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[becca]

Hi everyone,
Would appreciate some advice on oestro dose and absorption ahead of my clinic apptmnt in Sept.  So am currently on 4 pumps oestrogel and 100mg utro vaginally for 12 days.  I recently had to increase the oestro from 3 pumps because of hot flushes starting to creep in.  I've realised there is a pattern emerging - I start on an oestro dose (e.g 2 pumps per day 2 years ago) and it's all good for about 10 months, then I start getting hot flush, depression and insomnia symptoms. So I increase by 1 x pump per day and all is good again for about 10 months until the symptoms start again. I was identified as early meno and now 46 yrs so not really sure where I am in the whole process but with recent oestro blood levels around 160 I'm thinking there might be an absorption problem??
So:

• is there a bio-identical alternative to oestrogel in either patch or pill form?  I would prefer patch as anything going through my digestive system creates havoc
• is it possible that the increased utro dose (I was orginally on 100mg orally for 7 days) is messing with my oestro levels and so maybe I should look at reducing everything again?  Might help with the hell of progesterone withdrawl too?
• is it usual to need to keep increasing oestro dose as you approach meno? and what happens after meno - presumably for safety you need to gradually reduce the dose?

Sorry if this has been covered before - couldn't find a thread with this info on searching.  Grateful for any tips and advice x

[Salad]

Hi becca

I'm an Oestrogen only user.

I used gel at first and gradually increased to 4 pumps then found I needed 6 to stay symptom free.
My GP was aware of the extras doses but when even that didn't control things, I swapped to patches and only needed 75 mcg (so = to 3 pumps)
My patch dose also needed to increase gradually but when I was using 100 mcg and adding in gel too my GP referred me to Nick Panay's Clinic for supervision.

Having tried several patches I have stuck with Estradot which are super sticky and much smaller than any others I tried (thanks Hurdity)

I'm sure you will feel better and more reassured being supported by Specialists who will tailor HRT to suit your personal needs.

Good luck 

[becca]

Having tried several patches I have stuck with Estradot which are super sticky and much smaller than any others I tried (thanks Hurdity)

I'm sure you will feel better and more reassured being supported by Specialists who will tailor HRT to suit your personal needs.

Good luck 

Thanks for the tip Salad - do you know if Estradot is a bio-identical HRT? 

[Taz2]

Yes www.menopausematters.co.uk/forum/index.php/topic,35361.msg5658 scroll to Hurdity's reply.

Taz x 😊

[Dotty]

Hi all of the oestrogen only patches are body identical.

The combined patches contain synthetic progesterone . X

[becca]

Thank you Taz and Dotty x