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Author Topic: Gel to patch or any thoughts?  (Read 893 times)

Sunflower5

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Gel to patch or any thoughts?
« on: November 09, 2024, 08:48:09 PM »

Hello lovely people
I am 58 and surely post menopausal now ?!! I need your advice !
I’ve come off hrt for 3 months and the horrific interrupted sleep and night sweats returned. As I work full time I need my sleep! So I went back on the gel and utrogestan to try again. I now know it must be the utrogestan that I’m intolerant to, as although I sleep so well - I am absolutely shattered. I wake in the morning and it’s like I am drugged! I’m sooo tired! My mood is so flat too - as for libido!!
So am wondering to try patches again ( even though I had intermittent bleeding all the time) but I think now I’m that much further on maybe they would be ok? I was on two pumps  of gel so assume I will be back on everol conti 50? Is it a case of just swapping overnight - obviously I will check with gp!
Or do you any of you take anything different that works? My only symptoms are night sweats when I’m
Off hrt ! I’m so fedup with it all!!
Many thanks xx
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CLKD

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  • changes can be scary, even when we want them
Re: Gel to patch or alternative?
« Reply #1 on: November 09, 2024, 10:44:17 PM »

Hi!  Many are sensitive to the progesterone part of a regime.  Those that have undergone hysterectomy rarely require it.

Which symptom would you like to ease first? 

Do U dream?  I wake knackered after busy, involved, long dreams  >:(. I don't take HRT but do have anti-depressant medication which can cause these weird effects.

There are a few anti-depressants that can help with flushes, sorry can't remember which.  It may be worth discussing with your Nurse Practitioner , I'm sure that some1 will be along with more info about this.

Browse round.  Make notes ;-).  :welcomemm:
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Dotty

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Re: Gel to patch or any thoughts?
« Reply #2 on: November 10, 2024, 07:20:33 AM »

Hi how much gel are you using ?

You could try using the Utrogestan vaginally.


A combined patch would be Evorel Conti or Femseven Conti.

Or an oral tablet … Elleste Duet Conti or Kliofem or Femoston Conti.

The alternatives would depend on how much oestrogen you need.
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Hurdity

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Re: Gel to patch or alternative?
« Reply #3 on: November 10, 2024, 08:47:28 AM »

Hi Sunflower

 :welcomemm:

For some reason you have 3 threads on the same subject so you will get multiple answers on different ones!

However - yes as per CLKD - I also feel drugged and exhausted on the prog part of the cycle - so even though I am over 70 I still take utrogestan cyclically rather than have to endure it continuously (I take it vaginally which is supposed to lessen adverse effects - maybe it does though I've never tried it orally, and perhaps would be even worse if I did!)

So one option is to go back to a cycle.

Another option is as you say to change to a patch. The progestogens are different and synthetic on the combi patches, and may be associated with different side effects. Perhaps not such a sedative effect but potentially headaches, generally depressive effects or irritability associated with pms. May be worth a try.

Although the equivalent of 2 pumps estrogel is a 50 mcg patch you may get more or less than this depending on how well you absorb. Anecdotally on here some women get very high absorption on 2 pumps of gel. Presumably you have been taking previously 100 mg of utrogestan orally? If that didn;t give rise to any bleeding then looks like it was OK.

After coming off HRT for 3 months though you may well find that the Evorel patches are sufficient.

I did exactly as you - came off for 3 months in late 50's, flushes and other symptoms came back, and I went back on HRT and they were, and still are, banished, though they do return if the dose goes too low....

Now you are post-menopausal there is less chance of intermittent bleeding on Evorel conti though as you have been off hRT for 3 months you may get a bit of bleeding or spotting to start with until it settles.

Hope this helps

Hurdity x
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Sunflower5

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Re: Gel to patch or alternative?
« Reply #4 on: November 10, 2024, 06:17:46 PM »

Thank you so much for the reply. Oh no- I thought it hadn’t posted and then tried again?!! Not sure how to delete them!!
Thanks for your response - yes I think I’m going to call GP this week.
Yes I have been taking utrogestan every day and no bleeding . So fingers crossed !!
Thanks for the responses
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joziel

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Re: Gel to patch or any thoughts?
« Reply #5 on: November 11, 2024, 03:10:34 PM »

Sunflower, have you thought about a Mirena coil? Each one would last 5 years and you wouldn't need any P at all, then....

It is a tiny dose of progestin which mostly stays local to the uterus.
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