I see your point Taz but what happens when you have a hot bath, that's a lot more heat then you would get from the sun, I have a bath morning and evening for as long as I can remember and my bottom and thighs were immersed, the only problem was it loosening the patch, that's when I decided to wear the patch higher. My doctor never said I shouldn't, of cause I was only dealing with one patch estrogen only.
I have sunbathed with the patch on and it the garden with the patch showing and used sun beds with no ill effect. Even abroad where it was really hot.
Of cause women should do what they think best and follow the instructions I am just saying that it has never caused me any problems, and as I have said reading in depth books about HRT and its history (which is eye opening) the original trials were done with the patch on the tummy with the thought that they were near the ovaries, also the original trials on hormone therapy were done on men!!
Instructions to apply the patch below the waist is because is because there is less chance of wrinkling and ruching of the patch therefore altering the dose.
My original post was in reply to the Carolinec's GP telling het to put an estrogen patch on her arm for a week before her period to counteract her symptoms and explaining why he might have come to this conclusion.
carolinec you should follow the instructions for any HRT prescribed , as for your question about about seeing a private GP who deals in menopause, I understand why you feel in a quandary, but maybe you should keep the appointment on Monday evening see how it goes, at least you now know you have another option which is always good
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