I have been very public about my journey with menopause and HRT. I wanted the conversation opened up for other women like me in their 40’s who had for years been suffering with symptoms but had been continually dismissed by our doctors as being far too young to be in the menopause. Looking back now I can see that I have had menopausal symptoms since my mid thirties, which is shocking really. I had no clue what those symptoms were or that they could be remotely related to the menopause. After all as I far as I was concerned I was still fertile, I was having regular periods. When tested my hormone levels always came back at normal levels until a test in 2015 showed that I had abnormally low LH – Luetenizing Hormone, the hormone needed for releasing eggs from the ovaries. For more information use this link. It makes sense that my LH was out of whack as this was the year my pituitary gland was messed up, I started lactating and was the very start of my CSF Leak. It could be that I was in a temporary state of ovarian failure or it could have been a sign that my ovaries had stopped working for quite some time. I was 42 years old when the results of this test came back and despite all the symptoms I was reporting menopause was laughed at every time I mentioned it. There is a very real need to get this into the conversation so women don’t have to go through what I have been through.

Although I have been vocal about the fact I was in menopause / peri menopausal – I’m not officially in the menopause until I have been without a period for a year which will be December 7th 2020, yay!

I never expected to be criticised or given incorrect information by another female for choosing to alleviate my horrendous menopause symptoms by using HRT. I know I am incredibly lucky that I have the choice of HRT, I know my mum hasn’t had that choice being put into a surgically induced menopause in 2018 when her doctors discovered she had ovarian cancer, another 2 acquaintances have breast cancers so can’t have HRT as the hormones would fuel the tumour growths both have been placed into the menopause due to this. I also know HRT is a personal choice and I am certainly not advocating that everyone should be taking it. What I am advocating is that women we at least talk about it and arm ourselves with up to date information and not repeat absolute rubbish that was disproved years ago but led to thousands of women being unable to access HRT, with some committing suicide the fall out from their symptoms were so great. Also as women it is extremely important that we understand that no two women’s menopause are the same. We need to stop behaving like menopause is an identical experience for all women,  as for those of us who are having a pretty shitty time to be told in effect to get on with it, HRT free when the other person has barely noticed their symptoms, is a massive slap in the face and negates our experience and quietens our voices. Well except mine as usual.

We have the same issues with menstruation, those of you lucky enough never to have passed out / vomited due to period pain have no place telling women who have to just suck it up, take some paracetamol and get on with it. Every month my insides would feel like like they were on fire, sometimes this would happen for up to 7 days before hand. I was never a heavy bleeder, but the cramps were horrendous. The pain would be so bad that for the first two days of my period I would feel so sick I could only drink sugary tea or coffee. That would be my food source, because if I ate that meant I would throw up and I couldn’t work and throw up. I would have a band of pain that ran from my sternum ( breast bone) all the way around my back down to my mid thighs. My buttocks would ache and I would feel like someone was stabbing me in the vagina with a knife. The only time I have had a pain free period was my very first period at age 11 and when I was on a PCA ( patient controlled anaesthesia) morphine pump after major abdominal surgery. For some reason surgery would always make me have a period even if I had only just finished one and due to having heparin injections it would end up a blood bath. Hospitals are really shit ( or they used to be) at providing sanitary towels, which is fine if you have family nearby who can go buy you some but when you are an hour away from home and you have to beg the staff for sanitary protection it is a bit fucking much. Anyway I digress.

I always thought the menopause for me would be something to rejoice in, it would mean no more periods, no more feeling awful for up to two weeks a month. No more pain levels off the chart and no more uncontrollable rage. I also used to suffer with horrendous pre – menstrual rage. I actually went to the doctors about it once, I explained to the doctor that I had in one of my rages gone to stab my husband with a kitchen knife. Managing to stop myself before I plunged the knife in his back. I have no idea what his crime was but the rage was overwhelming and it scared me. I was met with laughter…..I had just confessed to almost plunging a knife into my husbands back and it was greeted with laughter. I was told to take some evening primrose oil patted on the head and sent on my way. To be fair all my appointments regarding menstruation have ended badly. As a teenager I was repeatedly told that when I had a baby my period pains would get better. When I would pipe up that I didn’t want children I would be patted on the head and told I would change my mind. Despite missing school for at least a day most months I couldn’t get anyone to take my pain levels seriously. With the doctor laughing at me when I was terrified at what I may do next, I just never really bothered to speak to them again about my issues what was the point? Time after time I had been dismissed and made to feel like I was wasting their time.

