Menopause Matters Forum
Menopause Discussion => Postmenopause => Topic started by: Shoefreak on October 15, 2025, 06:34:57 AM
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Morning all.
I due to have a mirena fitted next week.
My gp and specialist have both suggested dropping to evorel 75 initially. Currently using 2 x evorel conti (as per specialist instruction). I'm not sure why as a patch and a half wasn't helping with symptoms.
Also my gp has said I need to wait a week before starting with the estrogen only patch. I don't think I can go a whole week with no estrogen.
Does this sound right?
I think eventually I'm going to have to change how I get estrogen delivered. Maybe the spray or gel.
Thanks all 😊
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Having unopposed oestrogen will do you no harm for such a short time. I was allowed up to 3 months on oestrogen only when I was starting out on HRT and struggling with the progesterone side. Once you are fitted with the Mirena, you will be covered anyway.
If you switch from a patch, bear in mind that the spray is quite weak and there is no licensed equivalent dose to the highest doses from gel or patches.
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Your GP is talking through her backside. You should continue with the 100mcg patches but change to oestrogen only when the mirena is fitted. If you go without for a week your symptoms will return. If 75mcg wasn't enough before it's unlikely it will be now. Why do you think you will have to change to gel or spray?