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[bombsh3ll]

Is it true that women cannot 'overdose' on oestrogen treatments?

It would be extremely difficult to "overdose" with vaginal estrogen. It has negligible systemic absorption.

It is possible to end up with supra-physiological estrogen levels, which may lead to unwanted effects, using systemic products, although again very difficult as each individual patch, gel measure or tablet only contains a small amount, so the person would have to be using many times more than a standard dose.

Supra-physiological levels are sometimes seen when pellets are used.

However the amount of estrogen that healthy women produce every time they ovulate, or during pregnancy, are thousand of times greater than any hormone replacement.

Usually if the dose is too high this would be apparent clinically and could simply be reduced with no harm done.

I personally am a proponent of judiciously used blood tests as this can help identify under or overtreatment, with undertreatment being far more common.

[Jules]

Are you a medical professional bombsh311?

[Ayesha]

Purely just from googling and reading AI and other medical websites, they all say both can be used so where some GPs get their information from I'm not sure. I'm so relieved my GPs now prescribe what I need or I'd be suffering as I've currently had to increase the frequency of my localised estrogen to get on an evening keel.

Print this document out for your friend, it will become her ammunition as it did for me. I am never confronted anymore on the amount of topical treatment I use. The nurse practitioner was amazing but I had to educate my GP, who was very sweet about it all and didn't mind the extra knowledge I gave him. It shouldn't be like this but it is and if we have to put up a fight to get the appropriate treatment needed then so be it.
https://bssm.org.uk/wp-content/uploads/2023/02/GSM-BSSM.pdf

[Jules]

Purely just from googling and reading AI and other medical websites, they all say both can be used so where some GPs get their information from I'm not sure. I'm so relieved my GPs now prescribe what I need or I'd be suffering as I've currently had to increase the frequency of my localised estrogen to get on an evening keel.

Print this document out for your friend, it will become her ammunition as it did for me. I am never confronted anymore on the amount of topical treatment I use. The nurse practitioner was amazing but I had to educate my GP, who was very sweet about it all and didn't mind the extra knowledge I gave him. It shouldn't be like this but it is and if we have to put up a fight to get the appropriate treatment needed then so be it.
https://bssm.org.uk/wp-content/uploads/2023/02/GSM-BSSM.pdf

Thankyou. I will pass it on

[CLKD]

   bombsh3II - very useful.

[Jules]

Are you a medical professional bombsh311?

I was asking because you speak with authority and if you're a medical professional it would help to know that the information you're giving is from medical knowledge and experience rather than just opinion. But then I understand that if you are a medical professional you probably can't say because people might then act on your advice🤷

[sheila99]

Purely just from googling and reading AI and other medical websites, they all say both can be used so where some GPs get their information from I'm not sure. I'm so relieved my GPs now prescribe what I need or I'd be suffering as I've currently had to increase the frequency of my localised estrogen to get on an evening keel.

Probably from the NHS edict that tells them to prescribe as little as possible. My GP hid behind this to limit va treatment to twice a week even though I was incontinent. Sorted now by sufficient systemic hrt via Newson, more than the NHS will allow me.
  It really bugs me that they think it's OK for menopausal women to be in pain and incontinent. If it happened to any other group they'd bend over backwards to find a solution.

[Jules]

Yes that's true. And it was female doctors I was seeing. But younger, so didn't have the experience of it. I worry I'm using too much localised stuff at present, I don't want another bleed and have to go for a hysteroscopy again, but I need to get control of symptoms

[Mary G]

Are you a medical professional bombsh311?

I was asking because you speak with authority and if you're a medical professional it would help to know that the information you're giving is from medical knowledge and experience rather than just opinion. But then I understand that if you are a medical professional you probably can't say because people might then act on your advice🤷

I have to say I don't care whether bombshell is a medical professional or not because the so called professional medical advice I have received over the years has been crap. On her recommendation I tried Cerazette and it's been great.  After the UK Brexited, I had to stop using my extremely effective compounded progesterone (dissed by the medical professional as being close to definitely deadly) which kept my migraines away for the entire time I used it.  After that, I was using transdermal progesterone gel interspersed with Cyclogest but it was messy.  Bombshell mentioned Cerazette on here so I tried it and it's very, very good and I would say pretty close to the compounded progesterone.

