Doctor insights on:
Vivelle Patch Ivf
7.5 wk preg after frzn IVF trnsfr. I wear 2 vivelle (estradiol) dots I change every 2 days. Went 10 hrs before realizing I didn't put new patches on. Am I ok?
Estrogen patch: Dont worry, you are likely fine.Get a more detailed answer ›
In vitro fertilization is an assisted reproductive technology. Ivf is a procedure used to treat fertility problems and assist with the conception of a child. During ivf mature eggs are retrieved from the ovaries and fertilized by sperm in a lab. A few days later, the fertilized egg (embryo) or eggs are implanted into the uterus. One cycle of in vitro fertilization ...Read more
I'm 11.5 week pregnant from ivf I just realized I was supposed to stop Vivelle (estradiol) patch 20days ago is the baby safe? Is the damage already done?
Very: Estradiol patches are very effective at delivering the necessary drug for building up the uterine lining to receive an embryo. ...Read more
Not sure: The small aptch has same medication, easy to use and not visible. ...Read more
Forgot to remove Vivelle (estradiol) dot patch until10 hrs later. Had 2 patches on for 10 hrs. On 0.0375 mg 2 X a week. Will that cause problems. my age is 61 yrs
Age 61: Please don't worry about having missed Vivelle (estradiol) patch on a day or so but don't let it go overboard. ...Read more
I am 3 days post et with IVF and taking 1.5 ccprogesterone injections daily with estrogen patches (2) every 48 hrs. E2: 875 and p4:71. Are these good?
Typical estrogen S.E: If you read the package insert most drug companies list a large number of possible side effects. The most likely side effects can be related to the patch material itself including skin irritation, but other systemic effects include headache, nausea, mild increased risk of blood clot just to name a few. ...Read more
Rare: This depends some on the dose of the patch. Higher dose patches will have more side effects. Some possible side effects include bloating, breast tenderness, rash at site of the patch and others. ...Read more
Possible: You may quit using vivelle (estradiol) dot patches cold turkey; however, a better approach would be to discuss with the doctor, who prescribed you the patch, why you are not comfortable with it any more and what alternatives possibly exist. ...Read more
Yes: If still symptomatic without them, continueGet a more detailed answer ›
Hormones & Headache: Migraine patients seem to suseptable to fluctuations in estrogen, especialy with a dramatic drop. If your hormone replacement or bc is a higher dose, then there will be a more dramatic drop on the "off" days. This often leads to headaches. Talk to your gynocologist about using a more steady dose of estrogen hormone. ...Read more
Is there a quality difference between vivelle (estradiol) brand estrogen patches and generic ones, e.G., estradot 17b?
Yes.: There might be no difference in the chemical component (estradiol), however, vivelle dot provides a better matrix for a more dependable and reliable delivery of the medication. That in turn will lead to better absorption and more efficacy ...Read more
Difficult question: You will hear negative reports on any type of estrogen. Vivelle is a top choice. It is bioidentical estradiol. It is trans dermal so all the negative aspects of oral estrogen are avoided. It comes in several strengths so the dosage can be tailored to the patient. Bad? Sticky residue left on abdomen and occasional allergic reaction to the glue. Both worth it given the alternatives. ...Read more
I had a hysterectomy 2 yrs ago and have gone on the vivelle (estradiol) dot patch. My hair has thinned considerably. What do I need to do? Worried...
Yes you should be concerned but you must discuss this with your Gynecologist. The Gynecologist will take careful information from you, examiner you clearly and make decisions for your ongoing health.
You may need to see a different specialist to care for your hair loss.
Please keep me informed. ...Read more
I am on the vivelle (estradiol) patch .025 and my doctor just upped my dose to .050. My question is can I wear 2 of the .025 patches at the same time?
Yes: If you are wanting to use up patches you already have, then you can do it. It's more expensive that way, so as soon as you see them up, start the higher dose patch. ...Read more
I have started estrogen patches today 9 days after an egg retrieval and 6 days after a egg transfer IVF I am experiencing spotting is this a normal si?
