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[Joeyjo1976]

Hi! I’ve just finally had my appointment with HRT specialist. I have already been on Evorel Conti (also taking mini pill) for nearly 4 weeks, but have bled most of that time so she has told me to take 2 mini pills a day instead of just the one (desogestrol) just wondered if anyone else was on this regime? Or taking double the mini pill dose?
Thanks 😊

[Flossieteacake]

Hello Joeyjo. If you are going to take two mini pills a day then that will be the progesterone part of the HRT. You will then need to switch to oestrogen only patch rather then the Evorel conti. I have heard of taking two mini pills a day. I hope this works out better for you then the conti.

[Joeyjo1976]

Thanks for replying. That’s what I would of thought but my specialist says to stick with Conti for 3 months too 😩

[Dotty]

https://thebms.org.uk/wp-content/uploads/2021/10/14-BMS-TfC-Progestogens-and-endometrial-protection-01H.pdf

Have a look at this document. Page 7 It says 150mcg of desogestrel is sufficient .

[Joeyjo1976]

Thanks! Do you think double the desogestrol should stop me bleeding? I’m on desogestrol plus Conti and still bleeding 😢. I’m also worried wether doubling will give me side effects like I had when I first started the mini pill x

[Dotty]

I think double desogestrel and Evorel,Conti is a lot of progesterone. It can take 6 months for bleeding to settle on any new HRT.

Are you post menopause ?

[Dotty]

Hi Nicodemus
https://thebms.org.uk/wp-content/uploads/2021/10/14-BMS-TfC-Progestogens-and-endometrial-protection-01H.pdf

This document says that single desogestrel is not enough to protect the endometrium. I would check that you’re taking enough . x

[Joeyjo1976]

No I’m not post menopause. The specialist said though because I hadn’t had periods for over a year, even though it was due to the mini pill, that Conti should be used. I was put on the mini pill originally for PMDD so I don’t do well with a Sequi regime I have to have constant so not to have to many fluctuations, just a steady dose. I was hoping I wouldn’t have any trouble with bleeding as was already on the mini pill so thought it would be less likely

[Dotty]

It could be the Norethisterone in the patch that is causing the bleeding. x