Over the past 20 years I've consulted a neurologist, numerous gynaecologists, two hormonal migraine specialists and various doctors and not one of them had a solution for my silent migraines auras aka brainstem auras.  I think that is appalling.  It's not just doctors in the UK either, Spanish doctors are not great on the menopause and HRT either but the system here allows me complete autonomy over what blood tests I have (I have a tick box sheet, choose whatever blood tests I like and the results come straight back to me not via a doctor) how often I can see a gynaecologist for transvaginal scans, having mammograms and breast ultrasound, DEXA scans etc plus I have access to a wide range of HRT available from pharmacies.  That's why I've been doing my own thing for years because obviously I can and thank god I have because otherwise I don't know where I would be, on the scrap heap probably.

I've spent a fortune on consultations in the UK over the years (obviously they are not covered by my private health insurance in Spain) and not one medical professional was able to properly diagnose my sub type of migraine auras and realise the importance of shutting down FSH and LH for women with migraines.  They didn't even know that my particular type of migraine is caused by low oestrogen and gets worse post menopause.

Generally speaking menopause treatment is pants everywhere and that's why women come to MM for advice. Many of them are desperate, often unable to work and their lives are falling apart.  I think that is dreadful.  So thanks bombshell.

[Jules]

Are you a medical professional bombsh311?

I was asking because you speak with authority and if you're a medical professional it would help to know that the information you're giving is from medical knowledge and experience rather than just opinion. But then I understand that if you are a medical professional you probably can't say because people might then act on your advice🤷

I have to say I don't care whether bombshell is a medical professional or not because the so called professional medical advice I have received over the years has been crap. On her recommendation I tried Cerazette and it's been great.  After the UK Brexited, I had to stop using my extremely effective compounded progesterone (dissed by the medical professional as being close to definitely deadly) which kept my migraines away for the entire time I used it.  After that, I was using transdermal progesterone gel interspersed with Cyclogest but it was messy.  Bombshell mentioned Cerazette on here so I tried it and it's very, very good and I would say pretty close to the compounded progesterone.

Over the past 20 years I've consulted a neurologist, numerous gynaecologists, two hormonal migraine specialists and various doctors and not one of them had a solution for my silent migraines auras aka brainstem auras.  I think that is appalling.  It's not just doctors in the UK either, Spanish doctors are not great on the menopause and HRT either but the system here allows me complete autonomy over what blood tests I have (I have a tick box sheet, choose whatever blood tests I like and the results come straight back to me not via a doctor) how often I can see a gynaecologist for transvaginal scans, having mammograms and breast ultrasound, DEXA scans etc plus I have access to a wide range of HRT available from pharmacies.  That's why I've been doing my own thing for years because obviously I can and thank god I have because otherwise I don't know where I would be, on the scrap heap probably.

I've spent a fortune on consultations in the UK over the years (obviously they are not covered by my private health insurance in Spain) and not one medical professional was able to properly diagnose my sub type of migraine auras and realise the importance of shutting down FSH and LH for women with migraines.  They didn't even know that my particular type of migraine is caused by low oestrogen and gets worse post menopause.

Generally speaking menopause treatment is pants everywhere and that's why women come to MM for advice. Many of them are desperate, often unable to work and their lives are falling apart.  I think that is dreadful.  So thanks bombshell.

I wasn't asking for you, I was asking for myself and I wasn't being awkward. If you want to follow her advice or anybody else's, you're perfectly entitled to, just as I am entitled to ask the question when someone is speaking medically with authority. I recall someone else asking.

[Aprilflower]

You're right Jules.

I'm sure it says somewhere in the forum rules, that if you give detailed medical information, that's not personal experience, you should give links.