So when I started raising the issue of menopause with my doctors and started being being dismissed again due to my age – I was in my early 40’s obviously due to EDS I looked a lot younger, well at least 10 years. Medical professionals were still asking me at this point if I had plans for starting a family and would be quite taken aback when I said how old I was. I stopped trying to bring it up after 2 years of constant dismissals, what was the point, the message I was receiving was loud and clear, as a woman I was just expected to get on with it. I started taking herbal supplements red clover, sage, black cohosh, menopause supplements. Nothing really helped. In fact when I stopped my contraceptive pill last December I fully expected to have a period with in 4 weeks and was in shock when it didnt happen. I had always come on within 7 days of stopping the pill before but nothing at all happened this time. Looking back now I couldn’t have chosen a worse time to stop it as without the progesterone the relatively mild menopause symptoms ( other than the crippling anxiety ) hit me full force. I spent most of Christmas getting changed as I had soaked through my clothes with my hot flushes. When I say hot flushes it wasn’t like 4 a day, 4 a day I could live with. This was one hot flush would start to settle and another would start. My face would be beetroot and running with sweat, my hair was constantly plastered to my scalp, my glasses would steam up on my face and my clothes could be wrung out down to my knickers due to the sweating. Hot flush didn’t even remotely describe what I was going through had it been just a little hot flush, as some one tried to tell me a few days ago I would have loved it. 

I was permanently terrified that either a) I would stink of body odour or b) people would be able to see the sweat marks on my clothing. I had the constant feeling of never being clean, as soon as I exited the shower a hot flush would start and that would last several hours. It wasn’t one hot flush but a series of hot flushes that would make it pretty much impossible for me to get dressed as my skin would be damp from sweat. I certainly couldn’t wear make up or put on facial moisturiser as it would just run off my face with the beads of sweat. After having years of barely sweating I was now, well and truly a sweaty Betty. It didn’t matter what I cut from my diet, alcohol, dairy, caffeine the hot flushes didn’t stop. I know that alcohol and dairy can make mine worse but cutting them out doesn’t stop them. More times than I can count I have had to leave a conversation with a friend and go and stand outside in the freezing cold just to stop the flushes. You can’t really do that naked after a shower!

My moods were all over the place, I could never actually feel happy anymore. I had tried an increase in my antidepressants but that just made me constipated. I had this ball of anxiety in my chest that suddenly arrived at the end of March 2018. I had a bad fall in the snow in my back garden and had put my anxiety down to that and the fact I had suffered a number of bereavements one after another. If someone asked me what I was anxious about I couldn’t tell them, it wasn’t that I didn’t know but how do you explain to someone that you are terrified of everything, I mean everything for no apparent reason. My fear / anxiety wasn’t rational. I tried hard using CBT, the doctors offered me apps for my phone and told me to contact Cruse the bereavement charity but I knew the anxiety wasn’t just to do with the losses. How does someone suddenly become terrified of their own shadow. I was hyper-vigilant in the extreme, I demanded that Jay lock the front door every time he left the house when I was alone. I was terrified of being alone but I was also terrified of being in the outside world.

When we got Dembe I started having the front door locked all the time. Now where I live is very quiet, most people don’t have the door locked if they are in the house. Crime does happen but the levels are very low. However I convinced myself that someone was going to break in and steal Dembe from me. Now some may say this was due to losing Frankie and Mollie within 7 days of each other and I am sure some of it was. But I had never had any fears about them being stolen and we had lost Travis our first Weimaraner in tragic circumstances. I spent the nights lying awake listening in case someone was trying to get into out back garden to break in and steal Dembe overnight. This is the first time I have ever admitted one of the irrational things I was terrified of, every aspect of every day was ruled by fear. It wasn’t just a case of being a little bit anxious this was all consuming. I spent the first 6 months terrified that I would kill Dembe somehow, not deliberately but I would step on him, sit on him, I would drop one of my tablets and he would find it and eat it basically he would get hurt in my care. Everything felt out of my control and I didn’t feel like me anymore. I didn’t even know who I was because there was nothing at all left of me other than anger and anxiety. I was left feeling like an impostor trying to fake my way through every day.

So you can imagine my anger when someone tried to tell me that I shouldn’t use HRT because it causes cancer and I should just put up with the hot flushes and mood swings. I had tried at this point for three years using a variety of expensive (and cheap) herbs / supplements, dietary changes, light exercise, weight loss to improve my symptoms. Nothing was working and now I was having three migraines a week.

