The maximum preventive effect is realized by starting replacementt as close to menopause as possible and taking the medication through the 50's 60's and 70's. If you miss a pill, take it as soon as possible. If it is almost time for the next dose, skip the missed one. You do not need to double up on a missed dose like you do with birth control pills. Also, you do not need to wear more than one transdermal patch at a time.
Nausea usually goes away with continued use.
Improves vaginal lubrication and lessens vaginal dryness that can cause pain and discomfort during sexual intercourse. Helps prevent the new occurrence of heart disease. Known or suspected pregnancy. Undiagnosed vaginal bleeding - usually needs to be evaluated before HRT, ERT is started. Side effects HRT, ERT is generally well tolerated.