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Best Trans-dermal HRT options? Patch? Gel? Best Trans-dermal HRT options? Patch? Gel?

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Unread 03-21-2012, 10:47 PM
Best Trans-dermal HRT options? Patch? Gel?

I am seeing my OB/GYN tomorrow to discuss HRT. I am pretty sure I want something trans-dermal rather than a pill because I have malabsorption issues.

How do patches compare with gels, etc.?

Are there good bio-identical options for both?

Do I need bio-identical? Is is really better?

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Unread 03-22-2012, 07:32 AM
Re: Best Trans-dermal HRT options? Patch? Gel?

I use a patch. I think they are all estradiol, which is bioidecal. I've never used a gel but my concern is how do you get a consistent dose when you are guesstimating with a size bit of gel? It may be easier than I think, as I say, I haven't used a gel or mist. It seems different work better for different women and trial and error is the key. Some women can't get patches to stick. I think most Drs prescriba and are familiar with patches. Ask if they have samples. I hear Vivelle Dot sticks best and generics stick worst. I hope you have good luck on the first try, let us know how it works out.
Unread 03-25-2012, 02:06 AM
Re: Best Trans-dermal HRT options? Patch? Gel?

I have been on estradot 100 (Im from the uk and you call it vivelle dot .1) for 8 months...i did good on it but still suffered from breakthrough flushes, insomnia etc etc. I had a defective batch of patches and recently changed to the gel because ive been a bit scarred by this experience.

I feel much much much better on this after 2 weeks, the feeling is very mellow, i feel nice and calm. I dont get peaks and troughs like i did on the gels and havent had one hine of a flush since ie been on it.

I use estrogel which comes in pumps form and i currently use 6 pumps a day.
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Unread 03-25-2012, 03:16 PM
Re: Best Trans-dermal HRT options? Patch? Gel?

Thank you both for your replies!

I saw my doctor on Thursday and she started me on the Vivelle dot at .5. This is my third day on it and I feel so much better! Hardly any hot flashes and my energy has improved. I am also much more cheerful. The pharmacist said it would take a week before I would feel the full effect of the patch but so far I love it.
Unread 03-25-2012, 03:20 PM
Re: Best Trans-dermal HRT options? Patch? Gel?

When it's right, it's great. Glad you like it so far!

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