Menopause - WhatsApp and A&G

A&G Responses

Lady struggling with oestrogenic side effects on patch, but symptoms not well controlled on lower dose patch

Some women can be sensitive to the specific formulation of HRT. WOrth trying a switch from patch to gel or spray and adjusting the dose from there.

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Bloods from patient on HRT shows unsupressed FSH but sky high oestrogen??

Likely contamination. Repeat bloods. Advise to omit HRT on the morning of the blood test.

If absorbing transdermal HRT effectively, FSH should be supressed.

Lowest risk profile HRT?

Mirena coil for progesterone cover + transdermal oestrogen

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