I am a 55 year old female that had a total hysterectomy at age 46. I was put on an estrogen cream for hormone replacement. At this time I never really had any menopausal symptoms. About two years ago i began noticing hot flashes, irritability, dry skin, brittle nails, hair thinning and loss, and decreased sex drive. I have been through two different Bio identical doctors and all types of supplements with no real improvement. I am confused as where to go to next…endocrinologist or obgyn??? Help