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I am 52, postmenopausal and on continuous BHRT since Oct 2015 managed by a menopause centre. After a clinical review two weeks ago the consultant sent me a mail to slightly adjust my estrogen dosage as per my symptoms. She says for some women their estrogen dosage might need slight asjustment as per their symptoms which usually happens in a 2 weekly cycle. This is part of her mail:
Symptoms guide for increasing Oestrogen dose:
Increase dose if having hot flushes, night sweats, flat/low moods, vaginal dryness, excessive sleep, groggy in morning.
Reduce dose if having overheated body core temp, irritable/anxious/cranky moods, fluid retention, bloating, breast engorgement or tenderness, intense headaches, increased appetite/cravings, increased vaginal secretions or any other symptom of premenstrual nature.
On my current regime my hot flushes went away and I felt good. THe last few days my hot flushes are returning and I thought I might need to increase my estrogen.... just to find some spotting yesterday morning and today.
So your thoughts on increasing my estrogen dosage despite the spotting? I have no other symptoms of any of the one's mentioned in her mail. Thanks.