Hi everyone, have been having a fun time trying to find an HRT that works for me, and recently switched from Elleste Duet Conti 2mg estrogen to two pumps of Oestrogel gel and Utrogestan pills.
I'm wondering what the maximum dose of Oestrogel pumps is, as I'm finding two pumps a day is not enough to keep the horrendous post menopausal symptoms at bay and would like to up the doses in line with the amount of estrogen I was taking with the Elleste.
Is four pretty normal? And does two pumps roughly equal 1mg estrogen and four equal 2mg? And if you take four, do you split them, say twice in the morning and twice at night, or all at once, and where do you apply all four? I'm using inner thighs at the moment, where else can you apply the gel? Questions questions!
A consultant I saw said I could up the dose if I needed to, but my doctor is being inflexible about prescribing me extra, claiming that two pumps is the normal dose. I'm hoping to speak to the consultant again but am still waiting to hear back, so in the meantime have come here for help.
I'm looking for advice on this both for me to feel ok about upping the dose myself, and also for when I speak to my GP (earliest next Monday! and today is Wednesday, so much for quick and easy access to your GP with this phone call surgery business).
![Sad :(](https://www.menopausematters.co.uk/forum/Smileys/extended/sad.gif)
Thanks
LL
p.s. I realize there's probably a ton of stuff on this in the forums, but it's difficult and time consuming trawling through all the posts trying to find specific info.
![Wink ;)](https://www.menopausematters.co.uk/forum/Smileys/extended/wink.gif)