I have an appointment with my OB-Gyn today to discuss HRT.
I have been on Estrogel and Utrogestan 200 mg for the past six years (prescribed by Hertoghe doctor). I have been using Estrogel from day 5-25 of cycle, and Utrogestan from day 15-25.
I recently had a pap smear which came back normal, and a mammography in January this year which was also normal.
I stopped using Estrogel recently because I felt it no longer did anything for me...I had started having hot flushes and night sweats. However, since going off Estrogel, things have become much worse. I usually fall asleep around 10 pm, and then wake up between 2 and 3 am, unable to go back to sleep. I sweat profusely day and night.
What I am wondering now, and I would love input from others having been through the same thing: could it be that Estrogel did not stop working all of a sudden, but that I was not taking enough? I have read several articles recommending that women using estradiol for menopause symptoms should apply it daily, and not stop using it for ten days a month...that makes sense to me if you are replacing a deficient hormone.
There is also a drug called Femoston with 28 pills in each box. For the first 14 days of cycle, you take estradiol only, and then estradiol and dydrogesterone for the next 14 days, so continuously.
However, I have read so much about the problems with oral estradiol...are they exaggerated, or would it be preferable to stick with Estrogel (or possibly consider patches)?
If my gynecologist prescribes synthetic HRT for me, I will have the luxury of being able to choose between that and bio-identical HRT prescribed by my hormone doctor...which is why I'd like to hear about other women's experiences.