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Menopause

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Original poster

A quick question about estrogel...

66 replies

Coffeefacescrub · 05/01/2017 08:37

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.

OP posts:

Oxfordblue · 01/07/2018 16:01

Maybe you need testogel?

twarno · 01/07/2018 16:55

Thanks I may just give the Estrogel and 100mg uvestrogan another go and add a extra pump of Estrogel so one pump in the morning and two at night..I’ve only had hrt patch Evorel Conti on for two days so to change back to Estrogel shouldn’t have a big impact .. I’m going to see doc tomoz just to make sure for three pumps I have the right dosage of progesterone as I’m on 100mg ... do we ever find the right hrt .. it’s seems forever trying all different kinds😂

QueenoftheNIghts · 01/07/2018 17:06

My advice is to up the Oestrogel first and not swap to anything else too soon. You can go up to 4 pumps.

Are you on a conti regime? (No bleed)
If so the dose of Utrogestan is 100mgs a day.
If you are having a sequi regime, it is 200mgs for at least 12 days per cycle.

It is better to start with a sequi regime because that allows you to monitor the dose of estrogen before adding in another hormone.

twarno · 01/07/2018 18:20

Thank you I’m going to stick with the uvestrogan 100mg and up my Estrogel to three pumps a day.. I’m not going to continue with Evorel Conti patches as the progesterone in them gives me side effects hopefully this uvestrogan will work I take it 25 days then break for three thanks so much for your advice x

QueenoftheNIghts · 01/07/2018 18:24

Have you got predictive spelling that' s coming up with uvestrogan? (I've not come across that word before!)

Using Utrogestan for 25 days is in effect a continuous regime with just a 3 day break to allow and lining to come away.

If you are having symptoms still on this regime there is a lot to be said for using it sequentially for 12 days a month.

twarno · 02/07/2018 10:07

After a long think I’m staying on evorel sequi and added two pumps of Estrogel .. I’ve had a few good days doing this routine one pump in morning and one at night just got to make sure the progesterone in patch is enough to protect my womb .. I don’t want to up patch as I’m very sensitive to progesterone in it

QueenoftheNIghts · 02/07/2018 12:49

That amount of estrogen is getting on towards 3mgs a day. (50mcg patch is a medium dose so adding in 1.5mgs of gel brings it higher.)

How are you going to keep going with this because your GP won't prescribe both?

Gerijrich · 19/07/2018 00:01

Having read these posts I have decided to spread my two pumps out to one at night and one in the morning.

Blondie1953 · 23/08/2018 19:19

Hi I use the gel but have now been told to use twice a day morning and night as I don’t have a regular time for going to bed and getting up how many hours should I leave between applications?

QueenoftheNights · 23/08/2018 21:08

It really doesn't matter- the timing isn't that critical- it stays in your system so in all honesty, don't worry about it. I apply it morning and night. Sometimes that's 8am- 11pm, other days 9am then 11pm, or even 10am them 10pm.

Jago68 · 06/09/2018 00:29

hi ladies ,
Another eastrogel / utrogestan question

I’m in the three month cycle as I really can’t tolerate the progesterone

I just have one pump eistrogel a day and that sorts my main symptom which is painful joints ( I couldn’t walk ) I’ve been on this since February . Take 200mg utrogestan for 14 days andmy worry is that it’s not triggered a period.
Any advice gratefully received . The dr doesn’t seem even slightly concerned . I asked about a yearly scan as a double check and she laughed . I don’t feel I need more than 1 pump oestrogel. The lower dose the better , it’s sorted out my joints and mild hot flushes .
Only concern is no withdrawal bleed - will this clause lining to build up ??

India9 · 27/11/2018 20:51

I’ve been prescribed 4 pumps a day and no progesterone! Doc suggested Mirena but I’ve changed my mind having heard so many horror stories so I called my doc secretary to ask about the Estrogel and doc said to start on 4 pumps anyway....

Jago68 · 27/11/2018 21:23

I was advised to start in lowest dose - one pump at night on inner thigh , I liked it and stayed there

Anita6810 · 31/01/2019 22:43

Hi do any of you take a break from estrogel. My doctor said just to use it for 12 days a month worried this is going to cause problems with hormones

Jago68 · 01/02/2019 07:59

Yes Anita , is get a second opinion on that . Depends where you are with periods , unless it’s to support egg growth in first half of cycle for fertility ?? That’s the only thing I can think of .

JinglingHellsBells · 01/02/2019 09:12

@Anita6810

Completely wrong. You need to correct your GP and consider how to deal with someone who cannot understand basic prescribing guidelines.

You use gel 365 days a year.

Anita6810 · 01/02/2019 17:26

Thank you for your comments. Periods have been irregular with 3 or 4 months between for a few years. Been six months since the last period so far. Have to go and speak with my GP I think

JinglingHellsBells · 01/02/2019 17:50

Has your dr given you a separate progestogen to use for 12 days each month?

Please don't say no.

If your GP does not know how to prescribe this kind of HRT (ie not simply a pack of pills) I'd see someone else.

It's shocking actually.

If you have picked up your script the instructions are in the pack (gel)

Anita6810 · 01/02/2019 18:19

Was put on progesterone first it’s the mini pill that I take everyday to see if it helped with my symptoms. It did help but not with sleepless nights muscle aches night sweats and low mood. I did some research myself and asked the the estrogel which has helped but not all the time as I’m only taking for the 12 days

JinglingHellsBells · 01/02/2019 19:02

see another GP. Yours doesn't know what they are doing

Jago68 · 01/02/2019 20:43

I’m with jingle bells. See another dr. Get a different protocol . This clearly isn’t right. It’s a hotch potch. As the surgery admin if there’s a menopause specialist gp in your practice .

JinglingHellsBells · 02/02/2019 09:17

@Anita6810

Using the mini pill is not necessarily giving you the right type or amount of progestogen. There has to be the correct ratio between a progestogen and the amount of estrogen.

Have you actually had a discussion with your GP and did they discuss any of this?

What's really scary is they have got the prescribing all back to front.
Oestrogen is daily and progestogen is 12 days per cycle.

Have you got the Oestrogel pack? Inside there is a leaflet which explains how to use it- and it says every day.

How can this dr be practising when they are prescribing incorrectly like this?

Lesleyslife1 · 06/02/2019 20:25

Hi ..I have been on the Estrogel 2 pumps in the morning for 2 weeks .I'm due to start Utrogestan tomorrow 100mgs...it says to take this at night .Should I be using the gel at night too ??
Any help would be great .I've tried Femosten and patches and wanted this regime to be the one that fixes me ..

JinglingHellsBells · 07/02/2019 08:29

It makes no difference when you use the gel.
It builds up in your system to a constant level if used properly, every day.

Utrogestan is taken at bedtime because it has a sedative effect. Sometimes in larger doses (200mgs) it can cause short term dizziness which again is why it's used at night.

If you are using Utrogestan every day, presumably your own periods are over by 12 months? If not you should be on the sequential dose, which is 12 x 200 mgs ( 2 capsules) for 12 days each month.
The 100mg dose is for women who are post menopause and have not had a period for at least a year.

Lesleyslife1 · 07/02/2019 20:43

Hi
Thanks for the reply .No I'm not post menopausal.I have been in peri for about 2 years .I am.47 .
Has my gp prescribed it incorrectly do you think.?

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