Can Evorel Conti cause weight gain?

There’s no strong evidence that HRT causes weight gain. Some women may notice a bit of bloating at first, but this often settles. Most changes in weight during midlife are linked to age, stress, and sleep changes rather than your patch.

What’s the difference between Evorel 50 and Evorel Conti?

Evorel 50 contains only oestrogen. It's often used with a separate progestogen. Evorel Conti combines both hormones in one patch, making it simpler for many women.

How long can I stay on Evorel Conti?

There’s no set time limit. You can continue for as long as the benefits outweigh the risks for you. Many women use HRT for years. The key is regular reviews with your clinician.

What’s the difference between continuous and sequential HRT?

Continuous HRT (like Evorel Conti) gives both hormones every day. It’s usually for postmenopausal women and often means no bleeding.Sequential HRT gives oestrogen daily and progestogen in phases. It’s used when you’re still having periods or recently stopped.

Who is Evorel Conti suitable for?

Evorel Conti is suitable for women who are postmenopausal — that means it’s been 12 months or more since your last period. It’s designed for women who still have their womb and want a continuous, no-bleed form of HRT. If you’re not sure whether that applies to you, your clinician can help you decide.

Evorel Conti

Learn what Evorel Conti patches are their benefits and how to use them safely.

Medically reviewed by Dr Zahra Khan

MBBS, MSc (Dist)

Updated on 1st August 2025

What Is Evorel Conti?

Evorel Conti is a continuous combined hormone replacement therapy (HRT) patch used to relieve common symptoms of menopause. It is typically prescribed for women who are postmenopausal, meaning it has been 12 months or more since your last natural period.

The patch contains two hormones: estradiol (a body-identical form of oestrogen) and norethisterone acetate (a synthetic progestogen). You apply it to the skin and change it twice weekly, allowing the hormones to be absorbed gradually into your bloodstream.

How Evorel Conti Works

Evorel Conti delivers a steady, low dose of hormones transdermally (through the skin), which helps maintain more stable hormone levels compared to tablets.

The oestrogen component (estradiol) replaces the hormone your body no longer produces in sufficient amounts, helping to relieve symptoms such as hot flushes, sleep problems, and vaginal dryness.
The progestogen (norethisterone acetate) protects the lining of the uterus (endometrium) from becoming too thick, a known risk when oestrogen is used on its own and the womb is still present.

Because Evorel Conti is a continuous combined preparation, you use it every day without a break, and most women eventually stop having bleeding altogether.

How to use Evorel Conti

Instructions for use

Everything you need to know to safely use Evorel Conti

1 Hot flushes and night sweats

2 Low mood, anxiety, or irritability

3 Sleep issues and fatigue

4 Brain fog and difficulty concentrating

5 Reduced libido

6 Vaginal dryness

7 Bone protection when started around the time of menopause

This page is provided for reference purposes only. Always follow the advice and guidance of your prescribing doctor regarding your medication and prescriptions. Do not make any changes to your medication regimen without consulting your healthcare provider.

Evorel Conti

What Is Evorel Conti?

How Evorel Conti Works

How to use Evorel Conti

Benefits of Evorel Conti

Frequently asked questions