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Vivelle Patch dose change - How long for symptoms to change too? Vivelle Patch dose change - How long for symptoms to change too?

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Unread 08-05-2004, 11:49 PM
Vivelle Patch dose change - How long for symptoms to change too?

Hi there!

I am 5 1/2 weeks post op and have been on the Vivelle Patch 0.05mg, and thought I was doing fairly well.

I ended up going back into my Dr. a couple of times due to incision pain and swelling (this was a vaginal hyst). The swelling resulted in bladder pain, and most recently some dribbling! Ick!

The Dr. said it was normal healing after a vaginal hyst with cystocele and rectocele repair, and I burst out crying. Now, that isn't my usual response to these types of things!

Well, she didn't mention a dose change, but I started thinking, hmmmm, I am having bladder problems now, vaginal pain, and feeling a bit more emotional. These are signs of low estrogen. So, I decided to use 1 1/2 patches for a total of 0.075 mg (the next to the highest patch dose).

Now, I am not kidding, the dribbling quit the next day and by the next night the vaginal pain was minimal. And here's the surprise to me- my concentration improved. The third day I got lots of paperwork done that had piled up since surgery and that I hadn't had the mental motivation to complete. I had been forgetting a few words here and there- now 6 days into my "test" I am no longer doing that.

So, my question is this- Does a dose change have this rapid of results? These changes could not all be "in my head."

And, if I feel this much better on .075mg, I am wondering what .1mg would do for me! I see the Dr. next week for my 6 week check up and will talk to her (hopefully without crying again!).

Thanks in advance for any ideas, information or suggestions!
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Unread 08-06-2004, 12:16 AM
Vivelle Patch dose change - How long for symptoms to change too?

Hi Are you keeping a journal of your symptoms? It can be really useful to have a journal in which you write the date, which HRT's, vitamins, supplements and meds you are taking, and what symptoms you are having. It's particularly handy when you're talking with your DR about changing HRT dosages.

It is possible to feel results very quickly when you change HRT's or dosages of the same HRT. If you're feeling better, I would definitely NOT increase it again... but rather give it several weeks on the new dosage to see if that is really right for you. In HRT, if a little more is better, that definitely does not mean that a lot more is a lot better. It's easy to go too far the other way in your enthusiasm for adjusting dosages.

Slow and steady wins this race! I'd give it plenty of time.. and see if you're still feeling good on this dosage after a few weeks.

Unread 08-06-2004, 12:34 AM
Vivelle Patch dose change - How long for symptoms to change too?

Concentration improved? Wow, I want a case of----------what were we talking about?

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Unread 08-06-2004, 12:40 AM
Vivelle Patch dose change - How long for symptoms to change too?

Hi Linda!

You are so wise! I am over-eager when it comes to "fixing" things.

So, do you think I should have stuck it out on the .05mg patch a little longer?

By the way, I wasn't having hot flashes. I only got a little over-heated when I would get a bit stressed. At first on the .05 I would awake with a slightly damp nightie from minimal night sweats, but that resolved.

I am wondering what my Dr will think, but really appeciate your suggestions and advice just as much! My impression is that she isn't too interested in discussing hormones, so I want to go in with a plan!

Thanks again!!!!!
Unread 08-06-2004, 12:57 AM
Vivelle Patch dose change - How long for symptoms to change too?

Hi again How long were you on the .05mg patch? Where do you put the patches?

It sounds like maybe the .05 was just a little bit too low... now you'll have to wait and see if the .075 is too high.

If you were wearing the .05 on your tummy, rather than switch to .075, you could just start wearing the .05 on your rear end (we get about 20% more absorption there). Or, if you were already wearing the .05 on your rear end, you might want to put the .075 on your tummy at first and see if that tiny increase is enough... then moving it to the rear after a few weeks if you still feel you need more. I've used location as a means of adjusting dosage successfully several times.

Stress does increase your estrogen requirements. So do exercise, weight loss and illness. Our ovaries used to automatically adjust how much estrogen they produced for us, but now we notice these things!

Let us know how your appointment next week goes, OK?
Unread 08-10-2004, 02:42 AM
Vivelle Patch dose change - How long for symptoms to change too?

Hi again

I had my 6 week check-up today and all is progressing well.

In discussing my Vivelle Dot dose with the Dr, she agreed that the higher dose of 0.075 would be good for now. What a relief.

I had previously rotated sites for the patch, with only slight improvement. For now, 0.075 on the tummy is my plan.

It seems that a dose change can make a difference in just a couple of days! Remarkable!

Thanks for your support!

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