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Hi there.  I’m new so apologies if I’m doing this wrong.  I’ll be 50 in three months.  I still have periods, although very irregular.  (My last period was in September).  I’ve been really struggling with anxiety and panic disorder, so doc has eventually prescribed me HRT.  She gave me the Evorel Sequi.  All she said was that I could start it that day.  So we (hubby and I) read the leaflet and it said if you’re 5 days within bleeding to start with the 50s.  What we SHOULD have done is wait for my next period and done just that.  But we didn’t, doc said I could start, so we did, and that was a month ago.  So we knew that I wasn’t due a period for another couple weeks at least so slapped on the conti patches.  Then two weeks later we changed to the 50s.  I’m due to change back to a conti patches today.  I haven’t had a period yet, but the last few days I’ve had all the other symptoms (sore bits, sore boobs, increased thirst and crying), I thought there was a little bit of pink when I went to the toilet this morning, but a few hours later and it’s clean as a whistle.  So, what I’m wondering is:
Do I just continue as I am and put my conti patch on tonight
Or do I assume that I’m having a period and have another two weeks of 50s in the hope that this coincides with my cycle?
It’s so confusing and I can’t get hold of my doc to ask.
Any help and advice would be appreciated.  Thank you.

How do you know if you need to go higher or lower on estrogel?
I wasn’t 100 patch so started gel (3pump) 1st three weeks were fine but now I have night sweats, awful anxiety and fatigue! I’m nervous to have mirena removed as I tried several progesterones in the past and they were awful. Dr won’t give me progesterone on top of Mirena anyway!
Thanks for reading

I just don’t know anything about it, the dr knows I have mirena which stops periods and he always goes by the book so I doubt he’d give it to me. Is there anything I can do meantime? I have night sweats as well as the anxiety and it’s killing me! Someone suggested Utrogestan on top of mirena but the dr already said no! Is it worth going up or down with the gel? It’s impossible to tell which way to go though!

That's good.  It may be cyclical, but even so 

I wondered whether anyone had any experience of getting GP to prescribe a progesterone only pill whilst in perimenopause?
I'm keen to follow Lara briden who supports this.
I was taking estrogen patches and on mirena coil still for hormonal migraines, low mood and pms but just felt really off on the patches and decided to stop them. Feel better, less bloating but still having terrible mood swings.
Drs aren't keen to prescribe progesterone only because it's not licensed on NHS.

Wondering if anyone was successful (if so what worked with your GP?) or if having gone down the private route did uou feel prog only was helpful?

Thanks for reading

This topic has been moved to All things menopause.

https://www.menopausematters.co.uk/forum/index.php?topic=73682.0

Thank you! Much appreciated. A little improvement so far with the steroid cream and nipple gel pads...

Kliovance is closer to a birth control pill in formulation so it is possible it was providing you with a degree of ovarian suppression.

Whether you switch back is down to personal preference, however if you aren't yet postmenopausal, micronised progesterone at standard doses will not prevent menstruation.

These symptoms may be caused by vaginal atrophy - it is important that a urine sample is sent to a Lab to test for 'growth' .  In the meantime get a prescription for appropriate VA treatment  which can be used nightly for ever if necessary.

Recognising recurring symptoms if 1 has dropped treatment to less than nightly is important to avoid un-necessary AB treatment.  Urine infection-type symptoms mimic VA really really well!

This is quite a common reaction to low oestrogen.

As is anxiety.  There is appropriate medication for this and some HRT may help. 

As oestrogen levels drop the body may become dry: inside and out; which can affect narrowing too i.e. Eustachian tubes in the ears = giddiness.