TMS (the magnetic thing) is supposed to be really good for depression. We talked about it a while back for me but financially it wasn't an option and it also wouldn't work well b/c I live 2 hours from the place that does it and 5 days a week of 4 hours of driving wasn't going to help me.

I know where I go IP I always see a family dr once and a NP every few days if not daily. They will get specialists in to see people if needed; I've seen them do it. And since working with your hormones is going to be beyond what the pdocs IP can do it would be a completely reasonable request to see both.

I had one gyn who was great but moved away. Then I asked my family dr for a referral for someone good with trauma. He said this woman was great, he referred his own finance to her and all his friends. He even set up the appointment himself so I'd see her and not her NP. I told her that I needed to talk during the exam to be distracted. Her idea of distracting conversation? "So, do you do breast exams monthly?" She was SOOOOO uncomfortable. Oh, and on the history forms I marked that my brother had a stroke soon after birth. Her nurse asked in a gossipy way"so did he live?" but didn't really care, just wanted to hear a horror story I think. That's when I found my Dr. Wonderful (who has since moved across the country so I hope I never have another problem that might require a gyn).

I'm just so sorry you're going through this. I can tell you that it took months for things to calm down after my hysterectomy. My hormones were crazy with hot flashes and migraines nearly daily that flattened me and all kinds of things that were weird. But as menopause has progressed I have found that some of my most rapid cycling was hormonal and that things are easier on that level. I think that I was responding to both hormonal peaks each month before menopause and now I don't. So presumably you can get your HRT worked out and feel better. It has to be possible; you can't be the first person this has happened to. Someone knows how to fix it.