Medical Q&As

Hormone patches - need to change?

I had a hysterectomy 8 years ago. My ovaries were not removed. I have been on a hormone replacement patch for the past 4 years. Should this patch be changed to a higher or lower dose over the years, and how long would somebody normally stay on the patch?

It is perfectly safe for you to continue with your patch treatment up to your mid sixties. Patch treatments are one of the most efficient systems of hormone administration and the dose of treatment is less than with oral treatments. There is no need to change the dose of treatment unless you are experiencing an increase in menopausal symptoms. If you begin to experience an increase in symptoms the patch can be changed with incremental increases until the symptoms are again controlled. There is no need for special testing in that regard. Your symptoms can guide your GP in choosing what dose of HRT is appropriate to you. Many women are able to continue with the same dose of HRT for many years.