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[GetStuffedPeri]

Hi - does anyone have experience of adding testosterone to a conti regime?   4 months into Evorel Conti and huge improvements on flushes and sweats and brain fog but no real improvement in irritability/moods, fatigue, weakness, libido etc.  Considering asking the GP to change to sequi regime to see if moods are related to progesterone (no low mood, depression, sore breasts or bloating etc though) but 13 months in with no period, not sure if that's jumping the gun a bit when the patches have had such a significant effect on the horrendous flushes and sweats.

Would there be any benefit of asking GP for testosterone etc does anyone think?  I thought too much testosterone causes rage but it also appears that too little estrogen does the same..........moods seem to deteriorate nearer the end of the patch (and following increase in irritability, flushes start again mildly for a day or so)? I know it's well documented that testosterone improves libido etc.  Not sure though that maybe the easiest solution is to increase estrogen from 50mg to 75mg but can't do that on conti patch!

Thanks all - Happy New (hormonal trouble free) Year!

[sheila99]

Are moods OK on a new patch or bad all the time? If the former try changing the patch earlier, if the latter I think you need more oestrogen. Testosterone improved my libido, muscle tone and low motivation but you need to be stable on the right dose of oestrogen before you go on it. Would they let you add a pump of gel? Oestrogen was the key to my irritability though it can be intolerance to the progesterone too.

[Dotty]

I would suggest more oestrogen which would mean changing to Oestrogel or an oestrogen patch with Utrogestan. X

[GetStuffedPeri]

Thank you both - I thought more estrogen may be the answer (mood tends to only be relatively "normal" mid patch - but intensity of flushes and sweats 90% better all the time so it's really tricky!) but my concern with adding a bit of gel (if GP would even consider this) is would the progesterone in the conti patch be enough to cover the additional estrogen......

sheila99 - are you still on the testosterone?  what dose of estrogen and prog etc were you on before you started the testosterone?  thanks!

[sheila99]

When I went on testosterone I was in peri on 2 pumps gel and 12 days x 200mg utrogeston. Now on 4 pumps gel, late peri so producing very little of my own oestrogen. I believe testosterone can be converted if you're oestrogen deficient.
 
The amount of progesterone required is a bit odd. For Utrogestan you use the same amount regardless of how much oestrogen you use. I don't understand why it wouldn't be the same for evorel. I believe (but not certain) that you can cut up conti patches so possibly 1.5 patches might be an option.

[Dotty]

Hi it’s not advised to add gel to Conti patches as there may not be enough progesterone. However, there may be ladies who do it.

I was on Elleste duet Conti for 3 months and it had had very little effect, so I went onto 4 pumps of Oestrogel, Utrogestan and testosterone. This combination worked for me x

[CherryC]

Happy New Year!
I recently changed to Evorel Conti plus Testogel (from Estradot patch, Utrogestan 100mg vaginally continuously, and small blob of Testogel daily). 
My experience to date is that it was going well for the first 3 months but for the fourth month I have been feeling really 'wired' and having difficultly sleeping (almost like too much energy/restless).  I'm not sure if it's due to the Testogel not being required now as the progesterone in Evorel Conti is testosterone based I believe, or whether it's the Evorel Conti patch itself. 
Has anyone successfully used testosterone with this patch or had a similar feeling on the Evorel Conti patch alone?

[sheila99]

If you're on the same dose of testogel it might be that you don't get on with the progestogin in evorel conti. You could switch to a sequi regime and see if you're OK on the oestrogen only patches. Or you could stop the testogel but I think it's more likely to be a problem with the progesterone. It's also possible that you absorb more oestrogen with these patches but less likely it would make this much difference.

[CherryC]

Thank you for your response Sheila99 - You are right in that it may well be I'm not going to get on with this type of Progesterone. I will try stopping the Testogel for a few days initially to see if it reduces the amount of Testosterone in my system and if this doesn't help, it must be the patch itself.
GetstuffedPeri - I do believe Testosterone makes a difference with mood, motivation and energy (as long as the balance is correct) so may be worth asking if you can try it.