I went to see my GP in my mid fifties for several severe menopausal problems, ( anxiety, depression panic attacks, brain fog, loe libido and vaginal dryness) but was refused HRT by my GP despite being in a very low risk group. I believe I was wrongly diagnosed initially with with vaginal exema, then lichen sclerosis and given steroid cream to control the soreness. My severe vaginal atrophy resulted in vaginal tearing across the perineum. I believe the refusal was a contributory factor ( but not the only factor) to my eventual marriage breakdown and eventual separation. The separation in turn made my anxiety even worse, and I was in pain from the untreated atrophy and tearing. Eventually I was referred to a gynaecologist at the hospital, who arranged for vagifem to be prescribed, and an operation called Fenton's procedure to sort out the physical damage. Both have improved the physical condition considerbly, but the marriage could not be repaired. As it was 4 years too late. I still feel that HRT patches/ gel could help in any new relationship so I am also interested in hearing about anyone who has been able to access this, post menopause, on NHS after age 60. It's may not be suitable for for everyone, but I felt neglected, ignored and expected to put up the symptoms and suffer in silence, to my detriment, and I not offered any alternative solutions early enough..