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[discogirl]

When I put it on my butt I had no relief at all, it was as if the hrt wasn’t getting through at all. I know the difference cos I had it on my abdomen first then tried my butt. I quickly switched back to my abdomen and was ok within a couple of hours.

I’m optimistic it’ll be the same for you. Hang on in there, I think you just need a few little tweaks x

Hi Perinowpost,

Thanks so very much for your help.

When I was on 37.5mcg I tried it on my tummy but it didn't feel right, so I went back to butt checks, but it's exactly as you say I feel as though the hrt isn't getting through, so I will put it on my tummy when I change my patch on Saturday.

thanks for your optimism and I do appreciate your help xxx

[discogirl]

Hi disco,
The thing with hrt is that it isn’t a quick fix. The general rule of thumb, that you start at the lowest dose and work your way up.

Ideally, if you started HRT in August on a 25 dose , then if no relief, move up to 50 beginning of November and then do November/ December/ January on the 50. 

By all means, experiment with patch sites for best absorption but try and keep to the same dose now until at least the end of January.

It’s very frustrating, especially when you want to feel well and  regain sleep etc.

Hang on in there! Xxxx

Hi Nas,

Thanks so much for your reply.

Yes I know, your right, I think I done hrt all wrong to be honest.

I started on 25mcg but my sleep was so shocking by 13th sept I went up t 37.5mcg which I stayed on until saturday gone when I went up to 50mcg.

And yes I will stick with this until January as I need to give it plenty of time to work.

Thanks so much for your help xxxx

[discogirl]

Hello Discogirl. I am sorry to read how despondant you are feeling. I understand we just want to feel better but like the others say, you need to give yourself some more time.

Your bout of insomnia seems to have frightened you so much you think not getting off to sleep right away means it will come back. I would think you are over that now as you are sleeping much better then you were during that time.

Many say sleep is the last symptom to improve and I have found that with myself. I have been on HRT for two years and I had not seen any improvement in three months which is the time you have been on HRT.

I can understand you feeling anxious but you really do have to give your body time to adjust. You may not even need a stronger dose of oestrogen at all. Many women find 50 is the best dose for them. I would not be in any rush to increase your oestrogen but allow your body time to adjust.

Each time you have rushed to increase the oestrogen you have felt jittery and it is so positive this increase has not had this unwanted side effect. I would say this means your body is getting used to oestrogen and you just need to allow yourself time.

It is very lonely lying awake at night and willing sleep. I know things can seem so much worse then. I am sending you a big hug.

Hi Flossie,

I've really had such a tough time since feb and don't know what the old me looks or feels like anymore.

Your so very right, the insomnia really scared me and now when I don't get straight off to sleep, I think it's coming back.

Im not going to increase my estrogen anymore anytime soon, I will give this patch until end of January to see how I get on with it.

You and everyone have been so very very kind, thank you very very much xxxx

[discogirl]

Hi I’ve just looked at the diary I kept when I was at my worst . Once I was on the right dose of oestrogen ( for me is 4 pumps ) my sleep improved within a month.

I’d been on hrt for 6 months previous to this and had been suffering symptoms for years before this.

The 6 months that I was on lower doses stopped the flushes and heart palpitations but nothing else . x

Hi Dotty,

Thanks so much for replying.

I'm really hoping that this 50 patch will do it. I know I need to give it time, so I will give it until January to see how i get on as I'm aware rushing to increase too soon can sometimes make things worse.

It's not so much waking up after having been asleep, it's trying to get to sleep in the first place which I understand can be anxiety driven.

Was your sleep issues, disturbed sleep in the sense hot flushes and stuff were waking you up xxx

[discogirl]

Don't increase dosage all at once, give the body time to adjust?

Also if your anxiety is bad, then mayB consider an anti-depressant that eases anxiety or an as-necessary tablet i.e. Valium.  This helped me enormously, I would take it the night B4 an event that I was unable to get out of.  Knowing that I could take another 5mg the next day which I never required.

Bachs Rescue Remedy?  Relaxation therapy?  Yoga?  Swimming, walking ........ these take energy and commitment.  I was supposed to practice relaxation so that I could put into action when panic threatened.  However 

I feel for you I really do 

HI CLKD

Yes I don't plan to increase too soon, as I understand the dangers of doing that.

I already take 10mg amitrypline so I don't want to include too much into the mix.

I walk a lot as I have two dogs and live near the sea so that helps tremendously xxxx

[CLKD]

U may have said already but is there a worse time with the anxiety?  How is your diet overall as low blood sugar may encourage anxiety surges.