Menopause Discussion > Personal Experiences

Quick question can someone help me make a choice on this

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sheila99:
IMO any patch is better than nothing. Perhaps you could order a couple of boxes from an online pharmacy so you're not in this situation again.

bombsh3ll:
I would use whatever you can get your hands on for now, because an interrupted supply of estradiol is detrimental to both your quality of life and associated with negative health outcomes vs continuous treatment.

However I would schedule a routine appointment with your prescriber, which could take place over the phone, and make them aware that the manufacturers' directions to change twice weekly do not reflect the real world longevity of a plaster on someone active who showers daily.

You could use the analogy of a car manufacturer quoting miles per gallon, which was achieved under pitch perfect test conditions with no doors on, no passengers, no luggage, no spare wheel and only the drivers seat in place. It doesn't reflect real life.

You could also ask if they have ever cut themselves and worn a plaster, and whether after living their normal life, it was still there 3 or 4 days later.

Unless they are either particularly sedentary or have questionable hygiene, they will surely understand your perspective and be happy to increase the quantity prescribed to reflect real world use.

KaraShannon:

--- Quote from: sheila99 on May 27, 2025, 05:40:32 PM ---IMO any patch is better than nothing. Perhaps you could order a couple of boxes from an online pharmacy so you're not in this situation again.

--- End quote ---

Thanks for that, I'll remember that rule in future, after 24 hours on the estradiol none of this seems to matter anymore  ;D

KaraShannon:

--- Quote from: bombsh3ll on May 27, 2025, 06:16:10 PM ---I would use whatever you can get your hands on for now, because an interrupted supply of estradiol is detrimental to both your quality of life and associated with negative health outcomes vs continuous treatment.

However I would schedule a routine appointment with your prescriber, which could take place over the phone, and make them aware that the manufacturers' directions to change twice weekly do not reflect the real world longevity of a plaster on someone active who showers daily.

You could use the analogy of a car manufacturer quoting miles per gallon, which was achieved under pitch perfect test conditions with no doors on, no passengers, no luggage, no spare wheel and only the drivers seat in place. It doesn't reflect real life.

You could also ask if they have ever cut themselves and worn a plaster, and whether after living their normal life, it was still there 3 or 4 days later.

Unless they are either particularly sedentary or have questionable hygiene, they will surely understand your perspective and be happy to increase the quantity prescribed to reflect real world use.

--- End quote ---

Thanks Bombsh3ll

Great analogy.  I usually find they stick well even with my daily showering, but I know that's not true for everyone.

It's just that the prescribing at the moment doesn't allow for a patch that might come off but I have a review soon and I will ask if we can time it so I have just a couple of spare patches.  I know we have to be careful not to waste them of course. 

KaraShannon:
2 weeks later I've put on a combined patch, just a mental note. 

I thought I'd try and stick to the old schedule and put it on on thursday but tonight flushing, as if my body knows it's two weeks since the last change over.  Hope this is right.

Unless all this extra flushing means more estradiol is needed and a review.

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