I've been taking Kliofem for 3 months. I had been successful with Evorol conti for 18 months then sweats and palpitations returned so moved to Kliofem. I'm not liking it very much, insomnia, heart burn etc but HRT nurse said best not to switch again. I started bleeding yesterday, is that something to worry about?
Hi Beverley
Sorry to hear this - any change in HRT is bound to disrupt the balance of hormones and is probably due to the different dose of progestogen due to the different delivery method.
I'm not sure though why you were changed from Evorel conti to Kliovance as the former is medium dose and the latter low dose. If the HRT wasn't sufficient oestrogen the only option would be to increase your patch dose to 75 mcg and take a separate progestogen, such as Provera or Utrogestan, or at least change to Kliofem a medium dose HRT with the same progestogen - in case you absorb better from tablets than patches. Patches are better if you have digestive problems - the HRT nurse is quite wrong - of course you can change if it is not sutiing you and you have tried the new type for 3 months!
As a matter of interest does this new lower dose eliminate sweats and flushes? In any case the other side effects don't sound too good. There is no point in continuing with an HRT type if you don't feel generally better overall on it than off it!
Think about what you want to try next - we can advise you, and then go back to your HRT nurse with your reasons and ask for it! All the different HRT types are listed under Treatments on the menu.
Hope this helps
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Hurdity x