Hi Peroxideblader
These are the instructions for Elleste Duet 1 mg:
This product is a continuous sequential HRT. One white tablet to be taken daily for the first 16 days, followed by one pale green tablet for the next 12 days. A new cycle should then begin without any break. Therapy may start at any time in patients with established amenorrhoea or who are experiencing long intervals between spontaneous menses. In patients who are menstruating, it is advised that therapy starts on the first day of bleeding. Patients changing from another cyclical or continuous sequential preparation should complete the cycle and may then change to Elleste Duet 1mg without a break in therapy. Patients changing from a continuous combined preparation may start therapy at any time if amenorrhoea is established, or otherwise start on the first day of bleeding.Therefore if you are having regular periods then start on Day 1 of your bleed as indicated.
The fact that your periods are becoming close together - indicates you are in the late reproductive stage before peri-menopause. Hormonal changes do begin to occur at this time even though ovulation still occurs regularly. Unfortunately some women do begin to experience menopausal symptoms at this point such as you are experiencing - ie bladder issues and flushes and sweats. Have you had a full blood tests to check for other possible issues eg thyroid etc?
It is likely to be the hormonal fluctuations which are causing your symptoms (although not sure about the bladder?) - and a low dose HRT should help to regulate your cycle.
Regarding Elleste vs Femoston - I would go for Femoston every time, if your bleeds are not overly heavy - because the progestogen in Femoston is closer to our own progesterone and better tolerated. Sometimes the norethisterone in the Elleste (during the combi tabs part - second phase of the cycle) can cause a temporary increase in night sweats etc. No reason why you shouldn't try it out though? There will be thousands of women taking it quite happily without problems - but we don't hear from them!
Hope this helps
Hurdity x