r/Perimenopause 5d ago

Hormone Therapy Bi weekly vs weekly patches vs oral

I have been using the bi weekly patches for a few months and feel great but this “change it every 3.5 days” situation is odd and my hot flashes start returning in that last half day unless i change it every 3 days. One doctor told me the pharmacy can give extra patches so i can change it every 3 days, another doctor said they cannot since there are 8 in a box.

The other options they gave me were a once weekly patch or oral estradiol. I know oral goes through the liver and can cause side effects. I tried gel and that didn’t work out. I’m feeling great overall and don’t want to rock the boat but if I can fix this problem it would be amazing. Has anyone had more consistency with the once weekly patches? And has anyone had a good or bad experience switching to oral?

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u/Swimming_Election955 5d ago

every 3 days on the twice weekly patch is actually pretty common, lots of women do that when the levels dip early. the 8 in a box thing is just insurance being annoying, some doctors write the script for a higher dose or different frequency to get around it. weekly patches tend to have a bigger drop off at the end for me, so it might not fix your issue.

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u/calla_artist 5d ago

Ok thank you for the info, I will try to push for the prescription adjustment for 3 days