Do you have another gyn clinic you could go to? Maybe at a teaching hospital where they also have psych? (That was where I was and like I said it really helped me that my gyn and pdoc were communicating but it also helped other women because they discovered the Mirena is too strong for some bipolar women by collaborating with me, which they had to do b/c I'm on an MAOI and it affected my surgery). I found until my last gyn who did my surgeries that gyns were not the most personable or patient people and they seemed to want automatically have bias against me as a psych patient.

If you do IP maybe you can request a consult with gyn there and see if they can figure out the HRT? I wish I knew more to help you; I never even looked into it because I knew it wasn't an option for me. They were afraid I'd need weeks or months IP if I went into instant menopause after seeing the Mirena reaction.

Have you been on hystersisters? Maybe you can find something on there that helps? My same story is on there several places (but 5 years ago so not the first thing that comes up I bet) but so many women use that site that you may find someone in the same boat.