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[Merisorrr]

Hi,

I have just been prescribed sequential HRT for the first time - Evorel Sequi and Conti patches, as I still have periods. The GP said they are the most convenient option. I have noticed however that Conti patches contain sythetic progesterone - Norethisterone - I am am really concerned about the bad press for progestins. Is there an equivalent sequential patch that contains natural progesterone available on the NHS or otherwise, or do I need to ask for Utrogestran capsules?

Any advice would be much appreciated. I am new to this and suspect I do not tolerate progestins, as both oral contraceptives and the mirena coil made me feel unwell.

[Flossieteacake]

Hello and welcome to the forum. If it were me, I would try the lowest oestrogen patch (25) just to see how you find it. Once you know if that is going okay you can then try to find a progesterone you can tolerate. The reason I say this is you said you may be progesterone intolerant. Taking the oestrogen separately will allow you to experiment more with progesterone options.

[Dotty]

Hi there is another patch called Femseven Sequi but it still contains a synthetic progesterone although it’s a gentler progesterone compared to norethisterone.

Your only other option is Utrogestan capsules x

[Stella2]

Yes, unfortunately there are no combined patches with body identical progesterone, the best combination is estrogen patch an Utrogestan separately

[Merisorrr]

Thank you all, this is really helpful