I've been on HRT for about a year - estradiol gel sachets and progesterone capsules (200mg on days 1-14). I'm 45 and menopause was kicked off by chemo, my only major symptom was hot flushes which were unbearable. My periods stopped for a long time but have now come back very irregularly - I'd say I have a full period every few months, and light withdrawal bleeds sometimes in between. I've had an ultrasound recently, everything fine.
I started on one sachet of the estradiol then after a while the hot flushes started to come back so I increased to one and a half, then again to 2. I've been quite happy on this regimen - I hate the flat feeling I get while on the progesterone, but on the other hand it makes me sleep really well. So if there was no reason to, I wouldn't be changing anything.
Last week I started on Mounjaro and since I've been warned it can affect absorption of oral progesterone I had a GP appointment today to discuss switching to patches.
She's told me that patches only go up to the equivalent of 1 sachet of estradiol, so I'll essentially be halving my dose of oestrogen. She said maybe I could just use two patches, but admitted this is off licence and didn't seem confident. I've asked to be referred to the menopause clinic, who were excellent when I was first prescribed, but the wait time will be a few months. My plan in the meantime is to switch to the patches and just see how I go.
Has anyone had a similar experience? Any advice?
I'm not going to consider the coil, after a lot of cancer treatment and many complications I am 100% not putting any more objects into my body unless absolutely necessary.