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Menopause Matters magazine ISSUE 76 out now. (Summer issue, June 2024)

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Author Topic: Eeek! Changing from patches to Sandrena gel after 11 years - any tips?  (Read 12856 times)

Hurdity

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Terrible! Not getting on with it at all well!

Thanks for asking everyone! Was just going to update this thread because yesterday I had had enough and went back to my lovely Estradot patches. Who cares about black marks? They are easily removed!

Exactly as you have found - it takes far too long to dry. This one is supposed to be rubbed in, unlike oestrogel which is just spread on. I think it depends on what the hormone is mixed with, because the same applies to testosterone gels. One is spread on  (the one I use - Testogel) and one of them is rubbed in  (think this might be Testim).

Charski, weathergirl, Florence - yes as you say after the initial rubbing in, a sticky residue is left which you have to wait to dry - but it doesn't - even after half an hour it's still tacky. Well I can dry it off with a hair dryer but then I worry about the effect of heat on the estradiol - can't be good, and I am sure would make it less effective either because of being destroyed by heat or because it isn't absorbed. Well I couldn't be doing with that and having to allow so much time in the morning before dressing. The T gel is easy as it's a tiny blob and also dries quickly.  Oestrogel is probably different and maybe I would have got on better with that but decided as I had been OK for 11 years on Estradot - then that's the one for me! :)

I decided to try the gel because I wanted the doc to prescribe the dose of patches I had been using (62.5 mcg) which entailed cutting a patch, and her prescribing more - and she had previously said the extra 12.5 mcg wouldn't make any difference so both thought gel would be easier, and she wouldn't prescribe 75 mcg as she said I should be trying to reduce oestrogen dose at my age - which I did try!

However when I went to see her on Tuesday and said I didn't like the gel and asked for 37.5 mcg and 25 mcg patches - she then said she would prescribe me 75 mcg and I could cut off a bit! RESULT!!! She wanted to prescribe Evorel because of supply problems with Estradot but I said no, and that the dispensary could supply a different brand if no Estradot but at least would have this as first choice. Just using up the remaining 50 mcg lot until I get to dispensary.....

The other thing is that 1 sachet of 1 mg wasn't enough and I was getting hot again so had increased it to 1 1/3 sachets - even more to rub in.

Night_Owl - I don't find my patch runs down as some seem to report - I think it does depend on the individual woman to some extent. You definitely don't get the same peaks and troughs with a patch as it rises to a peak over 12 hours and then very slowly declines over the next week - but if changed twice a week as recommended the level shouldn't drop too low - according to what I've read anyway. When you take off the patch the level drops over the next 12 hours or so, and by the time that happens the new one will have taken effect keeping the levels more consistent.

Florence - as I've been using HRT for 11 years - for me it is working if I don't get flushes or sweats or feel unaccountably hot a lot of the time. If that starts to happen then the dose is too low - even at 65. I don't get other symptoms ( acheyness etc) until the level drops down lower and I don't get anxiety although I would be interested to know if my mood became lower with low oestrogen - I haven't given it time to find out and don't intend to - if i can possibly help it! I applied to inner thigh.

Hurdity x
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weathergirl

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Hurdity, that's great that you found the solution with the 75 patch and cutting some off!  I do think it's so much easier and 'user-friendly' than the gel.  And from what little I've read, the patch dose is designed to stay steady-state in dose pretty much up to the time you change it.  Maybe for some women this doesn't happen?  But for me it has never been anything that I noticed (dropping off of dose and having symptoms).  I'm really glad you and your doctor agreed on something and it will work for you!   :foryou:
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Lanzalover

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Hi Hurdity

Thanks for the update. Sorry to hear things didn't work out for you.But at least you know Estradot suits you.

Oestrogel dries on me in about 10 mins so no big problem as I can always find something to do in that time put makeup on, make the bed etc.

Lanzalover x
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pepperminty

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Hi Hurdity, very brave changing your HRT, and glad that it worked out for you with your GP in the end.  I was reading your post and you said:

The testosterone has restored my response completely  ;) - this had totally disappeared so we can enjoy life in that department. In addition I can now do exercise classes without feeling absolutely exhausted or having to lie/sit down a lot during the day due to muscle aches and having bad back-ache in the eve after a day when I was active. Maybe your testosterone levels have remained high but mine were clearly low. I now do 3 exercise classes per week, go for lots of walks, dig the garden, barrow compost, go to music festivals, generally do stuff without flaking out and aching. At mid 60's I'm far too young to be put out to grass and engaging in minimal activity. Keeping active with body conditioning exercises such as Fitness Pilates, and cardio work-outs are an important part of staying healthy and moving as we age and I'm not ready to be put out to grass yet!!!! I intend to live as full and active a life as I can - even if I don't live to a great age, and the tesosterone is helping me do that!

I didn't realise that testosteone helped with achy joints too! I think I will ask at my next HRT review at the clinic about taking it. Is one type better than another Testosterone?

Also I too am thinking of changing HRT but from Femosten 1/10 to patches or gel. I take an extra half a tablet of estrogen every other day, but now as my hormones have declined it isn't enough to alleviate my symptoms. I have tried Femosten 2/10 and it doesn't suit me for some reason. All I can think of is that the progesterone part is not strong enough with the 2/10, and this causes issues as my bleeding is not controlled.  I too feel far too young to be feeling this achey. Just concerned that a change in progesterone will cause issues.

Wishing you a fabulous holiday

Pepperminty x
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