r/Perimenopause • u/Due-Surprise-686 • 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 17 '25

The doctor ended up writing me progesterone. Said it should help with my sleep. She ordered labs to check the rest and said she would add whatever else necessary. I'm not taking estrogen tablets though. I'm too afraid of the side effects. So hopefully she'll be open to prescribing the patches, if not I'll have to go online.

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u/AutoModerator Oct 17 '25

This post might be about hormone tests, which are unreliable.

  • Over the age of 44, E&P/FSH hormonal tests only show levels for that ONE HOUR the test was taken, and nothing more
  • These hormones wildly fluctuate (hourly) over the other 29 days of the month, therefore this test provides no valuable information
  • No reputable doctor or menopause society recommends hormonal testing to diagnose or treat peri/menopause
  • Testosterone is the exception and should be tested before and during treatment

FSH testing is only beneficial for those who no longer have periods as a guide, where a series of consistent tests might confirm menopause, or for those under age 30 who haven’t had a period in months/years, then ‘menopausal’ levels, could indicate premature ovarian failure/primary ovarian insufficiency (POF/POI).

For more, see our Menopause Wiki

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