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[loonarider]

Hi,

 I am sat here, staring at a pack of Utrogestan micronised progesterone pills (100mg) and evorel 50 patches.

Has anyone had these together, and what were your experiences? Can I half the pill? because I will be halving the patch.

Also, it says for the Utrogestan to take it on days 1 to 25 of my cycle. Since my period is due in 5 days. Should I wait until flow then start the hrt?


Than you!

[Dotty]

Hi you can’t halve the pills, as they are more of a capsule so cutting them doesn’t work.

If you are still having periods then you should take the utrogestan  200 mg on days 15 - 26 of your cycle.  X

[Taz2]

I think the info leaflet for the Evorel will tell you to put the first patch on within five days of the start of your period if you are still having them regularly.

Taz x

[loonarider]

Hi you can’t halve the pills, as they are more of a capsule so cutting them doesn’t work.

If you are still having periods then you should take the utrogestan  200 mg on days 15 - 26 of your cycle.  X

Hi Dotty, sorry for the late reply. Now I'm confused, my GP prescribed me 100mg not 200mg despite asking whetehr I was still getting periods and my answer being yes.

So what now? Should I go back to my GP and ask why? Is it because I'm new to hrt that they're starting me on a lower dose of utrogestan?

[pepperminty]

Hi, just copied and paste this from loiuse Newson,

5. Knowing which type of HRT to prescribe can be easy
Transdermal oestrogen and micronised progesterone are safest

Oestrogen through the skin as a patch or gel is the safest way of having oestrogen and is body identical5,6. There is no risk of venous thromboembolism with this way and very few contra-indications7. There is a list of different HRT ingredients, brands and strengths available here. This also includes dose conversions. Micronised progesterone (Utrogestan) is a body identical progesterone and is better tolerated as well as having a lower risk of breast cancer compared to synthetic progestogens. This can be prescribed as 100mg each evening (continuous / bleed-free) or 200mg for two out of four weeks (cyclical / sequential).

Most women should be given continuous (bleed free) HRT

If a woman has not had a period for around a year, then continuous HRT can be prescribed initially. If a woman is taking sequential (cyclical) HRT then after around a year this can be changed to continuous HRT, regardless of her age. This should lead to her periods stopping. If women are taking body identical HRT then they should be given 100mg micronised progesterone (Utrogestan) each evening. If a woman has no bleeding with the continuous micronised progesterone then this can be considered a contraception.

Mirena coil can be used as an alternative progestogen

The Mirena coil can be used as the progestogen part of HRT for 5 years. If the patient has had a Mirena coil in for more than 5 years, then this can be kept in situ and she should be given progesterone too. The Mirena can be replaced (or removed) in the future.

Pepperminty x

[loonarider]

Hi, just copied and paste this from loiuse Newson,

5. Knowing which type of HRT to prescribe can be easy
Transdermal oestrogen and micronised progesterone are safest

Oestrogen through the skin as a patch or gel is the safest way of having oestrogen and is body identical5,6. There is no risk of venous thromboembolism with this way and very few contra-indications7. There is a list of different HRT ingredients, brands and strengths available here. This also includes dose conversions. Micronised progesterone (Utrogestan) is a body identical progesterone and is better tolerated as well as having a lower risk of breast cancer compared to synthetic progestogens. This can be prescribed as 100mg each evening (continuous / bleed-free) or 200mg for two out of four weeks (cyclical / sequential).

Most women should be given continuous (bleed free) HRT

If a woman has not had a period for around a year, then continuous HRT can be prescribed initially. If a woman is taking sequential (cyclical) HRT then after around a year this can be changed to continuous HRT, regardless of her age. This should lead to her periods stopping. If women are taking body identical HRT then they should be given 100mg micronised progesterone (Utrogestan) each evening. If a woman has no bleeding with the continuous micronised progesterone then this can be considered a contraception.

Mirena coil can be used as an alternative progestogen

The Mirena coil can be used as the progestogen part of HRT for 5 years. If the patient has had a Mirena coil in for more than 5 years, then this can be kept in situ and she should be given progesterone too. The Mirena can be replaced (or removed) in the future.

Pepperminty x

God thats very helpful. I sometimes frequent Dr Louise's site, but totally missed that. Thank you!

[loonarider]

I think the info leaflet for the Evorel will tell you to put the first patch on within five days of the start of your period if you are still having them regularly.

Taz x

Thanks Taz, I haven't even opened the pack yet, so hadn't read the leaflet. Thanks 

[pepperminty]

Hi loonarider,

no problem, I find it easier finding stuff for others, than for myself, as when I am looking for me, invariably it is because i am confused/ meno fog or desperately searching for answers.

PMX