Hi skye, I recently tried Femoston Conti Ultra Low as my first ever oral HRT regime, with some trepidation as I'm a migraineur (both classical with aura & ocular) & oral HRT is not usually advised with migraine due to the peaks & troughs in levels it gives rise to. However, I'd just about exhausted other options so it seemed worth a try. After 3 weeks, I started having daily headaches with some other migraine features, though the headaches were thankfully not migraine strength. This, combined with unwanted slowing of digestive function, made it feel very much as though the Femoston was not going to work for me & I stopped after a month, anxious to avoid the return of full blown migraines.
I've recently been prescribed 2.5 mg MPA with 25mcg Estradot patches (both at my request as MPA is new to me) but have yet to start the regime. I would say that if you are a migraineur, the steadier release of hormones that comes from patches might be better tolerated than the spikes you could get from gel, though after a while a constant level is supposed to build with gel. I found one pump of gel did not relieve my symptoms & like you, I could not tolerate the Utrogestan I was using with it. I'm not sure how hair-friendly MPA is, but the 2.5mg is very low dose, so you may be OK with that.
I was on Evorel Conti for 2 years & this did not cause me to have migraines, but it also didn't relieve symptoms that well (poor absorption). Sorry to hear it worsened your migraine & I imagine it may not have helped your TE as the norethisterone it contains is testosterone derived.
I'm 57 & 7 years postmenopause btw, so in a similar situation to you. I hope you manage to find something that helps.