I started getting monthly migraines probably around 5 years ago, as at that point I was on a contraceptive pill that stopped my periods completely or was it the fact that my ovaries were no longer working as 5 years ago would have been 2015, I had no clue that they maybe following a monthly cycle. I tracked them on and off and knew not to book anything social or appointment wise ( if at all possible ) in the window of 18th of the month through to the 22nd of the month as I would wake up with a migraine of varying severity. When I stopped my contraceptive pill in December 2019 the first thing that happened was that my migraines grew in severity, in March I ended up with my memory being wiped for 48 hours following a migraine attack and that wasn’t the only time that happened. I saw a doctor at my gp practice who said she would check with the local hospital and see about putting me on sumatriptan and if they wanted to see me as my migraines were now mimicking the symptoms of a TIA ( mini stroke).

Then Covid hit full force and the lock-down started. So I never heard anything back. My migraines continued then in May they started happening weekly, then twice a week and then three times a week. The longer I went without the progesterone the contraceptive pill had given me the worse they were getting. I was eventually given sumatriptan which was a miracle drug in the fact that it halted the migraines in their tracks but they left me drowsy and the migraines still had a two day recovery time. I was now feeling like I was just existing, I wasn’t living. I couldn’t make any plans because I didnt know when a migraine would strike. The only saving grace was lock- down as we couldn’t go anywhere or do anything anyway.

We had been supposed to go away for three days at the end of July and in June hubby turned to me and said well there is no way that we could have gone away with you the way you are. He didn’t mean it nastily he was 100% accurate. There was no point travelling 4 hours for me to experience a migraine in a different city. What would be the point in that? It still took me a further 6 weeks to build up the courage to ask my gp to be put on HRT.

My mood had plummeted I was actually contemplating suicide on the worst days because I couldn’t see the point if this was now going to be my life until the end of my days. I couldn’t do the things that brought me joy because I was either having a migraine or recovering from one. When I did manage to do some sewing or embroidery I felt nothing, where as previously I had always really loved the challenge. Even embroidery or sewing would have me in a panic attack something I have always loved. I was terrified I would get it wrong, I would break the machine, I would fail. The worse things got the lower my mood sank. 

By the time we had the car accident I had put the letter in to my gp. Whilst getting over the initial shock of the accident I did a bit of research about HRT and migraines and found that with some people HRT stops migraines in others it reduces their frequency and in a very small percentage it makes it worse. By this time I didn’t feel like I had anything to lose. I had joined The menopause support network on Facebook a small private group and although I wasn’t incredibly active on it I read a lot of the posts, comments and made my way through the files section. There I found two papers produced by menopause experts about migraines and the menopause as I knew that some doctors may believe that it was contraindicated as I get migraines with auras. I printed those off and then sent them onto my gp, who had contacted me to say she had booked me in for a telephone appointment for about two weeks time.

I had a whole host of other menopause symptoms going on as well, which I could go on and on about but wont. One of the worst was the dry nether regions that led to the skin cracking and bleeding. It was embarrassing and incredibly painful and obviously not something I wanted to shout from the roof tops. I tried all sorts of lotions and potions to stop the dryness but nothing worked. I would have a few good days followed by a week or more of awful days where sitting would just burn, so sitting at the sewing machine / embroidery machine was incredibly painful. What I have written about is literally the tip of the iceberg so you can see how appealing a few little mood swings and hot flushes would have been to me compared to what I have gone through the last three years.

I started HRT 16 days ago, I haven’t had a migraine since the second dose of HRT. I have started losing weight instead of constantly gaining from the hypoglycemia caused by the migraines making me demolish mountains of sugary food and what remaining hormones I had left causing me to store everything as fat. The acne that I suddenly started getting over the last few years is subsiding – after not having acne through puberty to suddenly be dealing with bad skin in my 40’s has been a tremendous knock to my self confidence. I was always known as having beautiful skin, my chin was just covered in spots and painful cystic acne. I feel calmer, I finally am starting to feel happy again. The anxiety that was strangling the life out of me has lifted. I feel like I can breathe again.

The fact that I am no longer constantly waiting for the next migraine to hit is huge. Jay said on day 3 of HRT he could see what a difference it was already making to me. He said it was like having the old me back. I could already feel the constant anxiety lifting from my chest.

I haven’t written this to appease the person that tried to tell me that HRT  is carcinogenic (which made me laugh considering they eat red meat and have smoked for years) , they probably won’t even read this. I know that I have a slightly increased risk of breast cancer due to starting HRT. I will be checking my breasts on a regular basis and speaking to my gp if I notice any changes. I wasn’t writing this as an apology to the same person that told me as soon as I stop taking HRT all my symptoms will come back which is actually incorrect, studies have shown if you gradually stop HRT symptoms won’t return or are less likely to. They are more likely to return if you stop HRT and go cold turkey. 

