Menopause Matters Forum

General Discussion => New Members => Topic started by: Merisorrr on November 05, 2022, 01:11:08 PM

Title: I am new to this - Synthetic progesterone concerns
Post by: Merisorrr on November 05, 2022, 01:11:08 PM

Hi,

I have just been prescribed sequential HRT for the first time - Evorel Sequi and Conti patches, as I still have periods. The GP said they are the most convenient option. I have noticed however that Conti patches contain sythetic progesterone - Norethisterone - I am am really concerned about the bad press for progestins. Is there an equivalent sequential patch that contains natural progesterone available on the NHS or otherwise, or do I need to ask for Utrogestran capsules?

Any advice would be much appreciated. I am new to this and suspect I do not tolerate progestins, as both oral contraceptives and the mirena coil made me feel unwell.

Title: Re: I am new to this - Synthetic progesterone concerns
Post by: Flossieteacake on November 05, 2022, 02:04:59 PM

Hello and welcome to the forum. If it were me, I would try the lowest oestrogen patch (25) just to see how you find it. Once you know if that is going okay you can then try to find a progesterone you can tolerate. The reason I say this is you said you may be progesterone intolerant. Taking the oestrogen separately will allow you to experiment more with progesterone options.

Title: Re: I am new to this - Synthetic progesterone concerns
Post by: Dotty on November 05, 2022, 02:29:17 PM

Hi there is another patch called Femseven Sequi but it still contains a synthetic progesterone although it’s a gentler progesterone compared to norethisterone.

Your only other option is Utrogestan capsules x

Title: Re: I am new to this - Synthetic progesterone concerns
Post by: Stella2 on November 05, 2022, 04:53:07 PM

Yes, unfortunately there are no combined patches with body identical progesterone, the best combination is estrogen patch an Utrogestan separately

Title: Re: I am new to this - Synthetic progesterone concerns
Post by: Merisorrr on November 05, 2022, 09:02:04 PM

Thank you all, this is really helpful