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A quick question about estrogel...

(67 Posts)
Coffeefacescrub Thu 05-Jan-17 08:37:02

Hello,

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.

PollyPerky Thu 05-Jan-17 10:15:53

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.

Coffeefacescrub Thu 05-Jan-17 11:08:11

THanks Polly. That's helpful. My doctor has prescribed one pump, so I doubt I'll do anything without their agreement

PollyPerky Thu 05-Jan-17 11:18:35

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?

Coffeefacescrub Thu 05-Jan-17 11:27:03

I don't know. It was just what I was prescribed.

Coffeefacescrub Thu 05-Jan-17 11:29:06

Actually, maybe I've misread. The chemist instructions says, 'apply once daily,' but in the inside info say 'the usual dosage is 2 measures of gel.'

Maybe doc means 2 pumps, once daily?

PollyPerky Thu 05-Jan-17 11:31:38

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.

PollyPerky Thu 05-Jan-17 11:33:15

Sorry x posted.

Yes, applying once daily means you use 2 pumps.

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!

Coffeefacescrub Thu 05-Jan-17 12:59:37

Thanks a lot. I'll give twice a day a go!

NK346f2849X127d8bca260 Thu 05-Jan-17 13:25:12

I use three pumps a day. two at night and one in the morning.

Coffeefacescrub Fri 06-Jan-17 11:44:51

Thanks all. I did a pump at night too and it seemed fine.

Out of curiosity, when does one start to feel the positive impact of this oestegel and also the mirena? How quickly?

Aroundtheworldandback Sat 07-Jan-17 22:17:15

NK I also use 2 at night and one in morning. Am 49. Works for me..

PollyPerky Sun 08-Jan-17 08:25:53

Coffee- I think it's very individual. I found it worked for me in about a week, other women say weeks and weeks or months.

twarno Sat 30-Jun-18 12:12:01

Hi ladies I’m on Evorel Conti .. can I add a pump of Estrogel as my oestrogen levels are very low .. maybe two pumps one am and one pm .. I’ve tried lots of hrt tablets and none of them suit me .. just want to make sure I can still use Estrogel while I’m on Evorel Conti ?

Discoisabelle Sat 30-Jun-18 12:41:37

Twarnonyes you can to increase the dise of oestrogen, i did it for about a year by taking femoston 1/10mg and adding 2 pumps of oestrogel a day, made things much better.

twarno Sat 30-Jun-18 13:31:19

Thanks so much for your advice do you think it’s safe to do one pump in morning and one in evening plus wear my Evorel Conti patch my oestrogen is very low x

twarno Sat 30-Jun-18 13:34:45

Sorry I meant to say to split the pump to morning and evening 😂

QueenoftheNIghts Sat 30-Jun-18 15:42:37

@twarno Has your doctor prescribed this top up? (Assume they have to you'd not have the gel)

First question- why can't you increase the dose via a patch?

2 pumps is the standard dose for gel ( 1.5mgs)
You might be best adding 1 pump for a few weeks to see how that works. The other issue is that the amount of progestogen in the patch may not be high enough for a higher estrogen level.

How do you know your levels are low and is this why a dr has given you gel as well? (I don't know why you are asking on a forum if this has been prescribed...???)

twarno Sat 30-Jun-18 17:41:01

Hi the doctor prescribed Estrogel on a previous occasion with uvestrogan but it didn’t agree with me so I went back to Evorel Conti I had blood tests that confirm my low levels of oestrogen after research I just read I can add Estrogel along with Evorel Conti I’m willing to try it even though the doc not adviced it as I’m not back there for two weeks it just feels that my patch runs out before the change day I did discuss that with my gp on my last visit thanks

QueenoftheNIghts Sat 30-Jun-18 18:04:06

I just read I can add Estrogel along with Evorel Conti

Not sure where this would be online- can you link? (You mean another poster?) Why not change your patch a day earlier or ask for a higher dose? The progestogen in a conti patch is measured to balance the amount of estrogen. I don't know if more estrogen would necessitate more progestogen. You need to follow a dr's advice.

twarno Sat 30-Jun-18 18:17:44

Hi
Yes it was what another uses had done .. I’ve tried so many Hrt and struggled with them .. this is my second attempt at Evorel Conti as I lasted on this the longest ... I’m just worried if I up my psych dosage then the prigesterobe will be high to and give me more side effects .. would one pump of Estrogel warrant more progesterone ? I still have my uterus and need progesterone too .. thanks for your advice there are so many things to learn about hrt but a lots of forums I have read ladies use Evorel Conti and patches with pumps of Estrogel ..

twarno Sat 30-Jun-18 18:19:24

Phyc was a spelling error 😂😂

QueenoftheNIghts Sat 30-Jun-18 19:26:44

You risk having breakthrough bleeding if they progestogen is not enough (ratio) for the estrogen. A single pump is 0.75mgs. I think a 50mg patch is a medium dose but it's hard to equate a patch to gel.

A better idea would be to use another half a patch and then you would be getting both hormones.

twarno Sat 30-Jun-18 20:41:45

That’s a good idea to cut a patch in half ... do u not think the progesterone in my Evorel Conti patch is enough to cover one pump of Estrogel too?

Bellaciao Sat 30-Jun-18 20:42:13

How low are your oestrogen levels and are you getting symptoms that suggested a blood test was necessary? You said you feel as if your patch runs out - what do you mean by this? I've used patches for years and never felt this - I don't even remember it's time to change except for the fact that I do it the same days of the week! is it sticking correctly? As QueenoftheNights suggests why not try to change every 3 days instead of 3.5 and see how you go?

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