2024 HRT Dose Guidelines!

May 6, 2024

There is always a lot of chatter about progesterone doses when adding in estrogen. (The progesterone is added to stop the uterus lining from over thickening which can increase the risk of cancer of the uterus lining)

Prior to April 2024 the usual dose of Utrogestan for those using up to 100mcg patches or 4 pumps of Oestrogel (or other equivalents) who were still having periods, was 200mg a day for half the month.

For those not having periods the dose was 100mg every day.

The Mirena coil was previously considered enough protection up to 125mcg patches or 5 pumps of  the gel.

After many years of disagreement about doses, where we have been told that we need higher progesterone doses (seemingly based on speculation and fear), the guideline doses have been increased.

I feel obliged to pass on the new guidelines to you BUT I do want to say this.

Many women are progesterone intolerant so will struggle with this new dose and many women do not absorb their estrogen well so their oestradiol levels are low anyway, therefore the risk of an over thickened uterus lining is low but importantly we are all individuals and should be treated as such. This broad brush approach is harming women’s mental and physical health.

It is therefore key to your health and wellbeing to communicate with your doctor but also to question things if they feel wrong for you.

You can read the 2024 guidelines below.

APRIL 2024 HRT Guidelines

Menopausal Not Mad

Online Courses

1:1 Consultations

Don’t worry. You’re in the right place now.

HRT Supply Updates

HRT Supply Updates

You may know about the HRT supply issues of 2021/22 or you may not have been affected, but let me assure you that I and many people more important than me were not about to allow this to continue! I have been campaigning and educating on HRT (including supply issues)...

Testosterone for Women

Testosterone for Women

NHS Guidance April 2022 Women have 3 hormones to consider: Estrogen, Progesterone and also Testosterone. (not everyone knows about the third one!) Testosterone is produced in the ovaries and adrenal glands in larger quantities than Estrogen, and it's a vital hormone....

Menopause Assessment Guidelines

The assessment and treatment of Peri and Post menopausal symptoms is still a big problem in many regions; not least because it was not mandatory for doctors to study menopause and HRT at medical school, or to attend any update training on such. (This was added to the...

Search all resources

Find support through our resources.