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[Joanna B]

Hi, just over a week ago I changed from 3 x pumps gel and 100mg P to 50mcg estradot patch and 2 pumps gel with 200mg P everyday.  I was ok on gel but was noticing symptoms returning and sometimes felt gel was inconsistent. However in general I got a grear boost from it but overall I think I needed an increase.  But 4 pumps seemed alot and I was I intrigued by the gel patch combo.  I have felt exhausted since I started this combo poor sleep tension increase in pain mood bad tearful etc.. Just feel like my symptoms have got worse as though im just on 2 pumps and patch is doing nothing.  Im so confused to what it could be, the increase I E itself causing symptom side effects. The increase in P causing fatigue mood changes, the patch not working? How do we know.  I feel like i want to rip patch off and try 4 pumps gel to see but is this just messing around too much?  I have a big day tomorrow working aswell as a Christmas lunch and then a get together with loads of people in the evening but I feel like a zombie! Help? Xx

[sheila99]

I'd be tempted to go back to the original until Xmas is over and then start experimenting again. It's best to change only one thing at a time so you can see what effect it has. Utro wipes me out though 100 wasn't much better than 200 for me. And it's possible you absorb gel better than the patch. In which case 2 pumps night and morning might be a better option for you, splitting the dose should give you more stability.