Everything you need to know about Evorel Sequi patches

Evorel Sequi is a safe and effective form of HRT for many women. Since the hormones are absorbed through the skin, it bypasses the liver, which may reduce certain risks associated with oral HRT.

As with all HRT, the benefits and risks are individual and should be discussed with your doctor. Your medical history will determine whether Evorel Sequi is the right option for you.

The estradiol in Evorel Sequi is body identical, meaning it has the same chemical structure as the oestrogen naturally produced by the body. The progestogen (norethisterone) is synthetic but is included to protect the womb lining.

Most women using Evorel Sequi will have a withdrawal bleed (similar to a period) during week 4 of the cycle when using the Evorel Conti patches. If bleeding is heavy or prolonged, speak to your doctor.

When stopping HRT, symptoms may return, and some women experience withdrawal effects such as headaches, mood changes, or joint stiffness. Your doctor may suggest tapering off gradually rather than stopping suddenly, this can help reduce side effects as the changes in hormones are less sudden.

• If you are still having periods, start on day 1 of your natural cycle (first day of your period).
• If your periods are irregular, speak to your doctor about the best time to start.

HRT is not designed for period control, but if you need to delay a withdrawal bleed, speak to your doctor. They may advise adjusting the timing of your patches or considering an alternative regimen.

Yes, Evorel Sequi is designed for women who are still having periods but are experiencing perimenopausal symptoms. It provides a structured hormonal cycle similar to your natural one.

Patches should be changed twice a week. A common schedule is Monday & Thursday or Tuesday & Friday. It can help to set a reminder on your phone to change your patches.