How long after stopping patches for nausea to go

[Thegrassroots26]

Does anyone know how long it takes for HRT to leave the body? I’ve been on evorel conti for around 7 weeks. I am feeling constantly nauseous to the point of barely being able to eat. I am also exhausted and emotional. I don’t think it is agreeing with me. The dr put me on it for sleep issues, I’m 42 and hadn’t had periods for a while.

I had thought the nausea was linked to having Covid/sinusitis but now I think it was actually the hormone levels exacerbating all my symptoms.

I just want to not feel sick anymore - I wish the GP had gone through the negatives with more. I had hyperemesis during pregnancy so I maybe should've anticipated this, but I felt ok at first.

rule of thumb about 3-4 days, 7 max

Regarding alternative choice of HRT try oestrogen patch or gel with oral utrogestan, it’s taken at night so you are asleep when levels highest. I felt a bit sick intermittently for first couple of weeks on it, but seems to have settled now.

Thank you. I’m feeling a bit better already I think. Eating and drinking already improving. My goodness, that was a grim time… wish I’d worked it out sooner.

Glad you are improving
The utrogestan at night has a slightly sedating effect, so helped enormously with sleep issues. Hope u find something that suits, it really is trial and error

Does anyone know how long it takes for HRT to leave the body? I’ve been on evorel conti for around 7 weeks.

It can take several weeks @Thegrassroots26
Women coming off HRT are advised to see how they feel 3 months after stopping it.

A couple of points-

You're probably too young to use combined continuous HRT. This is for women aged 54+ or with no natural periods for 12 months+. I assume by conti you mean estrogen+Northisterone in every patch?

The nausea is related to the estrogen dose. You should consider gel or Lenzetto spray so you can adjust the dose over several weeks. Start with a very small dose (half a pump of gel) and work upwards.

If you're on a 50mcg patch that is the same as 2 pumps of gel. You could start on 1/4 of that- half a pump of gel.

Does your GP know much about HRT? They don't appear to be talking you through options, doses or side effects.

If your periods have stopped for good at 42, that is classed as early menopause and you do need HRT from now on for bone protection.

@JinglingSpringbells i mean I am thinking she doesn’t know much and certainly didn’t talk me through doses.

I feel like this experience has put me off to be honest. For me following the 18 months of hyperemesis, feeling nauseous is my worst nightmare and I can’t face this if this is how my body reacts to synthetic hormones… I just hope the nausea abates soon. I will have to see what happens with my sleep, but there’s no way I can function feeling like this.

Be reassured that most HRT isn't synthetic hormones. It's totally different to the Pill for instance.

All estrogen prescribed now in the UK is body-identical (like our own.)
Micronised progesterone is body identical (Utrogestan.)

IF your periods have stopped at 42 (for good) your GP could refer you to a consultant to discuss this as early menopause is a medical condition, different to normal menopause (average age 51.)

There are also types of the Pill that some younger women use as HRT and find helpful.

If your GP doesn't know much and you don't want to wait for an NHS gynae, there are lots of private specialists around now if that's in your budget for an appointment.

For comparison, I've used HRT for ages but through an excellent private consultant. I was advised to start with half a pump of gel and work upwards over many weeks. (I was almost 53.) There are many options, some off-licence privately, that can be used to get the best dose.

Thanks for the advice. I will try to give it some thought when I’m not feeling so unwell. The nausea is all I can focus on at the moment. My mum went through early menopause too but never took hrt. She’s in her 70s now and seems ok in terms of bone health.

If your mum has had a DEXA scan for bone density and all was okay, that's good.
If not, she won't know if she has osteoporosis.
Now, most women with an early menopause would be monitored routinely with a DEXA scan.