Hi owenlana
Each woman is different and also different progestogens have different effects. Progesterone itself has to be taken in very large doses in order for sufficient to get to the uterus because it isunstable in the body. Therefore the sedative effect can be more pronounced.
Some women like this but I am well post-meno in my 70's and my body has changed to make me more tired in the mornings and sleeping more deeply so I don't need any more sedation
. I haven't tried taking it continuously but I've definitely had more than enough by the time I get to 12 days (but at least I am on a longer cycle of approx 6 weeks (varies somewhat). which lessens the frequency I have to take it.
The progestogen in Evorel sequi is different - maybe less sedative but can be associated with other pms type side effects although you can see that many are perfectly happy with it like TwoCakes!
No you wouldn't be wearing two patches if you changed to conti. You already have the Evorel conti patch in your second two weeks of Evorel sequi. The conti patch contains both the oestrogen and the progestogen so it would be as now - just one patch at a time and with conti the same one.
I probably didn't make myself clear enough. I am happy on HRT but of course having a bleed at my age is no fun! If I was really unhappy I would have done something else or come off HRT. I like having more than 4 weeks on oestrogen alone!!
Re cancer risk: the absolute risk is very low. Here is the summary info on this site:
https://www.menopausematters.co.uk/risks.php"Endometrial Cancer
Estrogen only therapy given to women with an intact uterus increases the risk of endometrial hyperplasia (thickening of the lining of the uterus) and eventually endometrial cancer. Daily estrogen combined with progestogen given for 10 to 14 days per month (sequential HRT) reduces this risk but does not eliminate it. Sequential HRT given for more than 5 years does increase the risk of endometrial cancer by a small amount but no increased risk appears to apply to estrogen combined with daily progestogen (continuous combined or period-free HRT)."
Provided you take the licensed amount of progestogen the increased risk will surely be minimal especially on low to medium doses of oestrogen. Also being overweight (ie with fat) is a much greater risk factor for cancers generally, so making sure you have healthy BMI not in overwight range cutting down alcohol and taking plenty of exercise etc, you are doing the best you can for your health. As alaways any abnormal bleeding should be investigated. Usually referrals are made at a very early stage if reported promptly to the doctor so often cancers can be caught very early anyway, or well before they reach that stage ( ie thickened womb lining).
If you don't have head fog now on the Eovrel sequi then probably you won't when using it continuously?
Hope this helps and let us know what you decide!
Hurdity x