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[Tc]

I've got a feeling I'm being realy thick. Hence why I'm laughing at myself but...
When I was on 4 pumps gel 3mg of estradiol was delivered daily. My estradot patch only delivers 75 micrograms daily. That's a lot less.

[Tc]

Thanks richard

[Tc]

O.k I just phoned 2 different pharmacists and both said the same thing..you cant realy compare like for like. They both said it's because of the different delivery systems.
Both said the patch might appear to be a lower dose but might result in a higher serum level due to better absorption.

[Dotty]

Hi Birdy what were you on before? X

[Tc]

I can only answer for myself but possibly stellajane. I guess when nothing you try seems to be working you look for answers.
For me. I was getting worse and worse on 4 pumps, borne out by my blood test. I was worried about dropping even more or just staying the same by taking a lower dose patch.
.
I will admit I fretted a lot about the gel. But only because  It wasnt working.  I worried if I was doing something wrong with application Whereas I dont feel anxious about using the patch as I cant get it wrong.
The day to day effects of my E plummeting has been terrible anxiety and in turn I get anxious  about wasting time taking something that's not working as some of the more undesirable effects of E deficiency get worse over time.

At the end of the day if I felt o.k on a treatment then that would be good enough for me and I wouldn't care about blood levels or dosages and wouldn't need to look for answers. What a relief that would be. It would be like being set free!!!

[Tc]

Birdy. You seem to react to too much eastrogen dont you. Getting the balance right is crucial for you. And you seem to react to very subtle changes so micrograms and milligrams realy do come into play.

[Tc]

Stellajane. Thank you.
You are right everything is daunting when anxiety is at a prolonged high.
I have a bit of a tempestous relationship with Ad's. I've been on them in the past but I wasnt on them prior to my surgical meno so I guess I can isolate my current issues  to after that event and plummeting eastrogen.

I guess I'm being stubborn about getting my eastrogen levels up to see if that helps first and maybe I wont need them. I'm resistant to them because of side effects I've had in the past.
I have got a prescription for escitalopram but I havent started yet. I just think if I get even a relatively low level of E back I might not need to start them.
X

[Tracey E]

Hi 1 pump is a very low dose . If you want the rough equivalent of Evorel Conti then you need 2 pumps.

Which progesterone have you been prescribed? X

Utrogestan 100 mg orally at the moment. I seemed ok with the oestrogen dose in the patches so just wanted the equivalent amount of oestrogen in the gel.

[Tc]

Tracey. What dose patch were you on?

[Tracey E]

3.2mg Estradiol, absorb 50 micrograms in 24 hrs..

[Dotty]

Hi Tracey The equivalent dose of gel would be 2 pumps . As other people have pointed out it’s difficult to compare gel with patches or pills . The BMS have issued a table showing the comparisons which I posted in an earlier post. X

Here’s the article with the table. Hope it helps x

https://thebms.org.uk/wp-content/uploads/2018/08/HRT-Practical-Prescribing-AUG2018.pdf

[Tracey E]

Thanks Dotty, I'll give it s go.. X

[Dotty]

Good luck Tracey E x

[Tc]

Tracey I believe the table dotty posted is the nearest you will get to conversion. I have never seen anything else which compares in this way.

Btw. Tracey with an E is a great name. Wink wink.!!
TC x

[Tracey E]

  Thanks Tc..