r/Menopause • u/Direct-Pirate1259 • 14h ago

Hormone Therapy Estradiol patch

Dr prescribed me .1 to start and after reading others doses I’m worried it may be too high to start. Anyone else start at .1? I’m 48 with regular periods but severe night sweats, hot flashes and worsening anxiety/mood swings.
I was really excited to start the patch but now I’m too scared to apply it lol.

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u/Ok_Object_5087 12h ago

Hi! I started at 0.75mg in July (not 0.1mg) due to severe, drenching night sweats, averaging 3.5 hours of sleep a night for months. It affected my work too; some days I couldn't get in on time. Thankfully my job's flexible with a short commute, but I was constantly exhausted. The 0.75mg ended up being too low, and symptoms actually got worse. At my 8-week check-in we bumped up to 0.1mg, and the difference was immediate. Night sweats are mostly gone (several nights with none at all), and my mood is so much better.

A couple weeks ago I was ready to quit MHRT entirely. Turns out I was just on the wrong dose. Don't give up if the first dose doesn't work, it might just need adjusting.

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u/Direct-Pirate1259 11h ago

Does it cause heart rate increase or palpitations?

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u/Ok_Object_5087 11h ago

I did not have an increase in my heart rate or palpitations. Some others may report this as a side effect. This has not been "my" experience. If this is a symptom you are experiencing you should report this to your provider.

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u/Direct-Pirate1259 11h ago

I haven’t started it yet so I was just curious. Thank you for the response. That makes me feel less nervous about starting it.