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[warwick01]

Morning Ladies

Can anyone tell me why at 57 (post meno) I feel I need to increase my oestrogel?? I thought you need less in post menopause??

I have tried to maintain 3 pumps of gel 1.5 morning and eve. However I wake around 6:00am with butterflies and feeling a little hot and sweating. Following my shower feel ok and about 2 hours after I apply my morning gel, I take the dog for a small walk in the park. The sweat pouring off me, exhausted with fatigue, anxiety, panicky and feel really out of sorts. Things improve after lunch and feel better in the evening.

I have always wondered if I absorb the gel but other HRT preperations cause other problems.

My question is do you think I should increase or carry on with 3 pumps of gel??

Wxx 

[Dana]

Have you thought about trying patches? It might give you a more consistent dose.

[Dancinggirl]

I have found that whether I'm HRT or not I get far more sweaty and tired  - we're getting older and we are struggling generally because of this. I assume you are on an AD/ SRRI alongside the HRT?  Maybe you ned to try somethings different to help with the anxiety?  DG x

[warwick01]

Thanks Ladies

Dana - tried patches (50) but found I had a crash when they needed changing (massive panics) but they did control sweats and I slept a little better.

Dancing girl - not on Ad tried sertraline and was so ill (vomiting and hallucinations) after 1 tablet.

When will this end???

Wx

[dazned]

Maybe you aren't absorbing it well,yes gel is flexible but not everyone absorbs it consistently or well . I would try a different approach rather than more if it were me.

[warwick01]

Hi StellaJane

Thanks for your reply. No, not mentioned to GP as I always feel a nuisance. I do seem to blame everything on hormones never thought of it before but if this morning crashing fatigue and sweats carry on this week will make apt with GP

Wxx

[andius]

I find that patch change day may produce some "warm episodes" about 4 hours AFTER putting on a new patch.  I think it may be the change (rising) of the blood level of estrogen that produces this, but I do not have the same before changing it, i.e. (lowering) of the level causing a "warm episode", although I may have some VA stinging occasionally.

If the change in levels is what is causing sweats for you ( not saying this is true, but might be something to consider), the continual increase in dose of gel will probably make the sweats worse.

Try lowering your dose for a week or two and see if it improves. Also, patches may be a more even delivery than daily use of gel, but to avoid "crashes", you could try leaving the old patch on for a  1/2 day when you change to the new patch (and maybe change 8 or 12 hours earlier).

Just some options to consider as long as all else seems ok on hrt.

[warwick01]

Thanks for your replys

One other thing when I start a new bottle of gel it appears better as the more you get to the end of the bottle the less it seems to work.

Is it just me that still requires a high dose of HRT at 57?? lots of post menopausal women appear to use only 2 pumps of gel or 50 patch.

Wxx