Hi Happysol
This is a tricky one isn't it? Why on earth is there not a higher dose Femoston product for post-menopausal women, which is the one combi oral HRT preparation which contains a progestogen very close to progesterone and therefore with the fewest side effects?
I would suggest that if you went from Premique to Femoston Conti you might get a resumption of symptoms due to the reduction/change in oestrogen.
However all the other HRT preparations contain the bio-identical estradiol which you might prefer.
My suggestion if you want a tablet HRT would be try Indivina because the progestogen is the same type and the same dose as you are on at the moment so you would only be changing one thing at a time. Your body would still have to adjust to the different oestrogen and there may a settling in period of a few months.
Alternatively you could decide to go for a transdermal mode of delivery ie patch or gel along wth separate progesterone. I see the progestogen you are already taking is available separately too. Gel would be more easy to adjust but personally I am happy with patches. Despite what it says though if you decide to go for patches I would suggest 75 mcg would be better for you - as a replacement for the medium dose Premique. Although it is classed as medium dose, I am still on 50 mcg at 61 and would have definitely asked for a higher dose at your age!
If you want to be completely bio-identical then you could go for micronised progesterone (Utrogestan) but some women find it is too sedating when taken every day.
Other than that you could try to ask for double the Femoston conti dose if the GP will let you try it.
All the products and information are listed in the menu on the left under HRT Preparations:
http://www.menopausematters.co.uk/treatment.phpHope this helps
Hurdity x