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[Shazzie]

Hi everyone,

Hope you're all doing ok. 

I haven't posted on here for a while but need a bit of help again 2 years after my last period.  Thought it was all going ok then Wallop!!!.  Hot flushes have returned.

I stopped using Evorel patches 1 year ago as I wanted to see if I could do without.  Suffering again with hot flushes and GP wants me to restart patches. 

I don't know how much of the patch to use.  I have lost 5 stone in weight over the past couple of years and am so worried about putting weight back on.  Mind you, I don't remember putting weight on when I was using Evorel patches before.

I would really appreciate your advice.  Also I'd be interested to hear from anyone who has stopped the HRT then had to restart because of symptoms returning.

Take care.

Shazzie xx

[Annie0710]

Hi Shazzie. I'd say it's best to start on a low dose and work up if necessary as it's easier that way to find your symptom-free level

As for weight gain I don't think the patch would cause it x

[cubagirl]

I stopped for 8 months a while back, it was horrid. Meno specialist put me back on again. I've gradually reduced dosage & now only using half a 25mg evorel patch.  When I was restarted I was put back on a higher dose, but that was too high, so reduced it down to previous dose.

[Tempest]

Hi, Cubagirl! Sorry if I seem to be chasing you around the forum today......

How do you identify your high symptoms? It would be a great help to me and other ladies (especially the estrogen only ladies), as you have managed your HRT so well over the years. Again, I hope you don't mind me asking! Thank you! xxxxx

[Mbrown001]

Too high for me...... although  I'm on a combined patch, is feeling jittery. It's as if everything internally is juddering but no one would ever notice. Horrible feeling, oh and faint feelings of nausea too.

Mrs Brown

[cubagirl]

Like Mrs B says, I was very jittery on too high a dose, palpitations etc. It was like I was wired. Very unpleasant. I only lasted about 4/6 weeks at the higher dose which was 50mg I think. Brought down to 37.5. I was then reduced further by GP, at my request, to 25mg & now only half of that. I hasten to add this has been happening over last 2/3 years. It wasn't done suddenly.

[Tempest]

Thank you, Mrs B and Cubagirl!

Yup - this is where I had been going wrong! I titrated up to the 50mcg patch, changing every 3 days when I tried them and it was waaay too much! I had exactly the symptoms you both describe. Instead of adjusting back down, I gave up on them. Ditto the gel - I went to 2.5 pumps and then hit excess. Your insight just confirms where I now know I went wrong! Im starting low and slow this time - just one pump of gel and giving it plenty of time to settle in. xxxxx

[Shazzie]

Thanks so much for all your replies.  I'm really grateful.

Like you say Annie I can't remember putting on weight when I was on the patch at the beginning. 

I think I might start on a quarter of a patch and go from there.

Thanks again for your replies.   

Shazzie xx

[Bane]

Shazzie, since you are reintroducing the patches begin with low dosage to that is slowly adjust with changes in your body. Quarter sound good. All the best!!

[Shazzie]

Thanks so much.  Yes I think a quarter would be the best and then I can increase it if I need to.

I was a bit worried that I would be stalling the inevitable but feel I should give the patch another try.

Take care.

Shazzie