PA, surgical menopause, HRT and IBS
Hi not sure where to begin!
I am approx 2 years after being diagnosed with PA, have had IBS for I can't remember how long, not on medication for it currently managing it through diet; avoiding wheat and lactose and too many carbs. Had an op for severe reflux approx 10 years ago. Full hysterectomy 4.5 years ago which put me into surgical menopause. Currently on Methotrexate 20mg and leflunomide 20mg. Was advised by consultant to take HRT for long term bone density (some history of osteoporosis in family) so have been taking elleste solo for last 7 months - recently upped to 2mg. Also had carpal tunnel ops on both hands Nov 20 and Feb 21 so had to stop RA meds for a few weeks to aid recovery. I exercise by walking and riding a bike, used to go to the gym frequently prior to covid. I am having a bit of a relapse with RA, recently had leflunomide upped to 20mg from 10mg, but I am still suffering in certain areas. I suffer with headaches and migraines and high BP as well as being undertall for my weight - someone needs to make me an appointment with the vet I think!
My question is more about the type of HRT to take and the effects on my IBS as well as my PA and any contraindications. Not sure where to look for advice as I feel like I am going around in circles on the internet, my Dr's ask me to do a consultation on line so I don't get to speak to anyone, and they don't have any dr that specialises in any of the above, and now I have found that my consultant has moved on and she was great.
Can you point me in a reliable direction please?