to Hyster Sisters and the Hormone Jungle!
You have had a tough go of things, haven't you?
It's bad enough to have the symptoms without having the understanding of a doctor to help you in your quest to feel better.
Hormone deficiency often is the cause of many symptoms which may seem unrelated. There's a very long list of symptoms in this link to the Menopause Checkpoint
and in this link to common symptoms of too much/too little
estrogen, progesterone and testosterone.
I wouldn't be alarmed that your doctor didn't do any hormone testing. Not all doctors do. My own opinion of hormone testing is that it isn't all that useful unless someone is hopelessly lost in the Jungle after trying many different types/doses of hormone therapy. I do believe it is important to have free and total testosterone levels checked before adding that hormone.
Generally starting with estrogen only is the way to go. Get as many symptoms under control as you can with the estrogen and then add progesterone and/or testosterone, one hormone at a time as indicated by symptoms. Make changes gradually because each change takes time to register with the body.
As you work to balance it's good to refer to that too much/too little list as a guide, and it is also helpful to keep a journal of your symptoms on a daily basis. Then you have a written record to share with your doctor which will show how you're doing over time. Hopefully you will see improvement!
With vaginal dryness as part of your problem, I would suggest you discuss adding a vaginal estrogen along with a systemic estrogen. I've been using vaginal estrogen since about seven months post-op. No matter what systemic estrogen I use it's not enough to keep my vaginal tissues healthy. I'm currently using Vagifem which is a tiny estrogen tablet inserted with its own disposable applicator. It really does work! In the past I've also used a compounded vaginal estrogen cream with good results. There is a lot of good information about vaginal dryness and the treatment options which you can read when you click this link
For libido lots of us here in the Hormone Jungle use 1% compounded testosterone cream. You have to have a prescription for it and it has to be filled by a compounding pharmacist. To learn more about compounding pharmacies and to locate one near you if you end up needing one, you can use this link: www.iacprx.org
It's understandable that you are frustrated.
I hope your new doctor will be more understanding and that you can work with her to feel better. The path through the Jungle can be tangled, but we are here to help you cut through the vines. We can definitely relate to how you feel and you aren't alone!