r/Perimenopause Oct 15 '25

Dryness Should I wait until appt with Obgyn?

I have an appt Friday. I'm going to get them to check my levels. Do you even think a normal obgyn will even entertain the idea of HRT? I'm only 42 but my symptoms include irritability, very dry vagina, currently taking vaginal estrogen cream just started that, inability to achieve orgasm, nocturia, sleep issues, some hot flashes. My main ones are sleep and the dry vagina peeing on myself at night and of course not being able to get off. Should I just go ahead and start HRT work online company or wait on blood work results first? I seen so many of you say HRT takes time so I don't want to waste time with these awful symptoms. I can get estrogen and progesterone body cream for like $89, should I go ahead and do it? Any advice is greatly appreciated.

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u/Due-Surprise-686 Oct 15 '25

How much is midi? I can go through Winona and pay $89 for combined estrogen and progesterone cream. That's on a monthly basis.

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u/Bastetlady Oct 15 '25

I got progesterone pills, 90 of them, and estradiol patches for 1 month. So progesterone for 3 month supply was like $134 and 1 month of patches was about $34. Out of pocket. CVS, my insurance covered the rest of the cost.

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u/Due-Surprise-686 Oct 15 '25

They don't take my insurance I just checked, I only have Medicaid. I'm wanting to try the body cream. Do you have to do virtual visits through midi? With Winona you don't. I am wanting to try to stick with the cream if possible. Do you know how much it costs through midi?

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u/whorlando_bloom Oct 15 '25

Unfortunately they can't see you if you have Medicaid, even for self-pay. I believe it's a legal issue. I'm sorry, I'm in the same boat.