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[Mariab]

Hi Ladies...
After speaking to my surgeries meno nurse she said that some of my problems still sound like meno symptoms ie not sleeping, fatigue etc I was on 1.5 pumps of gel and this seemed to help me the most after playing with doses but she recommended patches 50 evorel...
I'm on week 3 and I feel anxiety is creeping back in and I'm feeling light headed,  off kilter and low mood..this worries me so I'm wondering if I should go back to gel...
Had anyone had a similar experience??
 

[bombsh3ll]

It may be due to being on such a low dose rather than the patch itself.

1.5 pumps of gel isn't very much either.

It sounds as if you are dealing with an underconfident prescriber who is simply switching you from a low dose of one to a low dose of something else rather than titrating treatment to your symptoms.

I would do one of two things - try and see somebody more experienced in menopause care or experiment yourself to find out what works and then pursue that dose/regimen.

Note that if you are increasing the dose of estrogen this should be accompanied by a corresponding increase in progesterone, assuming you have a uterus.

[joziel]

You likely need a lot more E than that. I agree with bombshell. The standard starter dose of HRT is 50mcg which is the equivalent of 2 pumps of gel. You weren't even on that, before.

Why switch you to a different product instead of increasing your dose? You can take up to 4 pumps of gel for the max licensed dose but even that is not very high and many of us need more.

[Mariab]

Sorry ladies I forgot to say that...I have increased gel before but it didn't agree with me at all....I found 1.5 pumps was the best balance ....I have a coil so only E to worry about...
I've now stopped patches and back on gel...
Thanks for you replies 🙂

[joziel]

You could try splitting your gel doses between AM and PM. So if you want to increase to 2 pumps, you could try 1 pump AM and one in the PM. That will spread out the absorption of your daily dose.

It might just be too much hitting you at once, rather than the overall dose.