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Menopause Matters magazine ISSUE 76 out now. (Summer issue, June 2024)

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Author Topic: Conti Patch Migraines  (Read 1430 times)

Cocopops

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Conti Patch Migraines
« on: January 24, 2024, 07:43:57 PM »

Hi, I’m on day 7 of the Evorel Conti Patch (first time on HRT). I took it off this evening as the side effects have been awful - really low mood and nauseating migraines which I can’t bear to have to tolerate for potentially 2 months until things settle. Today all day I was on the constant verge of vomiting.

So any advice on what other HRT I could try? I’m 54 and 3.5 years post last period. My menopause symptoms are not bad at all. Worst ones are sleep and a bit of anxiety.

I’ve  always had low oestrogen levels so think maybe the Conti patch was too strong?

Any advice greatly appreciated!!
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Mary G

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Re: Conti Patch Migraines
« Reply #1 on: January 25, 2024, 12:18:22 PM »

Cocopops, I think your problem was the norethisterone in the patch.  I suffer with silent migraines and I once had 5 auras in one day after taking norethisterone so it's not a good choice for people with migraines.

I would try Oestrogel and vaginal Utrogestan.  I don't like Utrogestan personally but you mentioned problems with sleep and Utrogestan will help with that.  It also has a calming effect.

I hope you can make the switch quickly.
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Cocopops

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Re: Conti Patch Migraines
« Reply #2 on: January 25, 2024, 12:49:12 PM »

Cocopops, I think your problem was the norethisterone in the patch.  I suffer with silent migraines and I once had 5 auras in one day after taking norethisterone so it's not a good choice for people with migraines.

I would try Oestrogel and vaginal Utrogestan.  I don't like Utrogestan personally but you mentioned problems with sleep and Utrogestan will help with that.  It also has a calming effect.

I hope you can make the switch quickly.

Thanks so much for coming back to me.   

Can I ask are the vaginal utrogestan messy to use as in do you leak afterwards? Also how do they fair out with sex?
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Violetta808

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Re: Conti Patch Migraines
« Reply #3 on: January 25, 2024, 09:54:44 PM »

Hi Cocopops. I have been taking Utrogestan vaginally for about three weeks. It’s not licensed to be used that way in the UK but is in many other countries (it’s exactly the same capsule). In my experience it tends to dissolve and be absorbed overnight and leaves very little residue. I’ve also swallowed it. It makes me a bit dopey whichever way I take it but it wears off and it’s good for sleep. I know some people can’t tolerate it though.

Like you I’m a first time HRT user (started 3 months ago) and 3.5 years post meno. I tried Everol Conti but had bleeding problems. I felt nauseous and sweaty for the first three days, which I assumed was due to the big boost of oestrogen, but then I felt good (weirdly it actually cured my headaches!) On the other hand, a friend who went on it at the same time had a very similar reaction to you. She swapped to Oestrogel and Utrogestan and it works well for her.

I hope you can swap very soon and see how it goes.
« Last Edit: January 26, 2024, 05:05:22 PM by Violetta808 »
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pastie supper

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Re: Conti Patch Migraines
« Reply #4 on: January 26, 2024, 01:00:55 PM »

Hi Cocopops, Evorel Conti was my first HRT and it brought back the migraines that went away with menopause.
I also had terrible mood swings on it but the GP didn't think either was possibly due to the HRT. I always had progesterone intolerance but she said that doesn't happen in HRT. She was wrong, but you can't argue, it's their decision.
She insisted I had to take it for three months, I suffered on for 11 weeks before giving up, the cure is sometimes worse than the illness.
After I gave up I phoned my GP for an alternative and was told if I couldn't tolerate Evorel Conti then I wouldn't be ok with any other HRT because Evorel Conti is all body identical.
Now here's the truth. Evorel Conti is the cheapest. It contains northisterone which our grandmothers might have been given it's so old, it's not body identical, bioidentical or gentle in any way.
If you are intolerant to progesterone they will gaslight you all the way, it is dangerous stuff, be careful.
I'm happily taking tibolone now.
It's an HRT (it's not hormonal at all the GP says, not true). It contains the building blocks of oestrogen, progesterone and testosterone and your body takes and makes what it needs.
Tibolone sorts out all anxiety symptoms very quickly, it seems to be antidepressant as well as making me feel physically stronger and more confident. It helps with hot flashes or flushes, but won't take away night sweats, I'm soaked most nights, I take black cohosh too for that, my GP recommends red clover, but says any herbal that works is good to take. It works a bit.

If I was starting again (I've been on HRT or tibolone since 1 year post meno, two years ago) then instead of believing the GP, I'd go straight to a specialist and skip the part where you say you are progesterone intolerant and they force you to try every cheap and nasty progestin they can find for you to show how wrong you are, while I try not to kill myself from the horrific mood crashes that show I'm still intolerant.

You can insist on an alternative, I did even though I was refused on repeat, I kept bugging them until they gave me something that I could tolerate, even though they say it's not HRT (it is).

PS, while I agree in general with Mary G, I found I couldn't sleep at all on utrogestan, I was completely wired with it (and bad indigestion) so I took it mornings but still couldn't sleep. Vaginally it was a bit messy and I wouldn't want it all over my husband's skin, what's it going to do to him? Rectally is an equally effective ROA that leaves the vagina free, lol.
« Last Edit: January 26, 2024, 01:10:08 PM by pastie supper »
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