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[sap22]

I am 52 and thinking (only thinking)! of changing to Livial because the Utrogestan daily has worsened my bladder considerably (urgency etc) and I think someone said that it might be better on the bladder.  Menopause specialist has increased my oestrogen as it wasn't as high as she had hoped after 3.5 months (136) and now I started taking 2 x 100mcg patches instead of 50mcg.  But still taking daily 100mg Utrogestin. Am still quite concerned about how long it will take before more oestrogen kicks in to negate the effects of the progesterone.  We decided upon continuous to avoid a bleed which was a problem for me at one time. I know Livial is supposed to be non-bleed. I am thinking of getting a second opinion from a specialist, but just wondered if anyone had any comments.  Thanks xxx

[dazned]

2x100mg thats very very high ! Is that correct ?

[Dana]

Livial was the first hrt I used and I really liked it. However I thought it was only available as a low dose.

The dose you are on does seem very high. The problem could the daily progesterone rather than the estrogen. Perhaps try taking progesterone on a cycle.

[sap22]

2x100mg thats very very high ! Is that correct ?

Sorry - perhaps I didn't make it clear - I am on 100mg Utrogestin daily and 200mcg 2 x 100 mcg patches of oestrogen (Estradot). I haven't started Livial yet, but am just researching it to change if my bladder doesn't improve withe doubling the Estradot patches x

[sap22]

Livial was the first hrt I used and I really liked it. However I thought it was only available as a low dose.

The dose you are on does seem very high. The problem could the daily progesterone rather than the estrogen. Perhaps try taking progesterone on a cycle.

Thanks for that... did you have a bleed on Livial and why did you change?  I am trying to avoid a cycle at the moment, but may have to give in to it.  I haven't started Livial yet, but am on Utrogestan 100mg daily for progesterone and 100 mcg x 2 patches of Oestrogen per week.x

[Dancinggirl]

When I tried Livial it was great but I'm prone to getting posts and my acne got too bad - one of the reasons why I wouldn't try Testosterone, as I think this can also make spots worse.  I didn't get any bleeding with Livial (Tibolone), slept really well and generally felt really good - it was such a shame that I got so spotty.  I think if you are not prone to spots then Livial can be great. DG x

[sap22]

When I tried Livial it was great but I'm prone to getting posts and my acne got too bad - one of the reasons why I wouldn't try Testosterone, as I think this can also make spots worse.  I didn't get any bleeding with Livial (Tibolone), slept really well and generally felt really good - it was such a shame that I got so spotty.  I think if you are not prone to spots then Livial can be great. DG x

Thanks Dancinggirl,  what is posts... ?  No I am not prone to spots so I think I might keep this idea in reserve. Have currently doubled the oestrogen patch so am hoping that will kick in soon, but if not at least I can try something like Tibolone. Thanks DG xx

[Dancinggirl]

typo POSTS - is meant to ‘spots'.
You are using a lot of oestrogen !!!! Hope that works for you.  DG xxx

[Hurdity]

Hi Sap22

I am really puzzled as to why you have gone from 50 mcg to 200 mcg oestrogen - that is a huge amount and a very big increase ie 4 times as much!!! I also would be concerned whether 100 mg utrogestan would be sufficient to keep the uterus lining thin especially taken continuously. Are you using it orally or vaginally?

Hurdity x

[sap22]

Hi Sap22

I am really puzzled as to why you have gone from 50 mcg to 200 mcg oestrogen - that is a huge amount and a very big increase ie 4 times as much!!! I also would be concerned whether 100 mg utrogestan would be sufficient to keep the uterus lining thin especially taken continuously. Are you using it orally or vaginally?

Hurdity x

Hi Hurdity, it was 50 mcg twice weekly, and now 100 mcg twice weekly, so she doubled it, due to the fact that she said my oestrogen still wasn't as high as she would like it to be after 3.5 months (136). The utrogestan is taken orally daily at 100mg.  x

[Dana]

Livial was the first hrt I used and I really liked it. However I thought it was only available as a low dose.

The dose you are on does seem very high. The problem could the daily progesterone rather than the estrogen. Perhaps try taking progesterone on a cycle.

Thanks for that... did you have a bleed on Livial and why did you change?  I am trying to avoid a cycle at the moment, but may have to give in to it.  I haven't started Livial yet, but am on Utrogestan 100mg daily for progesterone and 100 mcg x 2 patches of Oestrogen per week.x

No, Livial is a "no bleed" hrt (ie continuous). I stopped taking it because I needed to increase to a medium dose, which is why I wondered if this would be sufficient for you as you are on a high dose of estrogen.

The information on this site is a bit confusing because it doesn't state what kind of dose it it (whether low, medium or high), but on the Australian Menopause Society site it is listed as a low dose. http://www.menopause.org.au/for-women/information-sheets/426-ams-guide-to-equivalent-hrt-doses

[matildamouse]

I really liked Livial. My hot flushes were gone gone gone within days and it was so easy to just take one tablet at night. The only reason I stopped was the testosterone effect increased facial hair to the extent that I could not cope with that. If not for that, I would still be on Livial.