Evorel Sequi

Learn what Evorel Sequi is, its benefits and how to use it safely.

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Medically reviewed by Dr Zahra Khan

MBBS, MSc (Dist)

iconUpdated on 1st August 2025

What is Evorel Sequi?

Evorel Sequi is a sequential hormone replacement therapy (HRT) that helps relieve symptoms of perimenopause and early postmenopause. It contains two types of transdermal patches:

  • Evorel 50 (oestrogen-only)
  • Evorel Conti (combined oestrogen and progestogen)

These patches are used in a specific 4-week cycle to mimic the natural hormonal fluctuations of the menstrual cycle. Evorel Sequi is suitable for those who still have a womb and are still having periods or have only recently stopped menstruating.

Why choose Evorel Sequi?

Evorel Sequi is a transdermal HRT, which means hormones are absorbed through the skin and directly into the bloodstream. This offers several important benefits:

  • Lower risk of blood clots compared to oral HRT
  • Mimics your natural cycle, providing predictable hormone fluctuations
  • Suitable for the perimenopausal transition, when periods become irregular
  • Regular withdrawal bleeds may be reassuring for some women
  • No daily tablets, with simple twice-weekly patch changes
  • Can help manage physical and emotional symptoms while your body adjusts to lower oestrogen levels

Evorel Sequi may be especially suitable if:

  • You still have your womb
  • You are perimenopausal or in early postmenopause
  • You’re looking for a structured HRT option that mirrors the menstrual cycle
  • You prefer a non-oral, twice-weekly routine

How to use Evorel Sequi

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Instructions for use

Everything you need to know to safely use Evorel Sequi

Benefits of Evorel Sequi

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Dr Zahra Khan

Evorel Sequi can help manage a wide range of symptoms linked to declining oestrogen levels, including:

Most people begin to feel better within 2 to 4 weeks, with full benefits typically experienced after 3 months of consistent use.

The sequential pattern of Evorel Sequi means you will usually have a monthly withdrawal bleed, similar to a natural period.

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

Frequently asked questions

iconThis 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.

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