I am writing this for me, HRT is MY CHOICE no one else’s. I certainly don’t think it is right for everyone but I can’t sit by and let women be scared off from it by someone who hasn’t done the amount of research I have looking at the pros and cons and how they effect me. Our family doesn’t have the BRCA gene, I don’t know anyone in the family who has had or died from breast cancer, my mum is in remission from a rare non hereditary ovarian cancer. All this was discussed in great depth with my gp, who told me had I not provided her with the fact sheets on Migraines and HRT she would never have prescribed it for me. HRT is not handed out like sweeties it is harder to get than an antidepressant. I am also writing this to ask others not to spread disinformation, not to negate someone else’s experience of menopause or menstruation because yours wasn’t like that.

Everyone must make their own decisions based on the best information available. I can tell you for the last three years I haven’t been living, I have barely been existing and if HRT brings me back some quality of life, a life that is already hindered by disability then so be it.


Good god I feel old, as of last Thursday night, I started HRT ( Hormone replacement therapy). I was put on it for a number of reasons but the main one was an attempt to get a handle on my migraines that have just spiralled out of control since March this year. Leaving me some weeks having 3 a week. I was feeling permanently exhausted by it all, some of it was the migraine hangover and the rest was the Sumatriptan that although stops the migraine in its tracks leaves me feeling drowsy for the next 24 hours.

I’m not the youngest person to be put on HRT, I know people who have been placed on it since their 30’s due to premature menopause or surgical menopause ( post hysterectomy ) but I am a good 5 years below the national average of the onset of menopause which is 51 in the UK. So whilst I am 46 and amongst the first in my friendship groups to be placed on it, it is making me having to deal with the fact that the first flush of youth is well and truly over. Middle age is upon me and it is making me feel sad. 

The sadness has nothing to do with my fertility being over, that isn’t something that has bothered me. Although I can understand why some women would be upset by this especially those who have entered menopause early before they had the opportunity to have children. I am lucky I don’t feel robbed by it, just relief as my periods were just so painful they would dominate 14 days out of the month. I would get cramps up to 7 days before my period began along with tremendous amounts of water retention, I would have period pain for the whole time I bled and it would be at the same intense level throughout. The pains when I had them were so strong I could time the contractions of my womb ( one of the many reasons why I don’t have children as if periods hurt that much the pain of having a child would kill me, no word of exaggeration). Having periods made me feel like a prisoner in my own body. I had asked repeated doctors to let me have a hysterectomy, all they would ever say was no because I hadn’t had children yet. The best thing that ever happened to me was being put on the contraceptive pill cerazette which stopped my periods completely. I was no longer dictated to by my monthly cycle.

Since 2016 I have endured ever increasing peri-menopausal / menopausal symptoms. I started sweating really heavily at the slightest physical exertion after not really being a sweaty person. I noticed my natural body odour change as well and became paranoid that I smelled, despite Mr Myasthenia Kid and countless friends telling me it wasn’t the case. Then out of no where I was hit with crippling anxiety. I have always been an anxious person but this was off the charts, like nothing I could fully explain. I felt like there was a tight ball of barbed wire in my chest and I carried it with me everywhere. I had a constant feeling of my heart skipping a beat in fear. Due to the level of bereavements we went through in a short period of time I put the ever increasing anxiety levels down to a response to the grief. My life felt like it was spiralling out of control. It wasn’t uncommon for me to wake up at 1-2am in a full blown panic attack with absolutely no idea what I was panicking about. 

I would find myself in a cycle of  very unhealthy catastrophising thought patterns. I never looked for the silver lining only the absolute worse case scenario. I spent the first year of Dembe’s life worrying constantly that he would die. There was no indication that this was going to happen, it was just a constant thought in my mind. I worried about him constantly. The worst thing was I couldn’t share my fear because I was concerned that people would think I was deliberately trying to harm him or that I was just plain weird. It was a very lonely place to be and I feel like I missed out so much of that first year due to this irrational fear. I put my fear down to Travis, our first dog becoming sick at 6 months old and passing away just before his 3rd birthday. I also reasoned out losing Frankie and Mollie in quick succession had just made me hyper-vigilant and that it would pass. I would find myself waking up in the middle of the night just to check he was still breathing.

