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HRT Shortages: My Frustration & Practical Advice for PMDD & Menopause Support

rachelforsterwrigh


As a therapist who specialises in PMDD (Premenstrual Dysphoric Disorder) and hormone-related mental health, I know firsthand how important stable oestrogen levels are. When your HRT is suddenly unavailable, it’s not just an inconvenience—it can seriously impact your mood, energy, and overall well-being.


Right now, many people are struggling to get their usual HRT, and the supply issues won’t fully improve until at least 2026, when the pharmaceutical company Novartis expands its production capacity. In the meantime, here’s what you can do to protect your hormone stability and advocate for yourself.


1. Be Persistent with Your GP


Doctors often don’t check oestrogen levels when prescribing HRT, but knowing your own levels when you feel good can help you and your doctor make better decisions if your usual treatment isn’t available.

   •   Ask for a blood test to check your oestrogen levels while you’re feeling stable.

   •   Keep a record of your results so you can compare in the future.

   •   If your GP won’t help, ask for a referral to a gynaecologist or menopause

specialist.


2. Find a Specialist Who Takes You Seriously


Not all GPs understand PMDD, perimenopause, or surgical menopause. If you feel dismissed, don’t give up—find someone who does!

   •   The IAPMD website has a list of recommended doctors who specialize in hormone-related conditions.

   •   Private menopause clinics can be an option if you can afford it.


3. Understand How Your Needs May Change


Your age, medical history, and previous surgeries (like hysterectomy or oophorectomy) affect what kind of HRT works best for you.

   •   If your usual brand is out of stock, your dose may need adjusting with a new product.

   •   Some patches, like Evorel, can cause different side effects than Estradot. If you switch, monitor how you feel.

   •   If you’re struggling with symptoms, push for a prescription adjustment rather than just accepting that you’ll feel worse.


4. Plan Ahead


With shortages ongoing, it’s best to stay ahead of the game.

   •   Order repeat prescriptions early—at least 2-3 weeks before you run out.

   •   Check with multiple pharmacies—some may have stock when others don’t.

   •   Ask your GP about alternatives now, so you have a backup plan ready.


5. Stay Informed & Advocate for Yourself


It’s frustrating that so many of us have to fight for proper hormone care, but you are not alone. Stay informed, connect with others who understand, and don’t let anyone downplay how important this is.


For more updates, check reliable sources like:

   •   The British Menopause Society (thebms.org.uk)

   •   IAPMD (iapmd.org)


If you’re struggling with the mental health impact of HRT shortages, reach out for support. Your feelings are valid, and you deserve to be heard.

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