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[Dandelion]

Hello
In 2014 I started HRT and my oestrogen dose was titrated upwards to 100mcg.
I still have a womb so progesterone was added, micronised.
I started bleeds in 2018, so my GP reduced my oestrogen 3 times and the bleeds stopped.
I (thought) I was happy at this dose, but symptoms slowly crept back in, and as I was already on HRT and looking to "get through the menopause" and by the end of last year I was fed up.
I went back to the Dr in November, my oestrogen was upped to 50mcg, testosterone added in, then in February my Dr increased the oestrogen again, still no bleeds, but improvement was really slow.
When I had my follow up Dr appointment in early March, I'd had a hormone blood test in February, and she advised my oestrogen was low at 112 and was happy for me to go back up to 100mcg.
She also said if I need to, in a month I can go up to 125 and then, again, 150 in another month if symptoms persist. I see her again in September.
I thought all would be well, because in the past, in peri, 100mcg was my optimal dose, but not this time.
I know there has been a manufacturer change of evorel and wondered if anyone noticed the evorel under the new manufacturer is weaker?
I thought postmenopausal women needed less oestrogen.
Thank you

[bombsh3ll]

There's absolutely no evidence that older women need less estrogen.

They typically receive lower doses of estrogen, but that has nothing to do with their needs, it is based on fear and misinformation among prescribers, and if anyone cared to ask, many of them would say their symptoms and quality of life had deteriorated since their dose was unilaterally and arbitrarily reduced.

Logically, if you have some of your own production still in perimenopause, but start to need this topped up, it figures that once your ovaries have packed in completely, you will need to take more exogenous estrogen to achieve the same results.

[sheila99]

I'm another one who thinks it's a fairy story. I need more (unsurprising as me own production dwindles).

[Dandelion]

There's absolutely no evidence that older women need less estrogen.

They typically receive lower doses of estrogen, but that has nothing to do with their needs, it is based on fear and misinformation among prescribers, and if anyone cared to ask, many of them would say their symptoms and quality of life had deteriorated since their dose was unilaterally and arbitrarily reduced.

Logically, if you have some of your own production still in perimenopause, but start to need this topped up, it figures that once your ovaries have packed in completely, you will need to take more exogenous estrogen to achieve the same results.

Thank you, I really appreciate this.

I agree that there is a lot of fear and misinformation among prescribers, and the public to be honest.
I, myself was mis-educated about meno, I thought I knew it all until November 2024, when a friend had mentioned a TV interview where she heard meno does not end, it is with us for life once our hormones are gone, and this is where I went and enquired about testosterone.
I have heard of lots of women needing more than the licenced dose, to be fair, and even more women not getting what they want and need. 
I heard some women had their doses reduced after the Panorama programme, which I thought was a bit naff to be honest.
Roll on 5th April when I can increase my oestrogen, yet, I have only been on the new dose for 3 weeks.
In peri, increases in oestrogen could be felt overnight, not so in postmeno.
Thanks again 

[Dandelion]

I'm another one who thinks it's a fairy story. I need more (unsurprising as me own production dwindles).

I think the NICE guidelines say it's ok to have more, I dunno why there's a licence, but then again, vaginal hormones have incorrect health warnings in the inserts so, lol