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[Tulip256]

I have been taking evorel 50mg plus utrogestan for 3 years. I was ok on it but getting irritation from the patches so asked to switch to the gel.

I took off my 1st patch yesterday and tried 1 pump at bedtime (was planning to split my 2 doses am and pm) but feel really dizzy and spaced out today.

I am wondering if I should just try 1 pump for now to get used to the gel or if it would be better to do the 2nd pump this morning to match my previous 50mg dose? Any ideas?

[bombsh3ll]

It's probably the drop in estrogen dose - whilst it is difficult to work out equivalent doses for an individual, general estimates (see BMS table) suggest 2 pumps of gel is roughly as effective as 50mcg patch.

You might need to experiment a bit to find what works for you.

Oral estradiol can be a good option if dizziness is related to low blood pressure, as it provides a. bit of blood pressure support that you don't get with transdermals.

[Tulip256]

Thank you. I find it hard to work out whether symptoms are due to too much or too little oestrogen or just from too much fluctuation in levels. I heard some people absorb better from the gel so was wondering if a lower dose would be better. I didn't do another dose this morning and am now starting to feel better so wondering if I should stick to 1 dose a day for a while.

[Tulip256]

6 days in I am still feeling a bit woozy on the gel. Does anyone know if this is a symptom of too much or too little gel?

Do people tend to  absorb better from the patch or the gel? I am applying the gel to my thighs but am wondering if arms would be better, although I don't have much fat there.