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[Bandango42]

Hi all

So I'm in my 2nd cycle of hrt... Evorel 25 and utrogestan 200mg for 12 days. 1st cycle wasn't too bad, low mood and light bleeding for just over a week on the patches and utrogestan was fine, no side effects. I'm currently having a withdrawal bleed and stopped the utrogestan last Thursday (23rd June). But I feel rough. My body aches have returned and my vagina is dry and a bit sore. I'd started sleeping much, much better almost immediately after starting the estrogen last month but now I'm starting to wake again regularly with body aches. Do you think I need my estrogen increasing or is this just because I'm having a period do you think? Or could it just be my body adjusting? I haven't had a natural period for 3 months. I feel like since stopping the utrogestan I've felt worse ☹️ I have a follow up appt with gp on Thursday so want to be prepared, he's pretty good. Thanks in advance x

[sheila99]

If your symptoms are returning you may need a higher dose,  many women are started on 50. He may want you to wait the recommended 3 months before increasing though.

[joziel]

25mcg is a very low dose and isn't likely to see symptoms going for most women. Ask to increase to 50mcg.

Also - if your vagina is sore and dry, ask for some Vagifem pessaries and also some Ovestin cream. Both of these are local estrogen and can safely be taken alongside systemic HRT. 20% of women on systemic HRT also need local estrogen and as you are going to be slowly increasing your systemic HRT, you don't really want to be waiting ages with those vaginal symptoms in the meantime. You can always stop the local estrogen later when you have optimised your systemic HRT and see if you need it then.

I also recommend YES OB moisturiser daily - you can get that on Amazon and it's organic and natural The oil based one lasts much longer than the YES VM (water based). Other good brands are Olive and Bee and Mama B's Vulva Balm - which both have bees wax.