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[dahliagirl]

Hi - I haven't been round here for a while.

In the past I have been prescribed Elleste, then Femoston 1/10, then up to Femoston 2/10. 

Then I was having trouble with sore breasts and went down to Femoston 1/5 and once I got used to it I was pretty stable, apart from a bit of anxiety.

Up until then, I had to manage my own symptoms by looking things up here, and going to the doctor to ask for what I wanted.  Now we have a nurse who is managing things and seems to be up to date, and wants me to try transdermal.  This is brilliant because it is what I wanted in the first place, but couldn't get prescribed 

So I am going transdermal with evorel 25 patch and uterogestan capsules.  So that is down a dose and changing the delivery method at the same time.

Has anyone got any hints or tips to make this easier?

[sheila99]

I'm not sure what 1/5 equates to but I would have thought you'd be better using the same dose? Then adjust up or down if you need to.

[dahliagirl]

1/5 was 1mg of estradiol, and 5 mg of progestogen.  I think a 50 patch is the equivalent of 1mg.

I hadn't thought but it is a change of progestogen type as well.  So that is 3 changes. 

Maybe I should start with two patches then.

[dahliagirl]

I was wrong about the oestrogen dose - 25 is equivalent to 1mg.

I decided to stop angst-ing about it and slapped a patch on last night and took a uterogestan.

So far so good - ie nothing discernibly different.

[Mary G]

dahliagirl, I really hope the new regime works out for you but if not, make sure you go back to the Femoston and don't struggle on indefinitely.

The reason I say this is because (a) you were obviously very happy with Femoston (which happens to have a well tolerated form of progesterone) and didn't ask to change and (b) this seems to be happening a lot lately with women being forced to change their HRT regime against their will.

Hopefully you will like the new regime but I think it's important to know you can fall back on the Femoston if needed.

[dahliagirl]

I don't know if they will ever let me back on it.  Apparently the computer says migraine is a risk for tablet hrt and I should be on transdermal.  She did say to contact her on the online thing and she would change things if it wasn't working out though.

I thought that this was only for if you had a problem with migraine being exacerbated (I have had it less since being on hrt anyway) but I think that as surgeries implement a proper policy (which is a good thing overall) then some of the subtlety is lost too.

One of the biggest benefits of being on Femoston over recent times has been that it has not suffered from any of the supply issues the other preparations have had.

[Mary G]

dahliagirl, I can't remember if you and I have discussed migraines on here before?  I suffer with migraine aura (silent migraines) so I know what a challenge it is to find an HRT regime that works or at least reduces migraines.

It's not straightforward and sometimes a regime that shouldn't work in theory does work and vice versa.

Just out of interest, do you have migraines with or without aura?  How long have you been taking Femoston?

 

[dahliagirl]

I have the silent type too - not very frequently though - I had two a day apart recently and that is the first time for ages. 

I think I have been on the Femoston Conti for about 4+ years now- the year before covid,  and was on the sequi for 5 years before that. 

Anyway, the patch is peeling off atm so I think I will have to renew it a day early.  I spent too long in the bath last night 

[Mary G]

dahliagirl, thanks for the info.

It sounds like Femoston was a real success for you if you only a a few migraine auras in 4+ years.  At my very worst, I had 40 migraine auras in one year.

In the past, I was on Angeliq which is quite similar to Femoston but I still had migraine auras so I topped it up with a 50mcg patch and it worked well for about 18 month's.

Good luck and please let us know how the new regime goes.

[dahliagirl]

I have moved back to the tablets, until after Christmas.  It wasn't going well.

The first patch came off the day after a bath that made it curl at the edges.  I tried to stick it back on with micropore tape, but found that in a sticky roll on the bathroom floor.
The next one was fine the first day, ok the second and definitely not doing its job the third.

I will try again when I have time to work it out and can get hold of the surgery.

[dahliagirl]

I have started back on it again - so far so good.

I keep having accidents where the patch peels off though.