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[shakilla]

Hi
I increased my hrt from 75 to 50 a couple of months ago as had itchy skin. Ever since I've noticed lots of hair shedding constantly. And have noticeable bald patches now. I reduced om saturday back to the old dose of 50. Despite my gp saying that the increase should help with hair loss. Anyway the hair shedding has almost stopped since this but I'm now getting terrible hot flushes and hormonal rages which I wasn't getting two months ago on this dose. So I'm at a loss what to do. Will this settle down and is it a result of the sudden drop or is that my body needs the higher dose.  It feels like I've got to choose between going bald or horrible meno symptoms. Any advice would be great. X

[Hurdity]

Hi - do you mean you increased from 50 mcg to 75 mcg or decreased from 75 mcg to 50 mcg?

I presume these are patches? What are you taking for the progestogen and have you incresed this too? Are you peri or post-meno?. As far as I understand oestrogen per se does not cause hair to shed and hasd the opposite effect though I seem to remember there was a dicussion about this recently on the forum. Potnetially the way that HRT is taken externally perhaps it can have the opposite effect? Some progestogens can lead to hair loss as a side effect.

If you sre getting hot flushes on the lower dose then you do need to increase and perhpas you could compromise by cutting the 75 mcg patch down to approx 62.5 mcg which is what I do?

Hope this helps and you feel better soon.

Hurdity x

[shakilla]

Thanks Hurdity,
I take uttogestan and was increased to 75 from 50 but have a lot of shedding at this dose and have noticable bald patches on one side of my head . On 50 I don't have any shedding but get hot flashes.
I do have lupus and autom immune disease so am wondering if it's the extra oestrogen triggering a flare

[rachelp]

Hello Shakila, I increased my patch from 50 to 75 3 weeks ago as was getting hot flushes again ( I take 100 utrogestan daily) and have noticed lots of hair shedding, over the past 2 weeks; I am thinking to decrease and put up with hot flushes and hope my hair stops shedding 🫰🏻
Am hoping you are much improved now 😊

[Dandelion]

Please don't decrease your HRT, I did 3 times and really regret it. ☹️ It puts your future health at risk.
I decreased mine, well, my Dr did, 3 times, as I bled, and, unknowingly walked around with low oestrogen for four years, getting worse and worse, not knowing it was menopause symptoms returning 😐
I was changing from peri to post, so the symptoms were a bit different but the same if that makes sense.
I thought my HRT was correctly tweaked.
I watched loads of videos from the likes of Dr Louise Newson, Dr Kelly Casperson, Dr Naomi Potter, Dr Barbara Taylor etc etc, and realised I was actually in menopause and it was insufficiently treated.
I got a blood test, oestrogen low 112 no wonder I was feeling like poo. 💩
I hope the low oestrogen hasn't done any damage.
I have been increasing with my doctor, it's still low at 289 in my most recent blood test.
I wish I had known the correct causes of my symptoms, low oestrogen, as it's taken months to feel better and I am still not there.
My hairs are always coming out as well. It's like having a pet in the home.