Topical Estrogen (Oestrogel and Divigel)

​The most common side effects include breast tenderness, headache, nausea, vomiting or even some skin irritation at site of application.

Consult your doctor about any symptom that becomes bothersome. Serious side effects such as blood clot formation are rare. However, report any severe pain or numbness in the arms, chest, and legs or feeling of breathlessness to your doctor.

​There are two types of transdermal preparations available:

• Oestrogel®

Apply topically to the skin of upper arms, lower trunk or the right or left thigh. Unless otherwise directed by the doctor, start applying with ½ ruler (1.25g) of the gel and slowly increase to 1 ruler (2.5g) of the gel daily.

• Divigel®

Apply one sachet once dail​y, on the skin of the upper arms, lower trunk or the right or left thighs.

Application should be made at the same time each day. Do not apply over the breast or mucous membranes. After application, allow the gel to dry for a few minutes before dressing and do not wash the area for at least an hour. Please wash hands after each application.

​If the dose is missed less than 12 hours, apply as soon as possible; if it is more than 12 hours, skip the dose and apply the next dose on the next day. Do not double the dose to make up for the missed dose.

Note: Missed doses may induce break through bleeding.

Keep away from children;#Keep in a cool, dry place, away from direct sunlight;#

​The doctor may or may not prescribe a progestogen depending on whether you have had a hysterectomy. If progestogen is prescribed, it is usually prescribed 12 – 14 days per cycle.