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Did HRT improve your hair or make it worse?

(8 Posts)
ALaughAMinute Wed 24-May-17 11:15:54

I was recently prescribed Elleste Duet 1 mg by my GP as I have been suffering from some very unpleasant peri menopausal symptoms including hair loss. I have been taking these for 12 days and so far feel fantastic! However, having done some research on HRT and hair loss I am concerned to learn that some progesterone-based pills, including those containing levonorgestrel, norgestrel and norethisterone, as well as tibolone, may induce or worsen hair loss and as the Elleste Duet progesterone tablets contain norethisterone I have decided that I don't want to risk taking them.

I have just phoned my GP and am waiting for her to call me back. I hope that she might be offer me Femoston as an alternative as it contains dygesterone which is the least testosterone derived.

So as someone who has been suffering from from hair loss even before taking HRT I am hoping that HRT is going to improve it.

I would be interested to hear about your experiences. Did HRT improve your hair? Did you see an improvement in texture and volume or did it fall out? if so which HRT were you taking?

Some progesterone is testosterone derived which I understand has an androgenic effect which can lead to or exacerbate hair loss.

Progestogens which can be used cyclically are of 3 main types:

Testosterone derived - Norgestrel, Norethisterone acetate and Levonorgestrel.
Less testosterone related - Medroxyprogesterone acetate(MPA).
Least testosterone related - Dydrogesterone and Micronised progesterone (Utrogestan).

www.netdoctor.co.uk/medicines/a8714/utovlan-norethisterone/
factmed.com/report-DYDROGESTERONE%20TAB-causing-ALOPECIA.php
menopausematters.co.uk/perimeno.php

SunsOutPlumsOut Wed 24-May-17 11:20:14

If you feel good I'd continue to take it - nothing might happen to your hair!

Have you taken the pill? How was your hair then if so?

Alternatively you could try a patch or gel along with utrogestan which is a micronised progesterone more like our own.

I use patch and utrogestan along with testogel and my hair is great. I've tried loads of different hrt types and can honestly say hair loss is not among the reasons I changed smile

ALaughAMinute Wed 24-May-17 11:50:08

I hear what you're saying Sun, but as someone who already has baby fine hair I don't want to take any risks. I was on the pill many years ago and don't remember my hair falling out so it might be okay but from I've read I would rather take one of the HRT's that is least testorone related but I will see what my GP says.

I'm glad yours is working well for you. I like the idea of taking a progesterone that is similar to our own.

PollyPerky Wed 24-May-17 12:16:26

You need to remember that the risks about hair loss only affect some women. You may be absolutely fine. Even if there is some hair loss it would not be permanent. If you are otherwise happy on that brand why not carry on for 3 months then re-assess?

I used norethisterone for 5 years and noticed no hair loss. I am using Utrogestan (micronised progesterone) now and feel my hair loss may have speeded up - it's not noticeable except more hairs in the hair brush and when I comb out my wet hair.

If you decide to try Utrogestan, you need an estrogen-only pill, patch or gel alongside for some of the month, so 2 separate products.

ALaughAMinute Wed 24-May-17 12:53:49

Polly, I dare say the risk of hair loss is very small but it is listed as one of the possible side effects of Northisterone.
Sometimes I think I would be well advised to take an HRT that is one of the least testosterone related and sometimes I think I should continue taking Elleste Duet and see what happens.

I soooo want HRT to improve my hair!

Think my GP is going to phone me after lunch.

PollyPerky Wed 24-May-17 13:05:36

Why not wait and see?
If hair loss starts, change then- presume it will be gradual loss of a few more hairs (100 a day is normal) not male pattern baldness which is irreversible?

You should notice hair loss quite easily so could switch then?

On the other hand it's not a huge step to change to Femoston is that's what you fancy.

ALaughAMinute Wed 24-May-17 13:37:23

Thank you Polly, you're right, I'd probably be fine It's just I couldn't help noticing how much hair I'd lost when I blow dried my hair this morning so I started googling HRT and hair loss which caused me to worry.

Just had a chat with my lovely GP and she said she would investigate and get back to me.

ALaughAMinute Fri 26-May-17 09:26:03

I've just had a text from the surgery to say that a prescription of Femoston is available for collection so I can only assume that my GP thinks it's a good idea to switch from Elleste Duet to Femoston. I just hope she's left instructions as having only been on Elleste Duet for 13 days I'm not sure when I should start taking it. Common sense tells me I should finish the oestrogen (white tablets) in the Elleste Duet packet and then start on the progesterone tablets in the Femoston packet but I want to make sure I'm doing the right thing.

Just thought I would update this thread in case anyone has a similar concern and is interested to know the outcome.

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