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[sed]

Hi ladies

I contacted my consultant (who is a meno specialist).  I told her that on Evorel conti (3 weeks)...I am experiencing crushing fatigue everyday especially mornings.  My anxiety levels seem heightened (basically not even a little change in that symptom)  She said the following:-

“You could try a higher dose of oestrogen and oral Utrogestan and get that from your GP”...or

“You could continue with Evorel conti and see whether you feel better , otherwise please do not hesitate to book a further appointment.”

I have no clue what this means in terms of what is oral Utrogestan and is this taken alongside the patch I already have??

[Dandelion]

Hi ladies

I contacted my consultant (who is a meno specialist).  I told her that on Evorel conti (3 weeks)...I am experiencing crushing fatigue everyday especially mornings.  My anxiety levels seem heightened (basically not even a little change in that symptom)  She said the following:-

“You could try a higher dose of oestrogen and oral Utrogestan and get that from your GP”...or

“You could continue with Evorel conti and see whether you feel better , otherwise please do not hesitate to book a further appointment.”

I have no clue what this means in terms of what is oral Utrogestan and is this taken alongside the patch I already have??

I'm not an expert but I have had a lot of help on here so I thought I would give some back.

I'm confused, because according to this https://www.medicines.org.uk/emc/product/10929/smpc evorel conti contains a synthetic progesterone norethisterone.
I have heard a lot of women not get on with norethisterone.
What I interpret your meno specialist to mean is this
"you can try an oestrogen only patch and use utrogestan"
Utrogestan is known as a bio identical hormone.
Maybe you might want to try oestrogen only gel, and utrogestan, you could discuss this with your GP.
I would be dubious of taking oral utrogestan along with a patch that already contains progesterone, however I am not very knowledgeable and hope someone else comes along.
If I were in your shoes, I would use oestrogen only patch or gel, plus oral utrogestan.

[sed]

Thank you Dandelion.  It makes more sense now.  I fear I may have an intolerance to progesterone in the Evorel but keep thinking I need to keep trying until 3 months.  I had the same issue with Femoston-conti 1mg/5mg tablets, then on the Evorel Sequi and now the conti...I always feel they all have heightened my anxiety and am lost to be honest.

[Babspiglet]

Hi Sed, Dandelion is right. I take the Evorel oestrogen only patch (not Conti or Sequi) with my oral Utrogestan if you want to go down that route. Important not to double up on progesterone unwittingly. x

[Dandelion]

Thank you Dandelion.  It makes more sense now.  I fear I may have an intolerance to progesterone in the Evorel but keep thinking I need to keep trying until 3 months.  I had the same issue with Femoston-conti 1mg/5mg tablets, then on the Evorel Sequi and now the conti...I always feel they all have heightened my anxiety and am lost to be honest.

Dr Currie once said to me to let hrt settle for 3 months before change, however this may not apply in your circumstances as I have recurring abnormal uterine bleeding which hrt changes only temporarily work for. I hope some of the more knowledgeable ladies come along.