Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: sadielouise78 on April 09, 2018, 03:33:22 PM
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Hi, I've been back to the doctors today as I'd got the end of the trail period on Evorel Sequi and not got on well with it (flooding etc). I've now been put on Femoston 2/10. Why would I be put straight onto 2/10 and not 1/10?
Thanks,
Sarah
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It depends on your absorption but very broadly Femoston 1/10 is low dose and 2/10 is medium dose, as is Evorel sequi.
Hurdity x
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It has to do with our age. At young ages we need higher doses. I'm 42 and on femoston too.
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sadlielouise - it is strange that they have given the higher dose - it is always better to start on a low dose first to see if it works and only increase if symptoms are not under control. I had a premature menopause and I was never good on the higher doses, in fact when I was younger the higher doses gave me horrid headaches each day!!! Sometimes in post meno women do need a higher dose for a time to really compensate for the big oestrogen drop. When younger, the dose will depend on where you are in the peri meno stage or simply how much oestrogen you need to keep menopause symptoms under control. WE are all different so the dosage needed will vary greatly.
I assume you were on the patches before? If so, they are medium dose and this would explain why the GP gave you the higher dose of Femoston.
I assume you are peri meno and by using the combined patches (which are medium dose) you were possibly adding in too much oestrogen which could result in heavier bleeding. There is also the chance that you have fibroids which can give heavier periods as well.
IF bleeding becomes a real problem, then having a Mirena fitted can solve this and you simply have oestrogen as gel or patch alongside.
In your place, I would be tempted to contact the surgery and ask for the lower dose version but you could simply give the 2/10 a go and see how it suits you. DG x
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Hi Dancinggirl,
Thanks for your reply. Yes I was on patches before, on the medium dose so, yes, I guess that's why I was given the 2/10 instead of the 1/10. I started the tablets last night so I will see how I get on with them. As for the heavy bleeding, it actually stopped about 3 days ago and so far it hasn't started again (although there's discoloured discharge so it's not completely gone). I have had the Mirena Coil before and had it for 9 months. I had a terrible time with it and was flooding badly. In the end, after a evening of, what I can only describe as contractions and my body try to expel the coil, I had it taken out.
I'll see how I go on the 2/10 and I have to report back to the doctors in a month so I may change down to the 1/10 if the heavy bleeding starts again. I did consider coming off it completely due to the bleeding but I'm going to give this one a try.
Thanks,
Sarah
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Hi Sarah. We spoke about Femoston on here before and I just quoted you earlier in my post "Have I got this right please?" to find out how you're getting on with Femoston as I'm about to ask my doctor for it. But I see from this that you have only just started on it so please ignore my question in the other thread! I hope you see an improvement. I'll report back how it goes for me. I'm looking to change because of the side effects of the progesterone in my current HRT - nausea, headache and a voracious appetitie that's playing havoc with my weight :-( x
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Hi Tiddles,
Yes I'm now on day 4 and I have to say I feel great! The bleeding has stopped (even the discoloured discharge) whereas on the other types the bleeding and pain started on day 2. I'm sleeping really well, even when I wake up to let the cat out at 4am I'm going straight back to sleep. My moods good. No headaches. And no night sweats. So I'm happy so far. I've had stupid, clumsy incidents this weekend such as falling down the stairs, head butting the garage door and whacking my knuckles on the front door which all made me think 'is this menopause but I think I've just been unlucky this weekend haha! 😆 Fingers crossed this is the one for me!
Hopefully it'll be the one for you. Let me know.
Sarah x
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Wow Sarah - that's brilliant news - I'm really pleased for you - long may it continue. I'll let you know how I get on. Got to get over the hurdle of convincing the doctor that MM knows more than he does and to let me change to Femoston. The appointment's tomorrow. Wish me luck ! x
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Tiddles - do print off the info under TREATMENTS to show the GP. It helps being able to show them the difference between the progesterones and why some are harsher than others.
