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[AnneS]

Hello ( again ! ) ... I've used this forum for a few years now and have found it a life saver !! I'm in need of advice please ! I'm currently on a regime of Evorel 50 patches and utrogestan daily ( and continual ) ... Ive been on this regime since last December and overall found it effective. Recently, however, I have found my anxiety returning ... light headed, palpitations and general unease! Could this just me a blip in my LONG menopause journey or is it an indication that I need to up my dosage ? Any advice would be appreciated! Many thanks x

[CLKD]

Morning.  It could be that your own hormones are kicking in so you may require a hike.  When do those symptoms become troublesome, is it cynical?

How is your diet overall?  R U well hydrated?

If you don't get a sensible response put the product names into the search box and read the associated threads: make notes ;-).  I believe that some do cut patches to add a small amount to the 50 as going up to 75 [I think] can be too much of an increase.

[Joaniepat]

As you are on a low/ medium dose of oestrogen, it would be reasonable to go up to a 75 patch if your symptoms are not controlled.
JP x

[sheila99]

It isn't uncommon to need an increase in your oestrogen dose as your own supply diminishes. I've had to increase twice because of retuning symptoms.

[CLKD]

sheila - did U increase all at one go or did U cut patches? 

[sheila99]

Up a patch strength each time (25mcg), a couple of years between increases I think.

[AnneS]

Thankyou ... I think I'll give it another week or two then go back to my gp ... I was just hoping that I'd seen the last of my anxiety which has definitely been my worst symptom by far ! The joys of the menopause continues !!!

[AnneS]

Hi … further to my previous post … I’m still suffering with return of symptoms… daily headaches , insomnia and anxiety ( all no doubt connected! ) … I have an appointment with my doctor on Monday so just wanting some advice so I’m pre-armed !
If I up my everol to 75 would I need to also up my utrogestan from 100ml ?
Also wondering if I should add ads ? ( previously been on fluoxetine which worked prior to hrt )
Should I request blood tests ?
Sorry… I just feel so miserable again !
Any help / advice would be much appreciated xxxx

[Dotty]

If you’re on continuous Utrogestan then it would be 100 a day .

[CLKD]

Morning.  A hike to 75 may be far too much at once.  U may find that adding 75 every 3/4th night helps initially if the patches can't B cut into pieces.

Some do require Anti-depressants along with HRT so don't beat yourself up if you decide to go that route.

Take a list of symptoms to the appt to discuss.  Let us know how you get on.

[AnneS]

Thankyou! I feel all my symptoms are being driven mainly by the anxiety and if I could sort that I would be so much better ! Obviously easier said than done ! I am definitely open to ADs so am going open minded to the doctors and see what is suggested/ offered !
Thankyou again for your advice x

[AnneS]

Hi
I’ve just had some blood results ( testing my estrogen levels ) and would like some advice please !
My oestradiol is 211pmol/L ?
Just wondering if anyone knows if this is high/ low/ normal
I had bloods in relation to possibly upping my Evorel 50 due to a return of symptoms.
Many Thanks !!! Xx

[Wrensong]

Hi, 211 is lowish.  Top of oestradiol ref range for a postmenopausal woman at the lab I use is 189 so you are not a lot above what some women can make for themselves postmeno without HRT.  My gynae advises aiming for betweeen 300-800, but what we feel well on is very individual & may also depend on where you are in menopause.
Wx

[Joaniepat]

It's more about how you feel than chasing blood test results. If your symptoms are not controlled you have scope to increase. Evorel 50 is only a low/medium dose and the maximum licensed dose is 100. That aside, I would describe 211 pmol/l as on the low side of adequate, but we are all different and someone else might feel great at that level.
JP x

[AnneS]

Hello … just a quick update from me …. Following a slight bleed / spotting ( resulting I think from a stomach upset/ poor absorption of my daily utrogestan)  … my anxiety has heightened and I have now decided to add ADS to my regime . My doctor has prescribed Fluroxetine which I have used before . She has also referred me for a scan due to the bleeding ( which I expected ) . I’m now waiting patiently for the tablets to kick in and trying to get through these first few days of increased anxiety symptoms! My last experience with Fluroxetine was fine but I can’t remember how long they took to kick in ( and make me feel better rather than worse ! ) Any advice would as always be welcome! Xx