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Author Topic: Advice on changing hrt please  (Read 1066 times)

jefner

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Advice on changing hrt please
« on: August 22, 2019, 01:54:50 PM »

I am so sorry, I know I am a nuisance with all my posts but I am desperate for advice

57, now post meno 6yrs.  I was on the Evorel Conti patch for 2yrs but moved onto the gel and 100mg Utrogestan (vaginally) at the very beginning of March because of poor absorption issues according to blood test results.  I moved up to 3 squirts in June due to more blood tests showing that I wasn't at "therapeutic" levels according to my meno specialist.  Things went very much downhill from there and  my anxiety symptoms are absolutely debilitating.  After reading on here a few weeks ago that a lot of women are intolerant to the Utrogestan I experimented by missing the odd one over the last month or so and I strongly believe I am intolerant to it and I want off asap, because my symptoms wern't so severe the following mornings.  I missed one again last night and again symptoms not quite so bad.

I have been bleeding now for 8 days which started as a trickle here and there throughout the day but the last 3 days it's more of a full blown period with cramps and some clotting and I am panicking a little because it's not easing off and getting a little heavier each day.  My meno specialist said that it suggests that my current bleed is due to not having enough progesterone due to my 1 pump increase of gel a few weeks ago.  She wants me to increase the Utrogestan but I feel sure I am intolerant and am not willing to take that route.

If I wanted to come off it my meno specialist told me to decrease by one pump per week and then stop completely but I feel it's too quick and I should wean off slower but I cannot stay on the Utrogestan a day longer than necessary and if I stop it I am absolutely terrified of the withdrawal from it as I already feel so ill on it. 

My thoughts are that when I get down to 1 pump of Estrogel to go back onto the Evorel Conti patch.  Even though I wasn't absorbing the full dose from it, at least I will still be getting some progesterone and from memory the patch didn't cause me the severe issues that I am experiencing now to the point of feeling suicidal.  I am scared and alone with no friends or support.  I can't think straight most of the time either

Can someone advise me as to whether this would be a good route to take and do you think I will still experience withdrawal from the Utrogestan even though I am getting a little progesterone from the patch please?  As I was originally on one patch I was thinking of restarting on say 1 1/4 or 1 1/2 patch to try and tie in with my current levels so it's not too much of a shock to my system in dosage drop.

I have actually managed to source a box of the patches after phoning lots of pharmacies and they are holding them for me until I can get a script from my GP
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vickypk

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Re: Advice on changing hrt please
« Reply #1 on: August 22, 2019, 07:27:46 PM »

Hi refer. Hope you are better soon. I'm using the evorel conti. I did try the gel and utrogestan for a few months but felt really bad. I had heavy bleeding and bad cramps, I had to go to bed with the pain. I'm just better with the patches.
Xx
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jefner

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Re: Advice on changing hrt please
« Reply #2 on: August 23, 2019, 10:29:44 AM »

Hi refer. Hope you are better soon. I'm using the evorel conti. I did try the gel and utrogestan for a few months but felt really bad. I had heavy bleeding and bad cramps, I had to go to bed with the pain. I'm just better with the patches.
Xx

How did you move over to the patch from the gel and utrogestan?  Did you have to taper down first and did you get any withdrawal symptoms from the Utrogestan?
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Butterfly22

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Re: Advice on changing hrt please
« Reply #3 on: August 23, 2019, 10:52:27 AM »

I've changed so much and basically just stopped one one day and started the next the day after xx
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vickypk

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Re: Advice on changing hrt please
« Reply #4 on: August 23, 2019, 11:33:39 AM »

Hi jefner
I just stopped the gel and utrogestan and gave it a couple of weeks to get out of my system then went on the evorel conti patches. X
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jefner

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Re: Advice on changing hrt please
« Reply #5 on: August 23, 2019, 01:54:58 PM »

Hi jefner
I just stopped the gel and utrogestan and gave it a couple of weeks to get out of my system then went on the evorel conti patches. X

I just spoke with a lovely GP who said I can transition over starting from tomorrow.  Already cut down by a pump a week ago but might see if I can go another week before I start the patches.  Did you not get any withdrawal symptoms from the utrogestan and why did you give it a couple of weeks
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vickypk

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Re: Advice on changing hrt please
« Reply #6 on: August 23, 2019, 02:24:20 PM »

Hi. I didn't feel well on the gel and utrogestan and just wanted to feel a bit better until I started the patches. It sounds ok you have been already cutting down and hope all goes well on the patches.
Have you been able to get the Evorel conti patches okay?  I've got about 6 months worth now as I had to buy some online, the Independent Pharmacy, because of the shortages at the moment. Vicky x
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