DG x
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Thanks Dancinggirl. I did as you suggested and took my symptom diary, went through it, went through why I thought I needed to change to Femoston, explained what MM was and showed him the printouts, said I wanted to try Femoston and he said "Fine, I'll prescribe that". No arguments, job done! Power to the people ! x :bday3: :bday3: :bday3:
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:ola:
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That's brilliant Tiddles! Did he put you on 1/10 or 2/10?
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Hi Sarah. 1/10 because that's what I asked for based on the fact that I was doing really well on the oestrogen part of the month on 1mg, plus the advice on here that suggested at my age (56) I should need less oestrogen than someone younger and also because I'm a bit worried about 'going in hard' and would rather try the 1/10 and see how it goes first.
Did you find out why your GP started you on 2/10 or have you drawn any conclusions? How's it going on the Femoston today ? x
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No I'm not due back to the doctors for another 3 weeks but I think she'll probably say 'because the meno specialist lady she asked said so'. Erm I'm ok today. I didn't sleep too well last night but that sometimes happens on a Sunday night.
Are you starting yours today?
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The doc told me to finish the others first (Elleste Duet) - I've just gone into the progesterone phase so a couple of weeks left. Were you told to do the same?
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I must admit I am a bit anxious because the Elleste got rid of the hot flushes, night sweats and anxiety completely and I really don't want any of those back which is why your post gave me hope :-) But its the 5 day headaches, nausea and vomitting on the progesterone part, none of which I experienced pre-HRT that have sent me down this road. It's seems it's all such a balancing act and a dilemma! :o :o :o
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Yes I was. I waited until the end of the patches before going on to Femoston. It was the same when I went from Elleste Duet to patches. I think if you didn't it would bugger up your cycle.
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Morning Sarah. I was just wondering how it's going for you on Femoston? I am on day 4 and just experiencing a very mild flush - I didn't have any for the 3 months I was on Elleste. How's it been for you? x
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Tiddles - it's way too early to tell whether Femoston will be good for you or not. If you are on the oestrogen bit, it's the same dose and type of oestrogen so there shouldn't be any difference between the Elleste and Femoston at this stage - it's when you get to the progesterone phase that things might be better with the Femoston. DG x
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Thanks DG. You're right of course :-) x
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Hi Tiddles,
I came off Elleste because of the horrendous mood swings in the progesterone part, even though it had totally rid me of the hot flushes.
I'm on Femostan now and my mood is much better, though I do now get mild flushes -not too often and not too 'hot' so I can live with it.
X
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Thanks HotFlush ! That does sound like progress - long may it continue for you. So far so good for me too ! :-) x
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5 months on HRT and first month on Femoston update.
Hot flushes, night sweats, night time anxiety, nightmares, daytime anxiety, depression all dramatically better.
Nausea is much less now that I'm on Femoston - thanks for the advice to switch DancingGirl. PMT is like it was pre-meno and periods are manageable.
Weight gain is still an issue. It seems I have to now be extremely careful with what I eat (and drink) all the time which is boring. Going to try and get out for a 40 minute brisk walk as often as poss to try and give it a boost.
Overall though, HRT is working very well and this forum is also good therapy :-)
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That's great Tiddles. Controlling the weight is a problem for many women once meno hits and I found HRT did make me retain a bit of fluid so I was very slightly ‘plumped up'.
However, as hrt can make one feel better generally then there can be energy for more exercise. Cut out as much sugar as possible and eat smaller portions. Hope the improvements continue. DG x
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That's great Tiddles! I'm half way through my second pack now and all is good with me too. I haven't had any bleeding at all since it stopped just before I started the first pack. I'm hoping it's gone away again for good but I'm also wondering if it's just my body giving me a break after bleeding continuously for a few months. I'm finding I have sore boobs quite a bit and I am possibly gaining weight but that could be me eating like a pig. I'm much happier on these though so all is good x
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That's great news Sadielouise :-) :-) :-) xx