Confused ....

[liessq]

Hi , just starting HRT - oestrogel pump and Provera tablets .
Came away a little confused from the doctors and she contradicted herself re dosage and whilst I should prob just reach back out to the doctors , I'm keen to understand from anyone in a similar protocol what do you do.
Which the Provera tablets , the doctors initially told me I needed to take the tablets for 14 days of my cycle , then changed that to 10 days and then in the leaflet it states take for 12 days .
I am going to just take them for 10 days but I'm unclear of timing - I don't have a 'cycle' as haven't had a period for a couple of years now so just not sure when I should start taking the tablets ? Any views
Also with the gel the doctor has just prescribed me one pump per day , but again the leaflet states starting dose is 2 pumps ? What did others on oestrogel start at ?
Finally any tips or things I need to consider ? My main symptoms are
Mood swings , hot sweats, aches and zero libido which is tbh the main reason Ive made the decision to try hrt as its starting to cause issues with my marriage - husband is being understanding but I have zero interest and want to see if it is down to out of balance hormones 😂🙈
Many thanks for reading my ramblings and tia for any responses

You're not going to like this but the first thing I'd suggest is you ask your GP why they prescribed Provera and not micronised progesterone (Utrogestan.)

Provera is an old type of progesterone and it's synthetic.
Micronised progesterone is body -identical (same as your own) and safer in many ways re. side effects including breasts.

No one now is usually given Provera along with gel as a first choice.

You start any HRT with estrogen every day and progesterone for a minimum of 10 days per month or up to 14 days. The 14 days is if the lower dose doesn't control the withdrawal bleed and it's heavy.

However, if you've not had a natural period for over 12 months, or are aged 54+, you'd normally start on a bleed-free type of HRT which is both hormones every day.

You CAN do the sequential regime (which is 10-12 days a month of progesterone) but it's your choice. Sometimes it's best to start with this just to see how each hormone affects you. However, it doesn't appear your GP has explained this so you have the choice.

So, it looks as if your GP has given you the wrong dose and an outdated type.

You should go back and discuss this and maybe ask to see a different GP who knows more about HRT?

Thank you so much for your detailed reply - I'm truly disheartened that they have prescribed me with the incorrect : recommended medication.
We now have to use anima for any new requests so I will raise a request when it opens again in the morning and ask for them to reconsider what they have prescribed .
Thanks again it's appreciated

This is some info you might find helpful @liessq
It's a medical site- from the British Menopause Society.

It's a guide to HRT but just basic info.

www.womens-health-concern.org/wp-content/uploads/2022/12/09-WHC-FACTSHEET-HRT-NOV2022-B.pdf

Thank you x