Hi and welcome
I wonder why you wish to start HRT if you are 10 years post meno?
Are you still getting bad hot flushes or is it for your bones?
I am 57 and three years ago had cancer of the uterus. I had my ovaries removed with the hysterectomy and following that, of course my menopausal symptoms were horrendous. I was not allowed any HRT because the cancer was hormonally driven.
I had the all clear from the cancer a couple of weeks ago and the doctor wanted me to start on low dose estradiol. I have a few hot flushes now and then, and vaginal dryness but apart from that I am feeling pretty ok. He said it would be good for my bones in the future. (I couldn't be bothered to argue but i had a bone scan not so long ago and my bones are fantastically strong).
Anyway-I thought I would give it a go because I would like to be rid of the flushes-but honestly I was soooo ill I had to stop within a week. I felt agitated and depressed.I think from what I have read that when your body has low estrogen the receptors eventually die and then of course if you try to put it in your body it will give a strong adverse reaction.
I am unable to use any hormone cream vaginally either as that too affects me systemically.
Maybe you have been without hormones for so long your body, like mine, has adjusted? It is not essential at our age to use HRT unless we feel better for it. I certainly feel much better without it-in fact I am feeling fine these days and I manage my vaginal dryness with Replens and Vitamin E oil. I keep fit by walking and swimming lots and am not overweight.
I don't understand about the levels of your blood test which you mention. Maybe someone else will come along who knows more about that.
I would say, though in your case they may be pretty meaningless. Obviously if you are post meno you will have low levels of estrogen and progesterone but that is going to be normal for you-given your age isn't it?
Its about how you are feeling and it just may be your body isn't going to like a sudden rush of hormones after so long without them.
Good luck anyway and I hope you get some more answers
janet c