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[purplebee]

I have changed from Femoston tablets to Evorel patches. I have been cutting the patches in half to see if a low dose was going to help me with the hot flushes and mood swings.  I've been taking it for approx 2 and a half weeks and my flushes are coming back (usually when I'm in bed). I also feel my mood has lowered and I'm foggy headed. Should I start to gradually increase the dose and by how much for how long?

[CLKD]

Yep. It really can be Trial and Error to get benefit.  Let us know how you get on?

[Ladybt28]

I reckon you should really try to persevere with an increased dose for at least a month to see if any side effects or symptoms start levelling off.  It varies person to person but any changes in dose or regime can take a while to balance. That is why with any hrt treatment the thinking is that you need to persist with something for at least 3 months before a total change can occur.  If you flushes are back you need to increase the dose and wait for it to level purplebee.

[purplebee]

Thank you ladies for your advice. I have just 'upped'my patch by a little bit. Fingers crossed!.

[CLKD]

Do you have periods?  Any other particular symptoms that are bothersome?

Some ladies find that keeping a mood/food/symptom diary useful. 

[purplebee]

Hi CLKD ..I'm post meno so no periods. I'm aching a lot more too.

[CLKD]

As oestrogen levels drop off so muscles may become lax = aches and pains.  Also the body may become dry: inside and out    .  Do read our threads on vaginal atrophy - forewarned is forearmed