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[caitlinH]

I started taking Micronised Progesterone orally (1 x 100mg tablet as recommend by my doctor) and 1 pump of Estrodial (750 milligrams) 9 days ago and ticking along nicely. I haven't woke up with a really bad night sweat for years but last night I did, is this normal? It kind of feels like a step backwards. should I monitor and if they carry on does this mean some kind of imbalance between the progesterone and the Estrodial, should I adjust? if so is it more Estrodial I need?

TIA

[CLKD]

 

Some find that keeping a mood/food/symptom diary of use, you are in early days.  Hopefully some1 will be along with advice about HRT in general.

Browse round.  Make notes. Ask away.

[bombsh3ll]

1 pump of gel is a low dose and there is certainly scope to increase, however the general advice is to give a new hormone therapy regime 3 months to settle in before making adjustments, unless there are intolerable side effects.

I wouldn't think about it in terms of balancing the estrogen against the progesterone, it is more a case of finding the dose of estrogen that meets your needs and then making sure the progestogen is sufficient to prevent bleeding and endometrial hyperplasia.

100mg of micronised progesterone daily is adequate for 1 pump of gel, but if you plan to increase the estrogen don't do this alone without speaking to your prescriber.

[caitlinH]

1 pump of gel is a low dose and there is certainly scope to increase, however the general advice is to give a new hormone therapy regime 3 months to settle in before making adjustments, unless there are intolerable side effects.

I wouldn't think about it in terms of balancing the estrogen against the progesterone, it is more a case of finding the dose of estrogen that meets your needs and then making sure the progestogen is sufficient to prevent bleeding and endometrial hyperplasia.

100mg of micronised progesterone daily is adequate for 1 pump of gel, but if you plan to increase the estrogen don't do this alone without speaking to your prescriber.

great advice, thank you!

[CrispyChick]

Hi

I don't have any real advice as I'm going through the same. But thought that was maybe useful.

I'm two weeks into my HRT dose and I too felt my flushes increased. I'm seeing no improvement in my low E symptoms and I have a ton of start up side affects on top.

I'm quite an extreme case and I'm also in chemical menopause. So my E is now zero underneath.

And what I will say is I used to get night sweats a lot. But since being in chemical menopause, with no estrogen, I only get flushes. No sweat at all.

So I think sweat must be fluctuations - for me. Rather than low E. And by adding in HRT you're creating a fluctuation 💁

Also my specialist said, whilst it's 3 months to fully settle, it's 4-6 weeks to gauge if it's the right dose. 

Hope that's helpful. X

[caitlinH]

Hi

I don't have any real advice as I'm going through the same. But thought that was maybe useful.

I'm two weeks into my HRT dose and I too felt my flushes increased. I'm seeing no improvement in my low E symptoms and I have a ton of start up side affects on top.

I'm quite an extreme case and I'm also in chemical menopause. So my E is now zero underneath.

And what I will say is I used to get night sweats a lot. But since being in chemical menopause, with no estrogen, I only get flushes. No sweat at all.

So I think sweat must be fluctuations - for me. Rather than low E. And by adding in HRT you're creating a fluctuation 💁

Also my specialist said, whilst it's 3 months to fully settle, it's 4-6 weeks to gauge if it's the right dose. 

Hope that's helpful. X

I'd never heard of chemical menopause until you mentioned it, I did a quick search but don't really understand what it is?

[bombsh3ll]

Chemical menopause = when medication is given to put the ovaries to sleep temporarily.

It is reversible.

Estrogen levels never get as low as if the ovaries have either been removed or menopause has occurred naturally, however menopausal symptoms can be experienced.

[CLKD]

If the stump of the ovary is left behind at surgery, it may generate a hormone burst occasionally.

[CrispyChick]

Yes. As bombshell says a medication to put the ovaries to sleep.

It works very very very quickly. So whereas natural menopause sees a decline of hormones gradually, chemical menopause acts within 4 weeks.

Sorry bombshell, but it does indeed take hormones exceptionally low, just like surgical menopause. It doesn't leave them higher. On my bloods at only 4 weeks in my estrogen was less than 18. And menopausal symptoms are in full impact. Most add hrt back in. The aim is to stop fluctuatuons for things like pmdd. Or to reduce estrogen for endo pain.

It's brutal. It's often tried before surgery. As, yes, it's reversible.