Oestrogel is also called Oestrogel Pump-Pack. This medicine is applied by postmenopausal women who have not had a natural period for 6 months, and require menopausal symptom relief and/or need to protect their bones from osteoporosis and risk of fracture.

Can I get Oestrogel prescribed online?

The Online Clinic can prescribe Oestrogel online. Please complete a free consultation form to get started.

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What is Oestrogel?

Oestrogel contains oestrogen, and is a hormone replacement therapy (HRT). It is designed to replace the oestrogen that declines in concentration in women of middle age. The medicine is rubbed into the skin, gets absorbed, and enters the bloodstream.

The drop in oestrogen production from the ovaries can result in symptoms including hot flushes, vaginal dryness, sweats at night, irregular periods, and mood changes. Oestrogen also has a function to maintain strong bones, so if you are at risk of easily fracturing and you are unable to take other medicines for bones, then you may be given Oestrogel.

How to use Oestrogel

Oestrogel is a gel that is used once each day at the same time either morning or evening. The usual dose is 2 gel measures per day, and at this dose a Pump Pack lasts 4 weeks. Your doctor will tell you how many measures to use each day. To dispense the gel, remove the canister cap and then the spout stopper. On first use, continue to push the plunger until the gel emerges and discard this first dose. For your first dose, firmly depress the plunger to dispense one gel measure. The gel is rubbed onto the clean skin of both your shoulders, or outer arms, or middle-to-inside thighs (avoid the breast and genital areas); if you have to use 4 gel measures, use both shoulders and outer arms or both middle-to-inside thighs. Let the gel dry before putting on clothes. You only should apply the gel to your body. Do not apply other skin products or wash the skin area or have skin contact with another person for one hour after application. Replace the spout stopper and then canister cap. The Pump Pack needs replacing when the plunger does not go fully back up.

Start Oestrogel when convenient to you unless you are on a HRT therapy that gives you a monthly period. In this case, finish the pack before starting Oestrogel. If you forget to use Oestrogel, then apply the gel when next scheduled if this time is less than 12 hours; if this time is more than 12 hours, then apply the gel. If you apply too much gel, it is advisable to contact your doctor; you may experience nausea, abdominal/pelvic swelling, breast tension, and vaginal bleeds. Do not worry if you do not have a monthly bleed – this is usual, unless you are also given a tablet containing progesterone as well.

Who can use Oestrogel?

Postmenopausal women can use Oestrogel for symptoms of the menopause but not as a precaution against pregnancy; other contraceptive methods must be used. Your doctor will want to know your/your family medical histories and if you are having surgery, and will want to examine you regularly.

You must not use Oestrogel, if you are or become pregnant, or have or have had:

  • Breast cancer, endometrial (womb) cancer or excess thickening, or a cancer sensitive to oestrogens
  • Vaginal bleeding
  • Problems with blood clotting (e.g., blood factor deficiencies, thrombosis, deep venous thrombosis, and pulmonary embolism), disorders due to blood clots (angina, heart attack, and stroke),or the blood haemoglobin disorder (porphyria)
  • Disease of the liver with remaining abnormal liver function tests

Oestrogel confers an increased risk of and oestrogen-sensitive cancer and blood clots. Some medical problems can worsen or reappear when using Oestrogel: fibrosis or abnormal endometrial growth, liver disease, high concentration of fat (triglycerides) in the blood, fluid retention, raised blood pressure, diabetes, gallstones, severe headaches/migraine, otosclerosis (a disease affecting the ear), systemic lupus erythematosus (an immune system disease), epilepsy, and asthma.

When using Oestrogel, some skin products can increase your chances of irregular bleeds. These include cleansers, detergents, astringents, sunscreens, scalp and skin disorder products, St John's work, and skin, HIV, and tuberculosis medicines.

Oestrogel Side Effects

HRT is known to occur more often or increase the risk of:

  • Hyperplasia (growth) and cancer of the womb; breast and ovarian cancer
  • Spotting or irregular bleeding
  • Venous blood clots and heart disease
  • Memory loss (if you begin Oestrogel after 65 years of age)

Common side effects include headache, gastrointestinal disorders (nausea, abdominal pain), reproductive organs (breast swelling/enlargement/pain, menstrual cramps/heavy bleeding, and vaginal discharge/bleeding), and weight changes and oedema. Sometimes women complain of depression, mood swings, dizziness, migraine, wind and vomiting, blood vein disease, and benign problems of the breast, uterus (womb) and vagina. More rarely noted are changes in libido, milk production, high blood pressure, epilepsy exacerbation, disturbances in liver function test results, skin discolouration, acne, and allergic reaction.

Free Consultation for menstrual or menopausal problems

Please complete a free consultation online to check if this medication is suitable for you. If you are approved, Oestrogel can be delivered the next day after you order.

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Hormone replacement therapy
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