Carrying that level of anxiety day in, day out is exhausting. Especially when it is yours alone to bear.  That is why I can’t get over the fact that with just a few doses of HRT (4 so far, I am writing this on Monday morning) that ball of barbed wire in my chest has gone. I have lost that feeling of everything being out of my control. My anxiety hasn’t gone completely, I think I will always have some level of anxiety as that is who I am . I would be anxious if I didn’t have anxiety! I am feeling much more relaxed and even Mr Myasthenia Kid has said there is a glow about me, something he hasn’t seen for a very long time. He said the look of worry has gone from my face and I am back to being like the old me.

HRT hasn’t been without side effects, had I known that one of them would be rampant diarrhoea – and I mean the time when it sounds like you have taken a piss out of your ass ( sorry if that is TMI but really I have been writing this blog for 12 years if you are only just offended where have you been?)I would not have started it on Thursday night when I was going to be travelling with Jay and Dembe to look at cars, with at least two 90 minute journeys. Thankfully I woke up at 5am so I could take many doses of imodium ( 8 tablets I ended up taking that day) to stop everything I had eaten form 1973 on-wards pouring out of me. Thankfully after the first day this side effect stopped. I had reached out on social media and asked if anyone else had suffered this side effect and a few people had. I also googled it and found that I wasn’t alone with this symptom. Thankfully it did settle down after Friday and I have been fine since.

After the first dose I immediately felt different – well the next morning. Normally Fridays trip out to buy a car would have had me awake all night and feeling anxious and I felt none of those things. I felt reasonably relaxed and happy. Again another feeling I hadn’t felt in a while, happiness. Whilst I hadn’t been depressed, it was more like a feeling of being low / blue every day, I just felt more in the moment instead of caught up in my head . I even found myself singing which is something I haven’t done a lot of for many years. For a couple of years I have felt like an imposter going through the motions of my life, now I feel like it is me. I am not having to pretend I am happy or that inside that I am not a simmering pot of anxiety and rage. Rage has been another symptom I have suffered from. I could and would just explode over the smallest of things.

I am still crying at the drop of a hat which winds me up no end. I only have to watch a slightly sentimental advert and the tears are rolling down my face. I have got into the Canadian series Heartland ( about a horse whisperer, her family and a horse ranch). I watch it most nights before i go to sleep as it is on Netflix and there are 13 seasons. I haven’t watched an episode yet without crying at something. I seem to be lasting longer before the tears start, I am hoping that as my body gets used to the HRT * which could take up to 12 weeks, these tears will stop.

I am yet to know if the HRT will make any difference to my migraines, I woke up with one on Friday for the first time in ages. Normally I have been having them start in the afternoon with a classic aura. It could take up to 12 weeks for it to reduce  / stop my migraines. It could also not do anything at all, which means I may have to try different types of HRT to find the optimal one. I really am keeping everything crossed that at the very least my migraines are reduced if not stopped as the last 5 months have been very tough with so many days lost to them.

The hot flushes I was having have also reduced in severity since starting HRT 4 days ago. My hot flushes tend to go in cycles, sometimes they are awful every 20 minutes all day every day to the point my clothes are soaked through and I have to go and change. Filled with the paranoia that I am stinking of B.O due to the level of sweating. It got to the point this summer that I gave up drying my hair. There was just no point as the heat from the hairdryer and straightening irons would have me sweat so profusely that I would have to wait an hour to cool down before I could get dressed. I couldn’t apply make up ( on the rare occasions I wore it) as it would just be sliding off my face due to the sweat running down in. When the flushes were at there worst it would leave me feeling dirty and down because I had no control over what was happening to my body despite using supplements such as red clover, sage, black cohosh, royal jelly etc.

This severe sweating cycle would then out of the blue just stop sometimes after months, sometimes after weeks. I would be able to dry my hair and only have to dab my face a few times. I would have possibly two flushes a day and the menopause would be back to feeling manageable. It was the never knowing day to day what the menopause would bring that would leave me feeling stressed.

4 days into HRT and the sweating / hot flushes are reducing massively. I haven’t had to change my t shirt 15 minutes after first putting it on because I had armpit rings – something I have never suffered with even when I was well and would go to the gym. If it stops these or just reduces the hot flushes to the point where a tissue will dab the beads of sweat off my face I can live with that after the summer I have just been through.

Just 4 doses in and I can understand why some women say that HRT is a miracle drug and has given them their lives back. Until I started 4 days ago I really didn’t realise how much of my life had been lost to the menopause over the last few years.

Oh and we did get a car on Friday and the plan is that we will pick it up tomorrow ( Tuesday 25th August 2020).