Menopause Discussion > Personal Experiences

Drovelis (estetrol/drospirenone) experience/diary

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Konijntje:
Yes, I understand about the bleed not being neccessary and am planning to skip the placebo’s on the next months. It’s just that I’ve been having cramps for the last 6 weeks (the last 2 weeks of tibolone and the whole pack of Drovelis) and I’m just hoping a bleed might help (sort of a reset). Maybe I should have waited before starting Drovelis when I stopped the tibolone, because now I don’t really know if it a drospirenone side effect or my body just still trying to bleed (and the drospirenone might be suppressing that, as it’s supposed to do). I’m probably overthinking, but since I’m getting side effects from everything I’m trying and have a horendous cycle at this point, I’m second guessing everything.

I think I’m going to take estradiol tonight (is 1 or 2 mg a medium dose? My tablets are 1 mg I think) and start the new pack tomorrow, besides the spotting this morning, I haven’t seen any more blood. Still have cramps though.

bombsh3ll:
I'd probably take the 2mg if you are symptomatic.

There's 1.5mg in Zoely but I have high ovarian reserve and even shut down I have some endogenous estradiol release.

Konijntje:
I did sleep better after taking 2 mg of estradiol (no night sweats and no hot flushes this morning), but pretty nauseous today. I have been taking estetrol instead of estradiol in Drovelis and while it is a bit too low of a dose, I do like that I don’t get any nausea at all from it. With estradiol, it takes a few weeks for the nausea to subside (doesn’t matter if it is oral or transdermal), when I first started, I had to start really low because of that.

So, still no bleeding other than maybe very light spotting, so I’ll just start my new pack tonight. I’m just going to treat the cramping as a side effect from Drovelis (which is reported often in the first month) and not as a sign that I have a thick lining that needs to be shed (because that would have happened by now I think).

I’ll update again once I have new things to report.

bombsh3ll:
If you can afford it you could always book a private ultrasound to check your lining for peace of mind.

I have one regularly for ovarian screening.

Konijntje:
I’m in the Netherlands, so things work a bit different. I am planning to ask for a physical, because things don’t feel completely right in my vagina. My GP said I don’t have a prolapse, but I have doubts. At the specialist, I’ve had 1 appointment at the clinic, but didn’t think to discuss it then (they only checked my blood pressure) and my next appointment will be by phone, so I’ll ask for the next appointment to be at the clinic then. I could ask for an ultrasound too probably.

I’m not really worried about a thickened lining, because I have had a bleed 1 week into the tibolone, which was similar to a (for me) light period, which would probably be a normal-heavy period for a lot of others (mine are usually very heavy). I was just hoping the whole cramping would subside after a bleed. I did read many more reports on a lot of cramping the first month on Drovelis and for most this did seem to resolve somewhere during the second pack, so fingers crossed it’s the same for me.

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