Print

Please login or register.
1 Hour 1 Day 1 Week 1 Month Forever
Login with username, password and session length

[Nas]

Well, it’s like peeling back an onion all of this.

The Mirena was fitted May 31st.
At the time, I was on the Evorel 75 patch.
Symptoms were bubbling ( I think ) as was concerned about absorption from the patch ( the thing was peeling at the corners too soon etc and they were irritating me a bit).

Went to see specialist and she prescribed oestrogel 2/3 pumps or sandrena 1.5mg if unavailable ( they both probably are!)

I started the sandrena gel last Wednesday ( as I had some already) and don’t feel great. But I didn’t feel that great on the 75 patch either.

Mood swings like a pendulum, irritability, period type cramps, heart palpitations, headaches, anxiety, waking early.. bearing in mind all of these were kind of in the background before the  gel.

I’m quick to blame all this on the Mirena ( trying to persevere with that!) but I’m thinking low Oestrogen now ? Reason being... super hypersensitive to noise and smell and I jump at anything!

I know you are all on your own journeys and have your own rubbish to deal with, but how do I progress forward with this now? I don’t want  to have to cover myself in gel from head to toe each day...

[joziel]

I don't know about peeling back an onion, sometimes I think I am adding layers to the onion 

[Nas]

Well joziel,  I think you are right! Adding layers seems more apt right now!

[Dotty]

Hi Nas if you were on a 75 patch then its likely that you need more oestrogen than 1.5mg of Sandrena ... that is roughly equivalent to a 50 patch. x

[Nas]

Ah thanks Dotty.
In my head, 1.5 mg was 3 pumps or a 75 patch.
Right, time to re think then.

X

[Dotty]

https://thebms.org.uk/wp-content/uploads/2022/05/03-BMS-TfC-HRT-Practical-Prescribing-02A-MAY2022.pdf

Look at page 2 for a table of equivalents x

[Nas]

Thanks Dotty,
God, I’m going to need a ton of gel to equate to the 75 patch then.

The period pains are the worst today.
Suppose that’s the damm coil.
Although I’ve had them before pre coil, whilst on patches and utrogestan.

I give up! 

[joziel]

I can definitely relate to this bit: "heart palpitations, anxiety, waking early."

I seem to be on some kind of ridiculous clock whereby I just wake up between 4.30am to 6am as if it is time to get up. Even if I go to bed late, at 1am, I will still wake up in this time frame.

When I do wake, I feel a bit jittery and cortisolled (for want of a better word, I just made that up), I occasionally have the heart palps at this time although that seems to be happening less. It's now more that I feel myself pulsing or throbbing a little bit and my heart beating a bit harder than usual.

None of this was happening for me before starting HRT (although I had a million other things that were and have been fixed with HRT), so for me it is caused by the estrogen. I am totally stumped as to why. It was even happening on the 50mcg patch. I stayed with the 50 for 7wks, so I don't think it can be said that I didn't give it time to settle.

If our natural estrogen fluctuates loads pre-menopause, why would we be this sensitive to what is body identical estrogen?! I don't get it. I'm also not sure what to do because I can't live like this permanently but I also can't go back to how I was before HRT. 

[Dotty]

Hi Nas  You would need 3 pumps of Oestrogel to equate to a 75 patch.  I use 4 pumps and it's fine, not too much . x

[Nas]

Joziel, sounds like you and me are in very similar situation.
Are you peri menopause then? I’m post (allegedly) and still not right!

I totally get where you coming from though. I dont seem to be able to live with or without HRT and certainly cannot envisage this life permanently either 

Come to think of it, I never had all these symptoms prior to HRT either. What drove me to HRT, was random crying, bladder issues, flushes and anxiety.

I also don’t understand the reactions we have to body identical hormones. Part of me wishes I had never touched HRT now.

How old are you joziel? I’m 51 and fear this is life!

[Marchlove]

Joziel - love your new cortisolled word!
It just could be that cortisol and/or Dhea might be was causing you these issues. Have you ever tested?  X

[Nas]

Dotty,where do you apply the 4 pumps?  X

[Dotty]

Hi Nas …. Inner thighs ….. 2 on each one. Or outer shoulders and arms….2 on each one every morning x

[Nas]

Thanks Dotty xx

[Pippa52]

joziel.....I totally relate to waking jittery and cortisolled (love that word it describes the feeling perfectly) plus very fast heartbeat sometimes too and always early in the morning. I also sometime wake up in the night in a total panic and then get a horrible bout of tachycardia after which its impossible to go back to sleep for ages.  It's beyond frustrating to say the least and really unpleasant.  I have tried using the Calm app for the last 3 mornings and also when I go to sleep at night and do find that has helped.  The morning meditation for anxiety calming were particularly helpful.  xx