What
is this medicine for?
FEMOSTON 1/10 is a hormone replacement therapy (HRT) that helps relieve
the symptoms of menopause. It contains two hormones — oestrogen and a
progestogen called dydrogesterone. The progestogen protects the lining of your
womb when taking oestrogen.
It may help with:
• Hot flushes and night sweats
• Vaginal dryness and urinary symptoms
• Protecting your bones against
osteoporosis after menopause
How
does it work — the 28-day cycle?
The pack is colour-coded to guide you through a 28-day cycle:
• Days 1–14 (white tablets): oestrogen
only
• Days 15–28 (grey tablets): oestrogen
+ progestogen
• A monthly withdrawal bleed usually
occurs towards the end of the grey tablets or shortly after — this is expected
and normal
• Start the next pack immediately with
no gap
Take one tablet daily at the same time each day. You can take it with or
without food. Swallow whole.
What
side effects might I notice?
• Breast tenderness or enlargement
• Headache or migraine
• Nausea, bloating, or stomach pain
• Irregular spotting in the first 3
months — usually settles
• Mood changes, particularly during the
progestogen phase (grey tablets)
• Fluid retention or weight changes
|
⚠️ LONG-TERM RISKS TO
DISCUSS WITH YOUR DOCTOR |
Combined HRT slightly
increases the risk of breast cancer, blood clots (DVT/PE), and stroke. These
risks are small but real, and increase with the duration of use. Your doctor will
review these risks with you at least once a year. The benefits of HRT for managing
symptoms and protecting bones must be weighed against your individual risks. |
Who
should NOT take this medicine?
• Women with a history of breast cancer
or oestrogen-dependent cancer
• Unexplained vaginal bleeding
• Active or previous blood clots (DVT
or PE)
• Recent heart attack, stroke, or TIA
• Liver disease where liver function
has not returned to normal
• Pregnant or breastfeeding women
Important
things to know
|
🩸 Blood clot risk |
Oral HRT (tablets)
increases blood clot risk 2–3 times compared to no HRT. If you have risk
factors for blood clots (overweight, family history, clotting disorder), ask
your doctor about HRT patches or gels, which do not carry the same risk. |
|
🔬 Unexplained bleeding |
Any irregular bleeding
that persists beyond the first 3 months should be investigated with an
ultrasound scan and possibly a biopsy. Never ignore unexpected bleeding —
report it to your doctor promptly. |
Frequently
Asked Questions
❓ Why do I get a period every month on FEMOSTON?
FEMOSTON 1/10 is a sequential HRT — the grey tablets build up the womb
lining slightly, and when they stop, the lining sheds as a withdrawal bleed.
This is planned and confirms your womb lining is being shed normally. It is not
a 'real' period caused by your natural hormones.
❓ Do I still need contraception while taking FEMOSTON?
Possibly, if you are perimenopausal (still potentially fertile). FEMOSTON
is not a contraceptive. If you are under 50 and have had less than 2 years since your
last natural period, discuss contraceptive needs with your doctor. After
confirmed menopause, contraception is no longer needed.
❓ Can I take FEMOSTON if I am at high risk of blood clots?
Oral HRT increases clot risk. If you have a personal or family history of
blood clots, obesity, or a clotting disorder, your doctor may recommend HRT
patches or gels instead, which carry a much lower clotting risk. Discuss your
specific risk factors before starting.
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