Weaning off of Vivelle Dot Patch No Ovaries - No Hormones - Managing Menopause.
How to come off Hormone Replacement Therapy. After trying HRT for a few months, or longer, many women wish to come off it due to side effects. After the menopause, a woman’s oestrogens are made in muscle and fatty tissue by the conversion of another hormone androstenediol into oestriol. Certainly the levels will be much higher than would be normal. If HRT is stopped suddenly the oestrogen levels will quickly drop to very low levels. This may not produce any symptoms at all, but in many women it causes most of the symptoms associated with the menopause to appear. These symptoms are sometimes more severe than they were before starting the HRT.
How To Come Off HRTThe best way to come off HRT is to do it slowly. The ways in which you do this will to some extent depend on the sort of HRT you are taking and the following are some suggestions. Tablets: This will depend on whether your tablets are designed to produce a monthly bleed, which most women prefer, or not. If you are having a monthly bleed then if the oestrogen tablets can be cut in half, or smaller, you can reduce the amount of oestrogen you are taking by doing this.
Learn about CombiPatch, a hormone therapy that combines estrogen and progestin in a twice-weekly patch. Used patches still contain estrogen. To throw away the patch, fold the sticky side of the patch together, place it in a sturdy child-proof container. How to Wean Off of Hormone Replacement Therapy. If you are like many women. Vivelle-Dot is an estrogen patch used by pre-menopausal and menopausal women. It's recommended that any estrogen-containing contraceptive be avoided until baby is at least six. Birth Control and Breastfeeding.
It is always better to take a lower daily dose than to take the daily dose on alternate days. The progestogen should be kept at the same dosage. You may find that when you reduce the oestrogen you do not experience a bleed in the usual way. This is not a cause for concern and is because the lower level of oestrogen has not built up such a thick lining to the uterus and it does not need to be shed. The progestogen should be taken every day as before. You may find that you do not have a period but this is not important.
When you find that you are taking only one or two oestrogen tablets a week then you can stop. If you are taking a continuous combined oestrogen and progestogen tablet then you are probably not having a monthly bleed. To reduce your dosage, try cutting the tablets in half. If this is not possible then take the tablets every other day and then every third day and increase the number of days between until you find that you can manage without them. Patches: These have become quite popular over the past few years but it is more difficult to reduce the dosage you receive and it will depend upon your type of patch. It is important to remember that a patch is designed to contain an amount of oestrogen to be absorbed over the period of time that you are instructed to leave the patch in place. If you leave it on longer you will not be getting less oestrogen.
You will not be getting any oestrogen at all. Some people do reduce their patches like this but there are better ways.
There are two ways in which the oestrogen and progestogen can be administered by patch. One has oestrogen patches and is combined with tablets of progestogen taken for 1.
The other type has both oestrogen and progestogen in patch form. There are usually patches just containing oestrogen for the first part of the cycle and then patches containing both hormones for the later part of the cycle. Look carefully at your patch. There are two main styles: one is called a matrix patch and is very flat, and the other seems to have liquid or gel in it. If you have matrix patches it is very easy to reduce the amount of oestrogen you take each day.
- Find out what hormone replacement therapy (HRT) is, why it's used, the different types available, and what the main risks and side effects are.
- Bioidentical Hormones: Dr. Why would supplemental estrogen and a. A 10-year French study of HRT using a low-dose estradiol patch plus oral progesterone.
Cutting slices off the patch and gradually reducing it can do this. You should continue to take your progestogen tablets or the progestogen part of your patch as usual. The best way to reduce the amount of oestrogen that you absorb from the patch each day is to reduce the surface area of the patch. You can then leave the patch on for an extra day because the oestrogen in the patch will take longer to absorb because you have reduced the area over which it is absorbed. You then increase the size of your piece of sticking plaster and leave the patch on longer and longer. Then eventually you will no longer use it at all.
If you have had a hysterectomy and as a result are taking oestrogen on its own then you can reduce your oestrogen in the ways described above, forgetting about the progestogen. The speed at which you reduce your oestrogen is entirely up to you and you will be guided by how you feel. When you decide to stop your HRT there are certain things you should do. First, do start to take a supplement specifically designed for dealing with the menopause. There are a number of these on the market and you should be able to obtain advice in a health store or Chemists. Next, if you have been advised to take HRT for osteoporosis, or indeed if you have been on HRT for several years, it is important that you have a Bone Mineral Density Screening.
The reason for this is that the oestrogens in HRT do not build up new bone but stop bone from breaking down. The oestrogens can only do this while you take them. The problem that can then arise is that when you stop taking the HRT then the old bone that you have retained will start to break down.
To sum up: in order to help your bones at this time it is essential to take the correct supplement for your bone health, exercise in order to build up new bone, and consider using natural progesterone to help you to build up new bone.