Birth control (for HRT) vs patch/spray

Had severe vaginal dryness(sores/cracks/pelvic pain) and finally found dr who gave me estrace cream. Also had joint pains/night sweats etc.. Doctor had me try one spray Eva Mist(1.53mg). But after four days I got terrible headaches so dr put me back(was on before LSH) on Ortho novum 1/35. I am starting to get my life back but worried I should go to patch or spray to spare liver/gallblader. Why would Eva Mist give me headaches? Dr thought maybe I needed more sprays a day. I read only 5-10% oral estrogen makes it after passing through liver so seems 35mg oral would be close to 1.53mg spray. Or is the progesten the difference since Ortho Novum has 1 mg?

From what I have read about Evamist, the dosage may not be high enough for those of us in surgical menopause. Perhaps you could try something like Estrasorb, which is a gel that you rub into your skin.

It is not usual to be prescribed the birth control pill for hrt, unless perhaps you had Endometriosis. If one has endo it is thought that the progestin may help offset the effects of estrogen on endo.

Do keep in mind that you are not that far along post op. It may take some time to find the optimal dose and method of delivery that is going to work best for you.

Kim M

thanks for reply. No I never had endo. I have been so sick Dr and I just thought old Birth Control pills would be the fastest way to get me well then regroup and look at patches/spray again

I think you are calculating the estradiol dose in evamist incorrectly. Each spray has 1.53 mg but delivers only .02 mg of estradiol.

Nanou-ct

I didn't know The amount absorbed was so small. So what % is absorbed from patches/spray? And is it correct that only 5-10% of oral estrogen makes in past liver?

	Quote:
Originally Posted by Worriedsick Nanou-ct I didn't know The amount absorbed was so small. So what % is absorbed from patches/spray? And is it correct that only 5-10% of oral estrogen makes in past liver?

I don't know the calculation exactly. The amount of estradiol from evamist is stated on the package insert or prescribing information. If you found something that works I would give anything for that right now. I'm still struggling.

Nanou-ct

I know what you mean. I haven't had a life nor been a wife for over six months. Estrace cream is helping me be able to walk again and I hope birth control pills get me feeling back like I was before this surgery. It took three doctors before I found anyone who would help me. I hope and pray you get better too!!!