Menopause Discussion > Personal Experiences
Utrogestan and Evorel query
juliaC:
I'm at that mid point on evorel sequi where I need to change from pure estradiol to combined.
I am wondering whether to take Utrogestan instead this time and stay on Evorel 50.
My question is can you take Utrogestan with Evorel 50? Or do you have to be on Evorel 100?
I feel at my most well at this point and when I start the combined patch I start to go downhill with numerous symptoms. By the time I switch back to estradiol only I am physically at a very low ebb and it takes until now to feel normal again. So this time I thought I'd try Utrogestan again.
Does anyone know if it can be taken when you are on a lower dose of estradiol, Evorel 50? I will ask the doctor, they want me to change from Evorel Sequi anyway due to my age, 55.
Thanks
Dotty:
Yes you can use Utrogestan with an Evorel patch.
Konijntje:
With the 50 mcg patch the standard utrogestan dosage is either 100 mg daily or 200 mg for 12-14 days if taken sequentially.
I tried both of these regimens multiple times, while being on the same dose of estrogen, so I’m 100% sure. (I’m progesterone intolerant, so I’m no longer taking utrogestan anymore, but trialing different progestagens).
sheila99:
As you feel at your best when your own oestrogen is high (assuming you still have some ovarian function) it might be that you would benefit from a higher dose of oestrogen which would mean a separate progestogen anyway. The NHS is very good at telling you that you have to go on conti before your body is ready for it which then leads to unnecessary intrusive procedures for 'unexpected bleeding' when it might be your own period which is very much expected. They believe everyone is meno by 54 even though many aren't. If you think you're not meno it would be better to stay on sequi as conti hrt won't stop your periods. I'll get off my soapbox now ;D
juliaC:
--- Quote from: sheila99 on September 01, 2025, 08:10:03 AM ---As you feel at your best when your own oestrogen is high (assuming you still have some ovarian function) it might be that you would benefit from a higher dose of oestrogen which would mean a separate progestogen anyway. The NHS is very good at telling you that you have to go on conti before your body is ready for it which then leads to unnecessary intrusive procedures for 'unexpected bleeding' when it might be your own period which is very much expected. They believe everyone is meno by 54 even though many aren't. If you think you're not meno it would be better to stay on sequi as conti hrt won't stop your periods. I'll get off my soapbox now ;D
--- End quote ---
Thanks, that seems to be what's happening doesn't it, if I'm feeling better bang in the middle of the cycle. I'll look into that.
Yes the doctor's surgery is causing a lot of people grief. It used to be good.
I should have taken the utrogestan last night but didn't as wasn't sure I could. I had some very mild period pain this morning, would bleeding start that soon from a short delay in getting the progesterone? Nothing yet but I'm full of energy (not me on the combined patch) and have that feeling it's imminent and it's not time, I don't think. Haven't been monitoring it ::)
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