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[Keeleyruth]

I need to increase my Estrogel from 1 pump a day to 4 pumps a day.

How do you ladies do this?

I've started by going straight up to 2 pumps a day but feel very emotionally unstable as soon as i've put the 2 pumps on. Tears and anxiety through the roof. Will this continue? Do I wait for this to settle before increasing by 1 pump again? If it doesn't settle 9say after 4 weeks) do I just keep increasing and feeling shitty until I get to 4 pumps?

[sheila99]

As you feel bad on 2 pumps it would be better to increase more slowly. You could use 1.5 pumps for 2-3 weeks and add the other half pump when your body has got used to this dose. You may find you don't actually need 4 pumps, the right dose for you is the lowest dose that controls your symptoms.