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Menopause

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Really don't understand!

3 replies

NeedToAskPlease · 29/06/2025 19:43

I am approaching 50yrs. Have been on the COC since l was 14yrs except for when having my 2DS.

I run my packs back to back and have done for years with no breakthrough bleeding at all. I am fitter now than when l was in my 20s as l now run and swim. No family history of any issues.

So why do l have to come off of something that suits me ... to then go on something else ie POP and HRT that may not?

My understanding is that the hormones in HRT are higher so surely that would be more of a risk factor?

I'm on Millinette.

OP posts:
JinglingSpringbells · 29/06/2025 21:14

It's because the risk of stroke increases with the Pill over 50. Has your GP not discussed this?

Two reasons: it's oral estrogen = increased risk - and it's a synthetic type (not the same as our own.)

The estrogen is HRT now is what's called body-identical, meaning it's the same as our own. It's a low dose and it's never as much as our own .

Many women now use HRT estrogen as a gel, patch or spray. This is called transdermal (through the skin) and doesn't have a clot risk.
HRT as tablets is fine for women up to 60 then they have to change to transdermal (but even as tablets it's not the same estrogen as the Pill.)

You can use the mini pill over 50.

HRT is not substitute for the Pill in terms of controlling menopause symptoms.

You'd use the POP for contraception and add HRT if you have symptoms of menopause.

BlondieMuver · 29/06/2025 21:31

@JinglingSpringbellsare there different risks for oral HRT then the combined Pill?

@NeedToAskPleaseMy GP refused to prescribe me the combined Pill at 40. I had no risk factors. 2 years later they were very quick to prescribe Femoston (oral HRT).

NeedToAskPlease · 29/06/2025 21:42

JinglingSpringbells · 29/06/2025 21:14

It's because the risk of stroke increases with the Pill over 50. Has your GP not discussed this?

Two reasons: it's oral estrogen = increased risk - and it's a synthetic type (not the same as our own.)

The estrogen is HRT now is what's called body-identical, meaning it's the same as our own. It's a low dose and it's never as much as our own .

Many women now use HRT estrogen as a gel, patch or spray. This is called transdermal (through the skin) and doesn't have a clot risk.
HRT as tablets is fine for women up to 60 then they have to change to transdermal (but even as tablets it's not the same estrogen as the Pill.)

You can use the mini pill over 50.

HRT is not substitute for the Pill in terms of controlling menopause symptoms.

You'd use the POP for contraception and add HRT if you have symptoms of menopause.

I see the practice nurse.... but l don't think she is as knowledgeable as she should be as she said l shouldn't run my packs together..... and then after googling, changed her mind..

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