Evorel Sequi

[Hippolyte]

Hello I've been on the above for about 9 months (44 peri). Overall it is working very well, no more night sweats and generally calmer. I'm finding the days when I switch between patches (50 to Conti) hard though. I feel low and/or grumpy and sometimes have a migraine. Anyone got similar or any advice? Wondering whether I need to top up with oestrogen gel maybe. I'm booked into the gp next week but find sometimes it helps to know what to ask for. Thanks in advance so much

Anyone?!

I have a similar experience when I move on to the conti patch. I'm not sure if there is an easy fix though as (as far as I understand) you need both hormones to be in balance. Definitely worth asking your GP for advice though.

Thanks for the response. I'll see whether the gp has any suggestions!

I have the same experience op. I’m going to go back to the menopause clinic to see what my options are.

Good luck! I hope you get it sorted. Good to know that it isn't just me!!

Your options are to try oral progesterone for half of your cycle or to have a mirena.Some people use oral progesterone per vaginal but this is not fully recognised in the uk so eg co sultanas in our area don't prescribe it that way. Mirena provides excellent uterine protection for the smallest dose of progesterone so it is well worth considering.

Thanks for this. What's the advantage of oral progesterone over the patch do you know? I wonder about the coil but don't need it for contraception and just feel it's quite invasive...

The mirena is invasive but it is low dose and thus low blood n terms of side effects and it is really effective at stabilising the uterine lining.
Oral progesterone ie utrogestan is safer medically than the patch but you need to remember which days to start and stop etc.Side effects may not be less but we are all individuals so it can be worth trying.
The progesterone issue is an ongoing one for many women. Research via Louise Newsome, Menopause Matters ,Nick Panay or many others who give good information on this topic before discussing with your GP.

Thanks for this 🙏