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Menopause

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HRT - being nil by mouth in hospital

33 replies

DerekJ · 12/09/2025 08:34

My partner is on HRT. She wears an oestrogen patch and takes an utrogestan pill for the progestrone. She has had a bad accident and is now in hospital nil by mouth. She cannot take the utrogestan and the doctors have said it can't be administered through the feeding tube. They seem clueless about what to do. She is still wearing the patches. Does anyone know a way round this or if it is ok to be off the utrogestan for a length of time until she can eat and drink again? Thank you.

OP posts:
MissMoneyFairy · 12/09/2025 12:05

JinglingSpringbells · 12/09/2025 11:07

Have you ever used it?
The tablet is a gooey gel inside a rubbery type capsule that dissolves. Powder mixed with oil.
It can't be crushed - if you tried to extract it from the capsule you wouldn't be able to get it all out and the capsule can't be crushed.

Use vaginally or miss a few days which won't be an issue (same as reverting to cyclical and perhaps double to dose depending on how many days are missed..)
Many women never use it orally, ever.

Edited

My reply was to the poster telling us it can't be crushed.

JinglingSpringbells · 12/09/2025 13:41

MissMoneyFairy · 12/09/2025 10:52

If that's thd case then the doctor and pharmacist can easily sort this out for her.

Hopefully @DerekJ has found a way forward for his partner.

I think you're possibly over estimating what a dr or a pharmacist will know on this @MissMoneyFairy if you think they will sanction vaginal use (if that's what you mean by 'sort it out'.)

It's an off-licence use which means it's only done if a Dr is willing to do that and most drs who are not gynaecologists/HRT specialists won' t have a clue.

There are a lot of women who use it vaginally after hearing it can be done that way (in Europe as the norm) but some of their GPs refuse to sanction it - but it's hardly something they can check up on.

bruffin · 12/09/2025 13:50

Salvadoridory · 12/09/2025 09:04

That's a brilliant resource and addresses a lot of myths you hear health professionals spouting.

https://www.bbc.com/news/articles/cp8e5y4e83lo
Be wary of advice on here.

Dr Louise Newson looking at the camera - she has a jaw-length bob with a long fringe, which is a red/gold colour. She is wearing a patterned silk blouse and is wearing pink lipstick. She is wearing earphones as the shot was taken from a Zoom call. Behi...

Louise Newson: TV menopause doctor concerns probed by watchdog

Doctors and patients question the prescribing of high HRT doses by Dr Louise Newson and her clinics.

https://www.bbc.com/news/articles/cp8e5y4e83lo

Chilliprawnpls · 12/09/2025 14:24

DerekJ · 12/09/2025 09:21

To clarify. She has a perforated oesophagus because of a botched gastric procedure, hence the nil by mouth. The feeding tube is through the nose into the stomach but she has to avoid swallowing anything. She is hugely agitated and concerned about the HRT situation because when she came off it briefly a few years ago she experienced awful symptoms and was near suicidal.

Well then you need to explain this clearly to here treating doctors

and let them confer with colleagues if they don’t feel sufficiently knowledgeable to advise themselves

Salvadoridory · 12/09/2025 15:03

bruffin · 12/09/2025 13:50

Yay. BBC and NHS
yeah listen to the two least competent organisation on earth 🙄

bruffin · 12/09/2025 15:18

Salvadoridory · 12/09/2025 15:03

Yay. BBC and NHS
yeah listen to the two least competent organisation on earth 🙄

well i would rather listen to the British Menopause Society who have removed her accreditation as a Menopause specialist.

Nannyfannybanny · 12/09/2025 16:36

bruffin, that's what I understood as well! A very small risk (dvt and so on) is still a risk

Onceuponatimethen · 12/09/2025 18:30

@bruffin thanks so much for sharing this and I had no idea.

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