HRT & Thyroid

[Rudders]

Hi,

Im 50 and started on combined HRT in the last 3 week to help with bad sleep and night sweats and i was fine with the oestrogen gel but when starting the utrogestan tablets i feel sick and dizzy and cant think straight, sore boobs.

I take thyroid meds for Underactive thyroid and wonder if the hrt is causing an issue related to the thyroid. I twice asked my gp for a face to face apointment before starting hrt which they declined and said not necessary and at no point mentioned and potential conflict with my existing thyroid treatment.

Anyone with similar experiences to share?

Thanks

[Buddy195 Administrator]

Regarding HRT, it may be useful to have a look at Dr Louise Newson’s free Balance App, as I find it really useful for comparing HRT medications & having up to date research articles. There is also an ability to post questions.

healthunlocked.com/redirect...

Many members report needing slightly more Levothyroxine when starting HRT, but I actually needed less. Do retest levels 6-8 weeks after being on a consistent HRT dose.

I swapped HRT doses/ brands several times to find a combination that worked well for me. I personally found it best to take utrogestan 1xnightly continuously than 2x nightly for a fortnight that I was initially prescribed. Do chat to your GP/ nurse practitioner/ pharmacist for other options.

[Dahliasanddaisies]

Have look at taking the Utrogestan vaginally rather than orally. Seems many women do and find they get less symptoms

[Jamima]

Hi Rudders - I can’t tolerate utro or any form of usp progesterone at HRT doses, I can tolerate small amounts of progesterone cream, but I had to switch to norethisterone as the progestin component of my HRT. I’m not sure if the thyroid plays any part other than when I switched from combi tablet HRT to transdermal was when I started to go downhill. It’s possible the combi pill was masking a low cortisol/low thyroid as I know it works differently, but that’s when my ‘thyroid’ problems started. Utro is like poison to me, but synthetic I can tolerate. I think there’s definitely a link. Maybe ask your gp if you can trial a synthetic progestin?