Hotflush - it's wise to be patient and cautious - rushing to chop and change hormone treatment can just create more problems. If you do want a non bleed option with minimal problems, then having a Mirena fitted can be good. Initially after fitting there can be a hit of progesterone that can cause a bit of sedation and maybe low mood but this usually settles quite quickly and then you have 4 years of not worrying about any problematic bleeding, minimal side effects, non of the fluctuations involved with the sequential HRT regimes and you can use as little or as much oestrogen as pills, patch or gel, as you need to control flushes etc.
Low libido is a common problem when meno hits. Feeling up for sex when a cuddle makes us break out into a sweat is really not good - feeling desirable, relaxed and in the mood does get harder and needs working at I find - I'm 62 and still enjoy
- I'm not on systemic HRT now but use local oestrogen regularly, vaginal moisturisers daily and lots of good lubrication for sex - everything has to be ‘managed' to keep things working well
You are young and need HRT - I would suggest until at least 55 - to protect your heart and bones. Systemic HRT isn't always enough to prevent urogenital atrophy so some local oestrogen e.g. Vagifem, used regularly, would as be a good idea.
We often have to carefully lead our GPs when it comes to HRT treatment - they rarely have a clue!!! Do try Femoston to see whether that works better for you but keep us posed how you get on.
Do try Femoston to see whether that works better for you but keep us posed how you get on. DG x