Everol sequi to Conti

[JacketPotatoQueen]

hi all, I have been contacted (text message so no chance to ask any questions yet) by the drs surgery asking me to book in for an HRT review, as I have been on Everol Sequi for 3 years now so need to think about swapping to Everol Conti. A brief google tells me that Conti is usually for women who no longer have periods. I do still have a regular bleed - although I do appreciate that could be because of the Sequi patches. Has anyone else had similar advice from their GP and swapped? How was it for you? I feel great on Sequi and don’t really want to swap if it will cause me issues! Thanks in advance.

Your bleed will be a withdrawal bleed.
I have just done similar moving from femoston 1/10 to ultra low Femoston conti. Jury still out at the moment!

Thank you - yes I was wondering if the bleed was a withdrawal bleed rather than a period as such. Oh well, I shall see what the GP says when I manage to get an appointment booked.

Yes I’ve recently done exactly that. I’m 55 and was still getting bleeds. Since changing I haven’t had any 😍

I had the same-went for an HRT review and the nurse told me the latest guidance is you should be on Sequi for more than a year so she put me on Conti, I had a week long bleed twice a month for the 3 months I was on Conti then doctor moved me onto oestrogen only patch plus progesterone tablet as less chance of getting breast cancer apparently (not that we have it our family). I didn’t ask for it, just rang up the surgery for a repeat of Conti and got swapped.
i thought I was still having periods on Sequi but I guess it was only a withdrawal bleed.

I moved to conti from sequi after 3 months as the combined patch was knocking me out when I had the joint dose. I now have conti and progesterone tablets, has solved the issue and no problems switching at all although I had only been on it for a short time.

Thanks everyone, this is all useful to know! I’ll book my appointment as soon as I can, I just worry as I have got on really well on the Sequi patches and worry about changing…..

How old are you?

I find this insistence by GPs/NHS puzzling.

I've used HRT for more than 15 years. I've chosen to continue with sequential because I didn't get on well with daily progesterone.
My consultant (private) is one of the top handful of menopause gynaecologists in the country and completely ok with this.

I have a friend (who's early 70s) who has been on sequential for 20 years through an NHS GP. No issues there.

I genuinely don't know why women are being pushed into continuous.
It's not mandatory. The reason used is it lowers the risk of endometrial cancer. But it only lowers it to the population risk for women not on HRT.
What they aren't telling you is that the stats show a slightly higher breast cancer risk with continuous.

It's up to you what you want to do but I'd definitely query it if you aren't happy.

I was absolutely fine on Femoston 1/10. Purely an age decision by gp. Now on first month of ultra low Femoston conti.
I have just turned 59. At my review (at 60) I suspect a push from gp to stop or go transdermal. I started Femoston 1/10 at age 55 in middle of covid. Shortage of some hrt hence tablets being prescribed. I think if my blood pressure increases I'll look at transdermal. They say ok at moment but I note higher than used to be. That could simply be age I guess! Weight, cholesterol etc fine at the moment... I like the ease of tablets.

I am not comfortable with changing from sequi due to being really not good on the conti phase of the patches. Dreadful fatigue, I feel lousy and have mild prolapse symptoms. All resolve after a week back on the evorel only patch.

I expect gps just have to make quick decisions in very little time but I'm getting nowhere with my surgery so have to go privately. I just sense my body needs oestrogen more atm. In the beginning, a few years ago, my body seemed to love the conti patches. Now it hates them and I only have energy or feel normal on the oestrogen only patch, so I'm not in a hurry to be on continuous progesterone.