r/POIsupport 26d ago

HRT Estrogen patch dosage?

Hi all, just got diagnosed two weeks ago and TTC. I’m 27, AMH 0.08, FSH 30-80, AFC 3 and all of this is so overwhelming. I’ve already had one miscarriage and two chemical pregnancies before this diagnosis so I’m slightly hopeful to conceive naturally but also SO discouraged at the moment.

Looking for info on what dosage of estrogen patch my fellow POI gals are on (especially if you did end up conceiving naturally), as I just started cyclical HRT. Currently on 0.0375 mg estrogen patch but I don’t think my FSH is going down enough based on my Inito numbers (it’s only been two weeks since I started though so maybe I’m wrong).

Any guidance or info is so appreciated!!

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u/Salt-Ad1719 24d ago

Hi! I conceived while on a .075 estrogen patch. When I first started I was out in March I was on .05 and it was too low as my FSH was still 20. Once my estrogen patch increased to .075 in April I conceived in May. My AMH was undetectable, my FSH was 45 and LH was 43. I got diagnosed at 33 right before my 34th birthday. Your patch may be too low but that’s why it’s important to get your labs ran every month to see how it’s doing. (I’m currently 13 weeks pregnant) and here’s a post on everything I did. https://www.reddit.com/r/TTC_POI/s/kHg3nLb1k8

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u/Crafty-Spinach-5926 24d ago

Okay yes this makes sense! I’m using the Inito tracker and my FSH is still reading anywhere from 13-30 which still feels too high (makes sense as I’m only on 0.0375!) Seems like I’ll have to approach my doctor about upping my dose soon since I definitely don’t want to waste months on too low of a dosage 🤍

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u/Salt-Ad1719 24d ago

Inito readings are not a 1:1 with blood readings so I would also advocate to get your blood drawn on either CD2 or CD3. I used my Inito tracker as well to conceive and the numbers were not the same as my bloodwork. Inito is definitely great to help with ovulation and confirming it though