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Menopause Matters magazine ISSUE 80 out now. (Summer issue, June 2025)

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Author Topic: Menopause progressing - increase HRT?  (Read 519 times)

RibenaBena

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Menopause progressing - increase HRT?
« on: June 09, 2025, 12:13:31 PM »

Hi, I started taking HRT when I was 48, because I was having terrible brain fog, irritability (I was being so snappy and horrid), and tearfulness. Over time, and with blood tests, support and adjustments in dosage from the Newson clinic, I settled on using 125 Evorel patches. I know that’s technically higher than the NHS recommends, perhaps I don’t absorb it as well as others, I don’t know, but this works for me and my blood tests are good.

However, in the last couple of months, I’ve noticed a serious return in the brain fog and tiredness. I’m waking up tired and wanting a nap. I’m constantly misplacing my glasses, keys, forgetting words etc. The words aren’t gone like dementia, believe me it’s crossed my mind! It’s like I’m so distracted I’m not thinking when I’m talking - or I’m thinking about 15 other things at the same time. If I just stop, the word comes immediately.  These are all the symptoms I had before I started HRT.

I’m wondering if I need the dosage adjusting. I have an appointment with the Newson clinic next week.

But, am I right in thinking that as you move through the menopause, and your oestrogen levels progressively drop, that it’s normal to need to increase your oestrogen patches to offset the symptoms? Am I’m right in thinking the dose you start in perimenopause obviously :( won’t work as well when you’re in mid menopause? Is there a clinical view on this?
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CLKD

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Re: Menopause progressing - increase HRT?
« Reply #1 on: June 09, 2025, 12:41:52 PM »

I think it's completely individual, due to how each woman's hormones are up and down.  MayB take a list to discuss at the appt., then let us know.

As oestrogen levels drop I would expect symptoms to increase so that a hike mayB required. 
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bombsh3ll

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Re: Menopause progressing - increase HRT?
« Reply #2 on: June 09, 2025, 01:49:06 PM »

Yes, most women's needs change over time and the treatment that was optimal in early perimenopause is not necessarily still the best fit once postmenopausal.

I would suggest a dose review including blood levels.

Also don't forget about testosterone - this can make a big difference to cognitive symptoms.
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