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[Danismum]

Currently on

Estradot 75mg and 5mg provera (for 12 days a month)

I'm finding I'm having really long periods !!... I'm on day 15 of a period and its still not stopping (TMI but it's brown -old blood)

Does this mean I'm not having enough estergon and progesterone or I'm having too much

My blood test levels are post meno but I'm 38

[CLKD]

Long periods seem to be a symptom in some ladies.  I'm sure someone will be along soon, otherwise do a search?

[Danismum]

Anyone? 

[CLKD]

Not yet 

[JJ]

Sorry I'm not on hrt so can't help, someone in the know will answer soon . X

[Annika]

Sorry that you are going through this Danismum, not much I can add but long periods were my problem until I had total hysterectomy last year    I think you need to have a word with your GP and not leave it too long with the bleeding if its not stopping as you can become quite anemic. Is this the first time its happened or has this been going on a while?? Do hope one of the ladies comes along soon with some great advice

[Bette]

Hi Danismum
It does sound like some sort of hormonal inbalance; it's often difficult to get them balanced, particularly as you're probably still producing some of your own, albeit irregularly.
I thought that spotting/bleeding at the wrong time on HRT was caused by too little prog, allowing the womb lining to build up and then need to shed but my gp says that it can sometimes be too much prog which causes the lining to become unstable. 
I'm going through a similar thing - spotting "old" brown blood during the prog. phase - and have got a telephone appointment booked with my gp this morning. In my case, I think that it's probably too much prog as I'm on the mini-pill as well as HRT and when I came off it for a couple of months, the spotting stopped. The thing is, I like being on the mini-pill as I find the extra prog calming and it acts as contraception. I'll let you know what she says but obviously, it might not really apply to you. 
Have you got a gp who really understands HRT? If not, maybe consider emailing Dr Currie (there's a facility on the home page; costs £15) for expert advice.
Bette x

[charliegirl]

Hi Bette is right Dr Curry is really  good, and worth £15!!
Charliex

[CLKD]

Thanks Girls 

[Danismum]

Hi Susan

I'm post menopause levels

I'll check out the link though and thanks everyone else

[Bette]

If you're post-meno, the dose for Provera is 2.5 or 5 mgs daily. Mind you, if you're under 54 they like you to be at least a year period-free (when not on HRT) to put you on a post-meno regime.
Bette x

[Bette]

I think that she's 38, Susan!
Bette x

[Hurdity]

Hi Danismum

You haven't said how many of the tablets you are taking?

As you say you have been given the Provera 5 mg tablets - but maybe you have been prescribed two of these daily for 10 days (as it implies in the Green menu) making the 10 mg recommended for cyclical HRT?

Susan - thanks for your faith in me but I don't know any more than you do on this!

However I have had a quick look around and it seems as though the dose given (internationally) is variable - for example it says this on a Canadian site:
The recommended adult dose of medroxyprogesterone varies widely and depends on the condition being treated and the response to treatment.
For hormone replacement therapy, the dose ranges from 2.5 mg daily to 10 mg daily for several specific days of the month.


I would definitely go back to the GP with what has happened over the last few cycles ie when the bleeding starts and stops in relation to the HRT oestro and prog.

I wouldn't have thought that you are having too much oestrogen as you are still young and a 75 mcg patch is not very high dose unless you still have a fair amount of your own oestrogen even though post-meno? It may be that the prog dose does need to increase if you are only on 5 mg per day?

Hope the bleeding had stopped now!

Sorry I can't be of more help

Hurdity x

[Danismum]

Still bleeding 

I was originally on-

100mcg estradot with 10mg provera for 12 days a mth

then dropped to 50mcg estradot with 5mg provera for 12 days a month

then onto 75mcg estradot with 5mg provera 12 days a month

Maybe I do need to go back on 10mg with the 75mcg patch

I'm all confused with this lol

I was told I am classed as having premature ovarian failure as I was 34 when symptoms started and my FSH was 92.8.... I was put on continuous? HRT but then was told to come off that as I hadnt gone a year without a period even though my levels are post meno

Then I saw someone else who said I could go on the no bleed HRT.... I have just found this article online which I will paste as this states I should be on 100mcg of estregon and 10mg progesterone.. (which I did try in Jan but it made my boobs lumpy.. so was told to drop to 75mcg)


◦Estrogens can be administered orally or transdermally. The appropriate dose for young women with ovarian failure has not been established in control studies. According to the authors’ clinical judgment, administer doses twice as high as the recommended dose for HT for women who are postmenopausal (transdermal estradiol 100-150 mcg instead of 50 mcg daily, conjugated equine estrogens [CEE] 1.25 mg instead of 0.625 mg daily or oral estradiol 2-4 mg instead of 1 mg daily). Such doses usually achieve adequate estrogenization of the vaginal epithelium in young women with POI/POF and help maintain age-appropriate bone density.

◦Progestins should be administered cyclically, 10-14 days each month, to prevent endometrial hyperplasia that unopposed estrogen may cause. Young women with POI/POF have a 5-10% chance of spontaneous pregnancy (unlike women who are postmenopausal). If an expected withdrawal bleeding is missing, a pregnancy test should be performed and a diagnosis of pregnancy should not be delayed.
◦The recommended regimens include medroxyprogesterone 10 mg daily for 10-12 days each month or micronized progesterone 200 mg daily for 10-12 days each month.

[Danismum]

Yes

I'm going to start taking 10mg provera, I'm off on holiday soon abroad I don't want a period all the time lol