I have to do one pump a day of estrogel. When is best - morning or evening? I have sleeping issues, in that I wake at least once or twice a night and find it very hard to get back to sleep. I don't want to make it worse.
Hi It really shouldn't make any difference. Hormones don't work in the same way as say paracetamol- they don't have a 'window of a few hours' where they work. They will build up slowly in your bloodstream until after a few weeks you ought to have a constant level.
I use 2 pumps and do one morning, one at bedtime. Partly so there isn't so much to spread in one application but also to give a steady level.
You may have to experiment and also think about increasing to 2 pumps if 1 doesn't help.
May I ask why you've been prescribed 1 pump (only)?
The dose is 2 pumps. This gives 1.5mgs of oestrogen which is a low-medium dose. (Pills and patches come in 1mgs and 2mgs doses.)
One pump gives 0.75 mgs which is very low.
I was advised by my consultant to begin with 1 pump and see if it helped. I was told I could adjust the dose to whatever was needed to get symptom control. I used 1 pump for around 3 weeks and got rid of the flushes, but not the insomnia so I upped to 2 pumps and have been on that for 8 years.
Low dose HRT is recommended for women starting it over age 60, but my consultant's view is 'if you're going to use it, use it properly, to get results.'
I suspect your GP is being over cautious, not being a specialist. what do you think?
It's possible your GP doesn't even know what the standard dose is.
One canister has enough for 2 months if you use 1 pump a day.
If you get on fine with 1 pump, that's great. If you don't, then I'd contact your GP and ask why he has put you on half the recommended dose (the leaflet in the pack tells you that the standard dose is 2 pumps and can be increased to 4 pumps a day.)
Don't just accept what they have said without asking, if it's not the right dose for you.
Some drs suggest doing what I do- splitting the dose morning and evening. I did this because 2 pumps at once gave me 'morning sickness' nausea in the first few weeks, so I just made a decision to split the dose, which worked!