Print

Please login or register.
1 Hour 1 Day 1 Week 1 Month Forever
Login with username, password and session length

[sadielouise78]

Hi. I'm currently on two pumps of Oestrogel and 100mg of Utrogestan a day to try and help with hair loss but I'm having night sweats (and the occasional mild hot flush through the day) and the current dose isn't helping them. Will it just be a case of increasing the dose? I've asked my doctor but they've not come back to me yet. Thank you.

[Dotty]

How long have you been on two pumps ?

[sadielouise78]

Sorry for the delay in replying. Only 4 weeks. Doctor says I have to struggle on for the next 4-6 weeks before I can increase 

[CLKD]

Me being me would increase : 2 pumps most nights with the odd extra thrown in to C how your body reacts.  4-6 weeks seems a long while, is there any information in the leaflet in the box?

[CLKD]

Or put the product names into the search box: individually : and read what pops up? Make notes ;-)

[joziel]

Sounds like you need to increase the dose. You can increase up to 4 pumps easily with your GP. If you need to go higher than that, you likely won't be able to via your GP and may need to go to a private menopause clinic.

Alternatively you can ask to swap to patches, since sometimes women absorb one product better than another - so you might be able to get high enough estradiol levels from 100mcg patch and not 4 pumps of gel, even though those are equivalents.

[sadielouise78]

If I increased on the oestrogel would I need to increase on the Utrogestan too?

[bombsh3ll]

Yes, if you are just under a GP with no specialist oversight or monitoring, you should increase the utrogestan correspondingly.

The BMS has recommended progesterone dosages listed on their website for the amount and type of estrogen.

Once you have found what works for you, you can then ask your GP to prescribe this on an ongoing basis, however as joziel mentioned they may be unwilling to go above standard doses.

[joziel]

Really, I think it depends on how much you are absorbing. The standard utrogestan dose is either 100mg continuously or 200mg for days 15-26 of the cycle sequentially. If you're on 100mg, I'm assuming you take it continuously?

Whether to increase really should depend on your estrogen levels, not on how much you are applying to your skin. Some women on 4 pumps of gel might have just 250pmol of estradiol. Others might have 650pmol. Increasing based on dose alone makes no sense. Much better to do bloods and see what your levels are and then decide. Or go by symptoms - if you get breakthrough bleeding for eg. (Bear in mind it is normal to bleed unpredictably up to 3 months after an increase of estrogen. This doesn't mean anything as it's just your body adjusting. But if you continue to bleed randomly after that, you will need more P.)

But at the moment I would focus on getting you estrogen levels up, checking bloods to be sure they are high enough and in the therapeutic range - and then focus on the progesterone and fitting that to the estrogen dose.