Hi, I Am Currently Taking An Estradiol Estrogen Patch At

Posted on Tue, 5 Nov 2019

Question: Hi, I am currently taking an estradiol estrogen patch at a dose of.0375 mg/day to help manage my hot flashes. I am supposed to change it once a week, so using two patches per week. For the past two weeks, I have been trying to go longer without changing the patch. I have been using one patch per week instead of two.

I have been changing it every Monday. However, I have noticed on Tuesday mornings I have been nauseous and have a headache. Is this not a good idea to be using the patch this way? I am trying to use the lowest dose possible to help manage my hot flashes. Should I switch to a lower dose and use it the way it is supposed to be used at two patches/week? Or should I stick with the one patch per week? Can you advise on the use of patches for hormone therapy? Or any other recommendatons? I am reaching out to you as a doctor for advise this is what I'm paying for.

Answered by Dr. Ramadevi Wani (1 hour later)

Brief Answer:
Change the patch every six days and observe

Detailed Answer:
Hi,

I am Dr Ramadevi Wani. I will be answering your concerns today.
It is good to use lowest effective dose. Try changing the patch every sixth day instead of every week. Then after three to four weeks you can make it once a week again. Once the body gradually gets adjusted to the hormone changes, the symptoms of headache and nausea vanish.

If you have further concerns, I will be happy to answer.
Best wishes,
Dr Ramadevi Wani

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Above answer was peer-reviewed by : Dr. Nagamani Ng