Started HRT patches and my insomnia has worsened

[Moveonward]

I'm almost 45, I think started the beginnings of perimenopause in my late 30s and the last 4-5 months the symptoms had ramped up- specifically insomnia, joint pain, anxiety and hot flushes.

I saw my GP about a month ago and he put me on Evorel 25 patches. I have a mirena coil so didn’t need additional progesterone. The hot flushes and joint pain diminished significantly after about a week but the insomnia has got way worse! I get tired as the evening goes on but then am wired and wide awake in bed with only snatches of sleep. It’s so debilitating and I’m at a bit of a loss. I use magnesium supplements and have done for years but has anyone else experienced this?

Hi OP. 25mcg is a very low dose.
I'm on 100mcg at age 47 started at 44 and I sleep like the dead now.

Could you consider going up in strength?

yeah I did think the dose was very low. I’ll speak to my GP at the end of this box and see if he’ll consider upping it to 50