Pam,
Actually, after I sent my last post, I reread your original message, and
did figure out that the difference was due to the source of estrogen.
Having premature ovarian failure, I took oral premarin/provera for 19
years (diagnosed 1984, luckily after having had three children!).  Then
on the NIH website, I found out that Dr. Nelson's top recommendation is
to try estrogen patch with oral progesterone 12 days of the month, so a
cycle would occur monthly.  I went to my gyn with the info, and his
recommendation was to 1) reduce hrt to the lowest effective dose  2)
change from oral to another method of administration, at a comparable
dose level.  I already use testosterone cream topically, just a little
every day, cause I need a bit of androgen replacement too.  (No adrenal
function whatsoever, so I am a bag of bones without it!)  Rather than
another cream, he is having me try the Combi-Patch starting Dec. 1
(estrogen and a bit of progesterone every day).  So I may be in for a
ten year adjusting period too...
The good thing, I guess, is no period!  hurray!!  unless I have to
switch back to a cyclical method...
and the other good thing?  Well, if your doc is right then my thyroid
should be happier.  I am not yet hypothyroid, but we are watching and
waiting.  Maybe the patch will save my thyroid!
thanks very much for this info, and for the correction
Holly


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