Changing from oral hrt tablets (femoston) to Mirena cool and oestrogen patches

[Eloisedublin123]

Lovely ladies, good evening.
Few things going on for me, Age 47, Am low on iron from heavy periods, and was very peri menopausal age 45 (mother went through menopause at age 44). So was put on femeston (2mg) hrt 2 years ago. I felt much better but my bleeding continued. My doctor also said that it’s not now best practice to continue on oral hrt due to breast cancer risk so we agreed that a great plan was to have the mirena inserted and to add in oestrogen patches. So that would deal with two issues at once! Mirena has been in for 2 months now and I was told by my consultant to keep taking my hrt till now and then ditch it and just do oestrogen patches from now on. Phew this is an essay now 😂
Having collected my oestrogen patches today I see I’m supposed to wear them constantly. So am I correct that I’ll be on the same amount of oestrogen and progesterone now all month long? Surely there should be more oestrogen in the first 14 days 🤔
Thanks in advance for any thoughts or reassurance and sorry for the essay!

Hi, you wear the patches constantly, changing twice a week, because you have constant progesterone with the mirena you don't need a cycle. As soon as you remove a patch you apply a new one preferably in a different place always below the waist.
Honestly the best part of this regime for me is the stability of hormones, you may still get some cyclical symptoms from your own hormones but they tend not to be as extreme with the continuous oestrogen from the patches.

@Eloisedublin123 You use a patch all the time. With HRT you don't need to have different amounts of estrogen like a fertile cycle.

BTW, there is no difference in cancer risks between oral and transdermal. The risk is lower for blood clots with transdermal compared to tablets. The risks of BC come from synthetic progesterone according to meno consultants.

Ok thanks a million ladies appreciate that x