Evorel Conti delivers 50 micrograms of oestradiol and 170 micrograms of norethisterone acetate per 24 hours through a patch with a surface area of 16cm². Here's how these hormones work together:

• Oestradiol replaces the oestrogen your body produces less of during menopause, helping to ease symptoms like hot flushes, night sweats and mood changes
• Norethisterone acetate provides essential protection for the womb lining, preventing it from thickening in response to oestrogen
• Both hormones work continuously throughout the day, which typically stops monthly periods

Evidence shows that HRT itself doesn't cause weight gain. What some women experience when starting treatment is temporary fluid retention or bloating, which usually resolves within the first three months as your body adjusts to the new hormone levels.

Menopause itself can affect body composition—many women notice changes in how their body distributes fat, often with more settling around the abdomen. This is related to declining oestrogen rather than HRT treatment. Maintaining regular physical activity and a balanced diet supports your overall health during this transition.

Because Evorel Conti provides continuous hormones, most women stop having periods entirely. Clinical studies show specific patterns:

In women new to HRT, or after at least a two-week hormone-free period, 33% experienced no bleeding during the first three months of treatment, and 54% were bleed-free during months 2 and 3. Over time, bleeding stops in the majority of women, with 63% reporting no bleeding during the last 3 months of 12-month therapy.

In women with well-established menopause (average of 7 years since their last natural period), 56% were bleed-free during the first three months, rising to 92% during months 10-12.

If you experience heavy bleeding at any point, or irregular bleeding that continues beyond six months, contact your clinician. They'll want to investigate further to rule out other causes.

No—Evorel Conti comes in a fixed combination of oestrogen and progestogen. You shouldn't double up on patches or remove them earlier than scheduled to try to control symptoms.

If you feel your symptoms aren't adequately controlled, or if you're experiencing troublesome side effects, speak with your clinician. They can adjust your treatment plan appropriately, which might involve changing the dose, switching to a different delivery method, or trying a different HRT formulation.

Evorel 50 contains only oestrogen. It's prescribed for women who need to take progestogen separately (often as a tablet), or for women who've had a hysterectomy and don't need progestogen at all.

Evorel Conti combines both hormones in one patch. It's specifically designed for postmenopausal women who still have their womb and need continuous combined HRT.