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[Hurdity]

What is a cycle? Don't have those.... When you are completely post meno you don't have one so it doesn't really matter! I just use the oestro for whatever length of time I think (as I said earlier in my case around 6 weeks) and then start the Utro on the 1st of every alternate month for 12 days. I could start it any time and it wouldn't make any difference ( sadly!) - ie mean sad my cycle has gone

Hurdity x

[Cassie]

Oh I probably worded that stupidly, sorry! I also have not had a cycle for many years, went through early meno but what I was told years ago is, to start the Utero on the day that it would usually have kicked in if one were to cycle, somewhere round the middle of the month I guess,  think I used to use it from day 13 to day 26 but cannot remember but yes, I guess it would not really make much difference to us hey! Wonder why they said to use it like that as some ladies I know used to just use it at the start of each month.

[Rivadan]

Both times I've tried using the 100mg dose I've started a bleed on day 7 whereas with the 200mg I lasted until day 10. The bleeding was greater on the 100mg than on the 200mg too. Perhaps that's got something to do with the weight/dose ratio too? On norethisterone I never started bleeding until about 3 days after stopping.

[Hurdity]

Maybe something to do with the fact that norethisterone is apparently a much stronger progestin than our own progesterone ( which utrogestan is bio-identical to)??

So far for me using 200 mg Utro the bleed has come 3 days after stopping (but don't want to speak too soon as I am on it now!). However I use it vaginally so more of it probably gets to the uterus directly so maybe has a more powerful effect?

Individuals do vary greatly in how much of the oral medication eventually gets into their blood, after digestion/metabolism.

Hurdity x

[coffee mate]

I'm on my third month of Utro now, and after having a light bleed at the end of my first month, I haven't had a bleed since [fingers crossed] I do get "cramps" but no bleed [hope I'm not speaking to soon] I take 100mg days 1 to 25 then have a three day break, and for the first time I can honestly say I DON'T look forward to my progesterone free days, because it's like they have a *calming* effect on me and the actually help me sleep.

So it's, so far so good for me up to now concerning the Utro, fingers crossed.

cm xxx

[Cassie]

Am I correct in saying that one never has a break from the Oestrogen part of it, that is continuous if you are using the gel or patches together with the Utro, its just the Utro that one takes a 3 day break from or in my case 3 months!

[Hurdity]

Hi there Cassie

Yes most HRT has continuous oestrogen so the levels stay the same. I think there is one (?Trisequens) that has a reduced dose during part of the month
In our natural cycle the levels fluctuate and drop markedly during the second half of the cycle apart from a blip in the middle - but of course using HRT the levels are so much lower than during our fertile years.

Re the break from Utro:

Utrogestan is different from the other progesterone/combined HRTs in that even for continuous use there is a 3 day break (Day 25-28, and I presume this is because it is a weaker progesterone so stopping it will ensure any build-up of lining is shed ( if there is any). Those that are doing it this way are in effect using it as a continuous combined HRT - ie hopefully expecting no bleed.

However several on here have read the sicentific literature which shows that even this may not be necessary. I know some are taking it eg every other day - and of course if the oestrogen dose being taken is low, then this should be OK.

As I said even though I am 58 I am still using it cyclically because I don't want tobe on continuous prog.

Hope this helps

Hurdity X

[coffee mate]

As far as I know Cassie, yes that's right.
I wear my Oestrogen patch every day without a break, but have a three day break from the Utrogestan.  I only take 100mg Utro a night that is why I only have three days off.

cm xx

[oldsheep]

Everyone's different, so I suppose the docs have an excuse for all the different advice!

I am on 14 days a month of 100mg Utrogestan. Continuous low dose oestrogen. So far he's not changed it.
I had a scan, womb lining was a bit thicker than last year but no-one seemed worried (scan doc nor gynae).
I don't bleed very often which gynae says is because the oestrogen is low. If I do bleed (well so far) it's during the progesterone cycle. Lots of head scratching from gynae but he is unconcerned.
He told me to start the 14 days any day I liked and could remember each month. Trying to emulate a cycle would be far too difficult to remember 

[Rivadan]

Oh good I'm glad I'm not the only one who bleeds before the prog's finished!

I wish I felt like you about Utro Coffee Mate - I'm going to give it one more go before I finally throw the towel in - and I'm dreading it!

[Taz2]

I was prescribed the utrogestan but couldn't try it due to my soya intolerance.

I bleed before the progesterone is finished Rivadan which is why on the conti I had constant bleeding apparently. I am now on half-patches of Femseven Conti to see if this will solve the problem.

Taz x

[coffee mate]

I really wish you luck with it Rivadan.

I was really surprised that I had finally found a prog that suited me after numerous trials with other progesterones.

I will keep my fingers crossed for you. 


cm xx

[Bette]

I bleed before the progesterone is finished Rivadan which is why on the conti I had constant bleeding apparently. I am now on half-patches of Femseven Conti to see if this will solve the problem. Do they think that it's caused by too much estrogen or too much prog. Taz?
Bette x

[Taz2]

I have NO idea! 

[Rivadan]

All I can say is for me, as I've said before, it always feels like I've been filled from head to toe with progesterone! I NEVER had a feeling like that on Norethisterone and never bled on it. My problem really is that I only have one option left if I can't use Utro - Femoston 1/10. This is the only one in the Femoston range that doesn't contain some of the red colouring I'm allergic to!