knocked out of me, it was very hard to muster the strength to 'fight' my corner' to get good treatment (and I'm still on that road right now, but under a very good Specialist at last).
The first and most important step is to find an effective estrogen replacement for you - for myself, I found the Estrogel to be far too unstable in dose delivery and I also tried Premarin, but the side effects weren't tolerable for me. Once your circulating estradiol level is at a comfortable level for you and stable, the Testosterone can then be added and this can help with mood and energy as well as libido (although libido is the only indication for prescribing in the guidelines)!
I have also found myself that I am very sensitive to large increases in estrogen, and in my research I have found this to be true of quite a lot of us surgical ladies so the mantra of 'go low, go slow' seems to be the the most useful guide. This is why you need a knowledgeable and careful hand helping you to find the level of HRT that you feel most comfortable with (as well as the most effective and comfortable delivery method).
It all does take a little time to work toward finding a good balance, but it IS worth taking the time initially so that you can feel well again.
If I can be of any help at all, please don't be afraid to ask - us surgical ladies are in the minority so it's always good to share knowledge so that we can help and support each other.
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