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[Artmouse]

Hi all,
I started on Evorel 50 and Utrogestan 100mg 5 weeks ago.  Apart from a very slight improvement in sleep can't say I've noticed much difference - joints still aching like mad and still getting mood swings and anxiety.  Does anyone know if this is a low or medium sort of dose?

[Annie0710]

For me aching joints is when I'm on a low dose oestrogen do it might be worth increasing a little to find your level of comfort

[Artmouse]

I might ask for Evorel 75 when I next see GP - just not sure whether that is considered high or low.  I'm worried I'll cause other issues if it is a high dose...

[Hurdity]

Hi Artmouse - depends where you are in menopause and how old - sorry can't remember your story. 50 mcg is a medium dose  - and what I started on and remained on for 9 years ( I recently increased slightly due to taking testosterone too) -   provided you absorb it well. Did you suffer flushes and sweats and have these gone? Although 75 mcg is down as a high dose - it isn't high compared to the levels at ovulation - but of course HRT aims to be lower than that which would be too high all the time.

The other thing is - are you taking the utro all the time and orally? It could be that some of your side effects are due to the continuous progestogen and you might be better off on a cycle and having a withdrawal bleed (unless you need to have continuous prog eg for endometriosis etc?).

If you are peri-menopausal then you will still get mood swings from time to time and it's only when you reach menopause that everything stabilises (more or less) - and the only way to stop this is to take the pill or something similar (one of the gentler kinds) if you're under 50 which suppresses the cycle but gives you oestrogen.

Hurdity x

[Artmouse]

Hi Artmouse - depends where you are in menopause and how old - sorry can't remember your story. 50 mcg is a medium dose  - and what I started on and remained on for 9 years ( I recently increased slightly due to taking testosterone too) -   provided you absorb it well. Did you suffer flushes and sweats and have these gone? Although 75 mcg is down as a high dose - it isn't high compared to the levels at ovulation - but of course HRT aims to be lower than that which would be too high all the time.

The other thing is - are you taking the utro all the time and orally? It could be that some of your side effects are due to the continuous progestogen and you might be better off on a cycle and having a withdrawal bleed (unless you need to have continuous prog eg for endometriosis etc?).

If you are peri-menopausal then you will still get mood swings from time to time and it's only when you reach menopause that everything stabilises (more or less) - and the only way to stop this is to take the pill or something similar (one of the gentler kinds) if you're under 50 which suppresses the cycle but gives you oestrogen.

Hurdity x

Hi Hurdity,

Thanks for the info   Yes, I am taking continuous Utrogestan (100mg).  I think it has helped a little with insomnia which was really bad for me so that has been a welcome thing.  It is worth taking for that alone I guess.  I'm 53 and before starting on HRT (5 weeks ago) I'd last had a period 4 months ago but since being on this HRT I've randomly had another one. 

It's all so confusing!