Evorel Conti Patches
Evorel Conti patches are a combined hormone replacement therapy that relieve the symptoms of menopause.
Evorel Conti patches are a type of combined hormone replacement therapy (HRT). The patches replace female hormones which decline after menopause, and relieve menopausal symptoms. They contain 3.2 mg of oestrogen (estradiol) and 11.2 mg of progestogen (norethisterone). Evorel Conti patches are changed twice a week and should be worn all the time, without a break.
8 patch(es) - £36.50
16 patch(es) - £60.00
24 patch(es) - £68.00
About Evorel Conti
Evorel Conti patches side effects and contraindications
There are some side effects that you may get when using Evorel Conti patches. The most common is itchy, red skin where the patch was applied. This usually goes away on its own and you should use a different area of skin for each patch to reduce this. Common side effects of Evorel Conti patches are:
- weight gain
- vaginal discharge
- allergic reaction
- breast pain
- nausea (feeling sick)
- trouble sleeping
- stomach ache
- irregular or heavy vaginal bleeding, sometimes after sex
Some uncommon side effects include:
- vaginal infections
- itchy skin
- muscle pain
- less interest in sex
- swelling in the feet or hands (peripheral oedema)
Some other side effects are:
- feeling bloated
- mood swings
- fuller breasts
There may be other side effects that are not listed here. For more information on side effects, see the patient information leaflet.
When you begin taking Evorel Conti patches, you must see your doctor once a year or more, to check that you are getting the right amount of HRT for your symptoms. You should regularly check your breasts for any lumps and go for cervical smear tests.
You may need to be seen by your doctor more often when taking Evorel Conti patches, if you have:
- any problem caused by the womb lining becoming thicker
- an increased risk of blood clots
- high blood pressure
- systemic lupus erythematosus (SLE)
- a family history of cancer
- a liver disorder
- otosclerosis, which is a disease affecting the hearing
- fluid retention caused by heart or kidney problems
- triglycerides, which is a high level of fat in your blood
- breast problems
- thyroid problems
- a history of sudden swelling in the throat or face
Stop using Evorel Conti patches and see a doctor straight away if you notice:
- you are pregnant
- yellow skin or whites of the eyes (jaundice)
- an increase in your blood pressure, such as sudden dizziness, headache, or tiredness
- migraines which have never happened before
- signs of a blood clot, such as chest pain, swelling in the legs, or difficulty breathing
- fits (seizures)
- signs of breast or womb cancer
Some medicines can stop Evorel Conti patches working the way they are meant to. This can cause bleeding, like a period.
Speak to your doctor if you take medication for:
- Hepatitis C
- high blood pressure
- depression, especially any containing St John’s wort
Evorel Conti patches are not a contraceptive and should not be used if pregnant or breastfeeding.
Evorel Conti patches may not be suitable for you if you:
- are allergic to the ingredients in the patch
- have a blood problem called porphyria
- have, or have ever, breast cancer or cancer that is made worse by oestrogen
- have had blocked arteries
- have issues with the lining of your womb
- have unexplained vaginal bleeding
- have ever had a blood clot or a condition that can cause blood clots
- have, or have ever had, liver disease
If you are not sure, speak to your doctor before using Evorel Conti patches.
Evorel Conti patches are a patch applied directly to the skin. They are used to relieve menopausal symptoms such as hot flushes, by replacing hormones which become naturally lower after menopause. This treatment is known as hormone replacement therapy, or HRT. Evorel Conti patches contain 2 active ingredients, which are oestrogen and progestogen. Evorel Conti patches are used for treating symptoms in women who have not had a natural period for at least 12 months. The patches can also be used to prevent osteoporosis (weak, fragile bones) in postmenopausal women who are at risk.
Evorel Conti is a brand name for a patch containing estradiol and norethisterone. You may find these patches under their generic drug name. There are also other patches that work the same, but contain a different form of progesterone, such as FemSeven Conti patches.
Evorel Conti patches work by releasing both female hormones into the skin. They are released slowly and continuously, replacing the hormones that you lose gradually after menopause.
Evorel Conti patches can help with symptoms such as:
- vaginal dryness
- hot flushes
- mood swings
- night sweats
- painful or uncomfortable sex
Oestrogen is used to replace the oestrogen that would normally be released by your ovaries. This will relieve your symptoms. However, it can cause the lining of the womb to get thicker. Progestogen is also used to stop this from happening, as it can cause other problems and increase the risk of cancer. Progestogen replaces the hormone progesterone. When using Evorel Conti patches, most women do not get a period.
To apply a patch, take it from its protective sleeve and remove the film to get the sticky side. Apply the patch below the waist, such as on the thigh or bottom. Never apply the patch near the breasts.
To remove a patch, peel it away from the skin at the edge. If your patch falls off, apply a new patch but still keep your patch changing days the same. The patches can get wet.
[Text Wrapping Break]Each patch contains 3.2 mg of oestrogen and 11.2 mg of progestogen, which will pass slowly through your skin. They should be changed twice each week. You do not leave a break between applying patches. You must change your patch on the same 2 days every week, such as Tuesday and Friday. The patches contain enough of the active ingredients to last several days. One patch will be worn for 3 days and the other for 4 days.
If you forget your patch, apply a new one as soon as you remember. Stick to the same patch changing days. If you forget your patch, you might get spotting or bleeding, like a period. Never apply 2 patches at once.
The most common forms of HRT medication include:
- tablets, which can be a combined treatment, like Elleste Duet Conti tablets, or a tablet containing just oestrogen, like Utrogestan
- patches, which can be a combined treatment like Evorel Conti patches, or a patch containing 1 active ingredient, like Estradot 50 patches
- vaginal rings, such as ESTRING
- vaginal pessaries, such as Vagifem
- vaginal creams or gels, like estriol cream or Ovestin
There are benefits and risks with any HRT medication, so speak to our doctors if you want to know more about each treatment that we offer.
Some women find other treatments, such as herbal remedies, help with their symptoms, however there is not as much evidence to support whether these do work, or the safety of these.
There are some things that you can do at home to help with menopausal symptoms, instead of, or alongside HRT, such as:
- reducing stress levels to help with low mood or depression
- losing weight if you are overweight
- taking vitamin supplements if you are at risk of osteoporosis
- avoiding hot flush triggers, such as caffeine, alcohol, spicy foods, and smoking
- wearing light clothing in the day and in bed if you get hot flushes and night sweats
- cooling down during a hot flush with a cold drink or a fan
- eating a balanced diet and exercising regularly
Dr Kathryn Basford
Dr Kathryn Basford is a qualified GP who works as a GP in London, as well as with ZAVA. She graduated from the University of Manchester and completed her GP training through Whipps Cross Hospital in London.Meet our doctors
Article created: 16 Sep 2021
Last reviewed: 16 Sep 2021
Evorel Conti (2020) EMC (accessed 09 September 2021)
Hormone replacement therapy (HRT) (2019) NHS (accessed 09 September 2021)
Menopause (2018) NHS (accessed 09 September 2021)
Menopause and Natural Ways to Cope (2018) Hull University Teaching Hospitals NHS Trust (accessed 09 September 2021)
Osteoporosis (2019) NHS (accessed 09 September 2021)