Yes: It is not uncommon for a patient to have spotting when straying hormonal treatment. Usually this will resolve with time. If you are cramping and spotting then something else could be occurring. Please see your doctor. ...Read more
I am on my second patch of vivelle (estradiol) dot 0.0375 and i feel slightly less brain fog but i still get small flashes. Should i go up to 0.5?
Probably not: Eliminating all hot flashes is quite often impossible no matter how high you go on the dose. Aiming for 80-90% resolution is good. Using only the dose of estrogen that you need reduces side effects and is the correct use of this medication. Many women's hot flashes/sweats diminish greatly after 4-5 years. Hope you have this experience! ...Read more
I am on my second patch of vivelle (estradiol) dot 0.0375 and i feel slightly less brain fog but i still get small flashes. Should i go on the higher dose?
Tqlk to doc: Your dose is low but you only been using it for 1 week. There are rooms to go up but i would discuss this with your doc who knows you best. Try to use the lowest possible dose that give you what you want. ...Read more
Has there been any reports of heart attacks or strokes from using the vivelle (estradiol) dot patch? I had a hystroecomy 5 years ago i had everything removed.
ERT: All Estrogens can increase your risk of heart attack and stroke slightly even vivelle (estradiol) dot, which is an estrodial patch. However, that risk is primarily in the first three months of use and for most patients is only a slight risk. That risk comes back in patients who constantly start and stop their estrogen therapy. If you've been on it more than 3 months i wouldn't worry much unless you smoke. ...Read more
I'm trying to concieve while on vivelle (estradiol) dot patches. What are my chances of getting pregnant?
NeedUrgent fert care:
You need to have your ovarian reserve tested.
Women never get old. However, their eggs do. When your eggs are older than 35 yrs, you need to move fast and do ovarian reserve testing that will let you know your chances before expensive fertility testing.
Best of Luck.
Board Certified Reproductive Endocrinologist & Infertility Specialist
San Antonio-Edinburg & West Texas
432-580-4500 ...Read more
6wks pregnant (ivf) with chest infection for 1wk & horrific coughing, if i miscarry would i know as I am still on all my hormone patches/tablets etc?
40yr female with regular 26 day cycle started using estrogen patch (vivelle (estradiol) 0.025) for severe pmdd. No period since (2 months). Is est. The cause ?
May be: Why use vivelle (estradiol) for pmdd? You can use a very low dose 10 micrgram birth control pills and had an added benefit of preventing pregnancy since your period is still regular and still needs protection. The other possibility is, of course menopause. Check your fsh after several days off the patch. ...Read more
Started bio HRT cream 3 days ago. Have hot flushes, chills anxiety, nausea. Was on vivelle (estradiol) patch for 11 years before this. Should I go back to vivell?
Need more time.: Hard to say if the new regimen is a failure yet. I suggest continuing the new regimen for at least 2-3 weeks before deciding that it doesn't work for you. Good luck. ...Read more
I just started taking vivelle dot for post menopausal symptoms and started having severe nausea, cramping and diarrhea . I'm on the lowest dose possible. Could the patch be causing these symptoms? I was on the patch for a few days before I started get
Yes, mostly: Estrogen replacement therapy can cause nausea, bloating, cramping, irregular spotting and breast tenderness upon initiation of this medication. Diarrhea is not a symptom related to estrogen replacement therapy. If the diarrhea continues, you need to be evaluated for the diarrhea. ...Read more
11 days bright red blood and clots medium flow. Dr prescribed Premarin (conjugated estrogens) for 7 days. I am currently using vivelle dot patch. Normal treatment?
5 to 15 thousand: Around 5 to 15 thousand dollars. Many insurance companies in the usa provide some coverage but most do not cover all expenses. Make sure you speak with your dr's staff so that you understand the coverage and are informed about any programs that may help with costs, such as research studies, drug discounts, etc. ...Read more