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Menopause

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Have I made a mistake going on HRT

28 replies

Dobie54 · 04/02/2026 15:38

I'm 39 and have posted about starting HRT. I'm on my second Evorell 24 patch and honestly feel worse than ever. I'm not sleeping more than two hours a night now, laying awake and buzzing despite being tired. My anxiety is truly off the scale, I feel paranoid, disassociated and too scared to leave the house. Brain fog I thought had cleared and I'm a writer so this was great, but today I could barely proofread a sentence. I'm a mum to two small children and I'm freaking out that this is the new status quo. I cannot go on like this. I still have the addition of progesterone to contend with before my period and worried how my mood might decline even further. I'm not sure if I should push on through as posts suggest it will settle, or just give up. My symptoms were life inhibiting, hence why I plucked up the courage to try something.

OP posts:
Dobie54 · 06/05/2026 12:19

atgnat · 06/05/2026 11:36

@Dobie54

Oh I'm so pleased to hear overall you're doing well - that definitely gives me hope - but sorry to hear it's triggered something else!

My GP told me continuous HRT would mess with my cycles too much and advised me against that. I wonder if that could be what's causing your 19-day cycles? It doesn't sound pleasant - I was at my wit's end when they went from 28-30 to mostly being every 24-26 days!

I have taken progesterone vaginally from the get-go just as I had a feeling it would affect me as the progesterone-only pill did, and anything I could do to modify that risk was worth doing! I don't think urogestan actually affects me too much. I seem to be better in luteal than I was pre-HRT except for around CD25, when I haven't had enough urogestan to stop taking it yet but where I can feel my natural cycle is probably trying to start having a period, so it's probably less urogestan and more my own cycles wreaking havoc underneath, as I suspect may be at the heart of my entire issue.

I started HRT on 1 Feb, 1 pump estrogen, and switched to 2 pumps at the 3-month mark. I think that's now the equivalent dose you're on?

I've been (not consistently) keeping a diary, and I've just read my entries from this time last month and it's almost identical to how I feel now, despite upping my dose this month and despite being at the end of the 3-month adjustment period last month. I'm not sure what to make of it all. I think I'll try and hang in there for at least one more cycle, as hard as it may be (understatement!). I hope things continue to improve for you!

Over the last week or so I have definitely felt my moods tanking again, so I am not sure if I need more or less estrogen. I find it so frustrating as my doctor is not very knowledgeable so I am stabbing in the dark. When I was on the cyclical progesterone the bloating was out of control, but maybe I will give that another go to see if I can regulate again.

I have just been reading various accounts about low mood and some people needed less estrogen and some more... minefield!

OP posts:
atgnat · 07/05/2026 07:17

That's a shame things seem to be getting worse again. It's so hard to figure out - I wish I could at least be more certain that my issue even is perimenopause, even though it seems likely. That's then half the battle and the rest comes down to figuring out the treatment. I'm wondering if I just won't get relief so long as my own cycles are going on in the background. I feel good approximately 0 times a month but there are definitely some notable bad points and they seem to cluster around times of hormonal change - then again, when I add them all up it feels like that basically covers the whole month! I.e. period/early follicular - recovering from hormonal drops; pre-ovulation - body trying to ovulate underneath extraneous hormonal influence; ovulation - a minefield in itself; luteal phase - body trying to have a period against extraneous hormonal influence.

My bloating seems to be worse on 2 pumps. I don't notice it so much on utrogestan, taking it cyclically, because I tend to be bloated through that phase of my cycle anyway, but I'm really bloated even on the estrogel now.

LivelyKhakiBee · 09/05/2026 11:14

Hi I was prescribed oestrogen 2 pump gel and 2 Progesterone tablets for 14 days nearly 4 weeks ago, the first month I got sore legs but my back pain and hot flashes went away but towards the end of the tablets I got really bad brain fog, anxiety and night sweats back and then last day of tablet had a period and major migraines that had left me feeling like I am rocking when I walk and feel like I am swaying but I’m not. have since gone down to 1 pump this week but no idea what is happening has anyone else experienced this?

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