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[linz57]

I'm almost six months into using Evorel Conti patches and am finding some, but not all, of my symptoms returning.
My anxiety and restless legs are controlled ok, but joint pains have returned and I'm having to get up two or three times in the night to go to the loo.
I'm off to the doctors to see about getting a Mirena fitted and will use an estrogen patch alongside. That way I can better control how much estrogen I need.
However, it got me thinking whether it's possible I could have been  absorbing the progesterone part of the patch much better than the estrogen part. Is that possible?

[Butterfly22]

Hi,
I can't give you an answer but I was on an hrt pill for a year then my symptoms came back so had to get a higher dose. Xx

[linz57]

Thanks Butterfly22, yes there is the possibility my dose needs upping ( which would mean changing to separate estrogen and progestogen as my conti patch is only available in medium dose), there is also the chance I suppose that my body may just have got used to this particular patch. I seem to recall some time back someone mentioning leaving off their hrt for a month or so to give their estrogen receptors a chance to reset. After this time they restarted their original regime and were fine. Like most things in this menopause mystery it's trial and error I suppose.
Thanks for your input!

[sheila99]

I have also had to increase oestrogen, I don't think it's unusual for this to happen. I'd be reluctant to take a break as oestrogen takes some time to build up, it took 3 months for my anxiety to stop. Same thing happened when I went on a minimal dose while they investigated a lump.

[linz57]

Thanks sheila99, yes it can take some time for the estrogen to build up again. Time for me to make that doctors appointment and get onto a separate estrogen and progesterone. According to my doctor on my last visit I can't have  a Mirena for hrt, it's only available for birth control.🙄🙄
Ah well, we all knows that's bull**** so wish me luck!

[sheila99]

Are you in the UK? I think there's some NHS literature that says you can. Might be in the Nice guidelines.

[linz57]

Yes I'm in the UK. Two years ago my doctors predecessor offered to fit me a Mirena there and then in the surgery. I declined the offer, but it shows just how varying the doctors are with their views.

[ElkWarning]

Hi, I have a Mirena specifically for HRT (hubs had a vasectomy nearly 25 years ago, so it's definitely not for contraception).  And doctors aren't meant to have 'views', they're meant to follow guidelines.  Ask to speak to the practice manager.

[linz57]

They're not meant to, but sadly so many of them do and along with ignorance over hrt a lot of women aren't getting what they want. Fear not, I shall stand my ground and will get the Mirena, if not from the Doctor then from the gynae dept  at the hospital.

[CLKD]

Let us know how you get on?

As oestrogen levels drop muscles may become lax = aches and pains.  As well as the body may become dry, inside and out.