Oestrogen patches without progesterone?

[Aries77]

Hi all, I believe I am peri menopausal so saw Gp - am 44 with regular (but getting lunch lighter) periods but a whole bunch of other symptoms suggests I have low oestrogen levels. Gp has prescribed the 50 evorel patches but without taking progesterone for last 14 days of cycle - she said that I only need that if I am taking the gel oestrogen hrt?! Is this correct ? My understanding was they oestrogen only hrt is prescribed for post menopausal women or those whom have had a hysterectomy…..

I was always under the understanding that you should balance out with progesterone if you still have a uterus. I may be wrong but unopposed oestrogen can cause a thickening of the uterine lining? I’ve been under gynae for several years and this is what they’ve told me.

You need progesterone

I’ve just read that Evorel does also contain synthetic progesterone.

Evorel 50 is just oestrogen.
If you have a uterus and you don’t have a mirena then you need progesterone for half of your cycle.
Evorel Sequi may have been prescribed which is Evorel 50 and then an Evorel conti patch for the second 2 weeks (has both hormones)

I’ve been prescribed evorel sequi 50

And evorel Conti, but the Gp didn’t explain the regime any further

Is evorel 50 a fairly low level of oestrogen? I am quite sensitive to estrogen and previously could only tolerate the 20mg pills

If you’ve got sequi that’s correct. 2 weeks of the 50 patch then 2 weeks of the conti patch.
50 is a middle of the road dose. See how you get on, 3 month trial is usual

Evorel 50 for 2 weeks followed by conti for 2 weeks. The conti contain progesterone and should allow a period. You need a period for a healthy womb, if you usually have periods without hrt.

Thank you all.
Not sure why Gp didn’t explain this.
Also not sure about the 50 level -should have been given 20 perhaps given I’m sensitive to oestrogen

Because if you are menopausal the problem is a lack of oestrogen- it’s not like the pill where you’re giving additional. I find younger women need more oestrogen

@Aries77

Thank you all. Not sure why Gp didn’t explain this. Also not sure about the 50 level -should have been given 20 perhaps given I’m sensitive to oestrogen

I think evorel do 25,50,75 and 100. I was out on 50 to start, and I also have gel 'top up' as required. I don't think 50 is considered very high? But I'm not a medical professional and don't know what your oestrogen sensitivity would entail.

Have you got the balance app? There's so much information on there, and it's very up to date.

Mmm