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[LisaBenno]

I have decided to give utrogestan and oestrogel one last try.
When I had my private appointment back in April I was advised to use oestrogel gel 2 pumps daily, building up to 4 pumps if needed….how do you know if you need 3 or maybe 4 pumps..could it be that I’ve not been using enough in the past,  hence me feeling irritable/emotional as I did pre Oophorectomy?

Would be really grateful for any advice re this please? X

[SarahJane1234]

hello!  I started on 2 pumps just before Christmas, and after 3 months went up to 3, and I'm now on 4 pumps per day.  I use 2 in the morning and 1 1/2 or 2 in the evening and find it to be very good.

I upped my dose as the night sweats were creeping back, which I find to be an indicator for me generally.

[TheAmericansWife]

Hi Lisa

I’m on 3 pumps, but I sometimes take 4. Basically I still have about a week in my cycle where I get symptoms and that’s when I add in more estrogen. So if you’re feeling good on 2 there would be no need to go up to 3. They do advise the lowest effective dose. If however you find that after a while you are getting breakthrough symptoms then you could up your dose.

My specialist tells me “you can’t really overdo it as the doses are quite low”

[sheila99]

The right dose for you is the lowest dose that controls your symptoms. The symptoms of too much oestrogen can be just as bad as too little. 2 pumps is a common starting dose, that's what I started on too. If you still have symptoms after 3 mo this then add a third pump. It's important to increase slowly and give it time to work. Although hot flushes usually go within a couple of weeks my anxiety and insomnia took 3 months.