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[2cats]

Hi ,

My menopause specialist nurse has prescribed Norgeston pill as the progesterone part of my hrt and sandrena as oestrogen because the patches are starting to cause skin irritation. I’ve also used utrogestan vaginally but that also causes irritation.
I’ve tried to find out more about Norgeston being used as hrt but all that comes back is it’s a mini pill for contraceptive use.
I’m confused. Can anyone give me more info for its uses as hrt or experiences using it as such?
Many thanks,
2cats

[CLKD]

Hi!  mayB ring the Nurse to get an explanation?  In the mean time, put the product name into the search box on the Forum to see if there are threads to read.  Which symptom are you trying to ease?

[Dotty]

Hi I don’t think there’s enough progesterone in the mini pill to be used for hrt purposes.

[sheila99]

I think you can use 2xPOP (prog only bcp) as the progestin part of hrt? I would query it if you've only been prescribed one. Have a look at Treatments tab front Menu for other options.

[Hurdity]

Hi 2cats

I'm surprised that they have only prescribed one, and wonder what the basis is for this? The reason I ask is that there is no comparable oral combi HRT which has levonorgestrel in it (the progestogen in Norgeston), so how they can calculate the safe dose without this? There is (or rather was, as far as I can make out) a cyclical oral HRT called Cyclo-progynova which had norgestrel as the progestogen, but that is different in structure to levonorgestrel so not comparable.

In other cases the dose for HRT compared with mini pill might be double or even 3 x as is the case for norethisterone as a mini pill, marketed as Noriday. Noriday is 350 mcg norethisterone but for HRT the dose  for peri is 1 mg ( 1000 mcg) ie 3 tablets. For low dose oral oestrogen (1mg) the norethisterone dose is given as 0.5 mg ( ie 500 mcg) so even then one mini pill of Noriday may not be enough.

Personally I would not want to use this as there is no information about it and it is not on the list of progestogens recommended by British Menopause Society even off-licence. If the nurse has research information to back up that prescription and is prepared to monitor you for this use, then perhpas you could give it a go, but I would suggest that one is definitely not enough and at least 2 as sheila suggests. Perhaps go for an alternative?

Hurdity x