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[Gilla999]

Totally agree Crispy - what works / doesnt work for one person isn't going to be the same for another xx

[Vicky81]

Thanks both you are so very kind...I will have yo just see i guess xxx

[Vicky81]

Does anything think adding in one pump of oestrogel would do any harm? I have  some bottles here and was sat thinking about it. I'm so fatigued I can't explain.
I never had any reaction from the gel it was just too much faff putting 4 on each day .

[joziel]

Zoely is 1.5mg of estrogen: Each film-coated tablet contains 2.5 mg nomegestrol acetate and 1.5 mg estradiol (as hemihydrate).

https://www.medicines.org.uk/emc/product/3038/smpc

This compares as follows:

Sandrena gel 1.5mg
75mcg patches
3 pumps of Oestrogel
Tablets 1.5mg

So it is actually quite a high dose of estrogen for a contraceptive pill. I'm on a 75mcg patch at the moment, so it would be the same amount but orally.

For eg, your bog-standard Microgynon combined pill, is only 30mcg of estrogen: https://www.medicines.org.uk/emc/product/1130/smpc

[Vicky81]

Oh! I didn't know that as I was under the illusion is was very very minimal amout....

[Dotty]

https://gidonlieberman.com/wp-content/uploads/2019/07/Medical-model-HRT.pdf

If you look on page 4 of this document you will find the equivalent dosages of different HRTs. The Zoely does contain 1.5mg of estradiol but as it is taken orally then some of it is lost in the digestive system. So it’s equivalent to a low/medium dosage of hrt. It’s roughly equal to a 37 patch or 1.5 pumps of Oestrogel.

https://thebms.org.uk/wp-content/uploads/2018/08/HRT-Practical-Prescribing-AUG2018.pdf  You’ll find the same information here .

[joziel]

Oh, that's interesting. It's not what I read on another website (which is where I copied and pasted that from).

 

[Vicky81]

Thanks both....ooohhh now confused xx

[Marchlove]

Gosh, which one is correct?

How can we find out? 

[Gilla999]

Just to add, you can't compare the numbers of the Estrogen in Zoely to that in other contraceptive pills which use Ethinylestradiol, a synthetic form of Estrogen as it is much more potent than the Estradiol used in both Zoely, Qlaira and trans dermal HRT.

[Vicky81]

I'm with you marchlove......desperate to know myself now xxx

[Vicky81]

Do you know,, I've just been working with a girl tonight, was telling her about all this pill stuff,, she told me her mum was and still is peri and swears by the pill- riverdon?? I'm not sure how to spell it....
She said her mum was bad,, tears the lot and her mum wouldn't go on anything else.  .I asked her is your mum jolly etc...she said oh yes! Very jolly . . Completely different...she been on it years.
Never went on HRT for peri .
Xxx

[Dotty]

Hi…Zoely contains 1.5mg of oestrogen in the form of estradiol. HRT tablets contain 1mg or 2mg of o estradiol. However some of the oestrogen is lost in the digestive system. Therefore, the table that is on the British Menopause Society website is the one to look at for comparisons.

I’m not sure what you’re asking when you say “I don’t know which one is correct”? x

[Gilla999]

Vicki I think you mean Rigevidon, it's just a regular contraceptive with synthetic Estrogen and one of the older (second generation) progesterones.

I think it might help you to not listen to any person or article telling you they've found the answer for them... everyone is so different in this journey that as Crispy says, just because something worked for one person doesn't mean it will for you and vice versa. Give yourself time - at least 3 months - on any one regime before deciding if it's helped or not and then try something else. That's the only way you're going to work through this 

[Vicky81]

Sorry dotty I didn't mean anything rude by asking.....I didn't look at the links as was in work.

Gill- I know what yiu mean its difficult sometimes as I guess you try to look for the more positive story/answer xxxx