Menopause Discussion > All things menopause

Utrogestan used vaginally

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Gig:
Hi be interested to know more about your feelings on Noreths.  Is this due to a possible link with b cancer?
I don't think my dr has given me Noreth due to any intolerance of progesterone because when he first prescribed this wasn't even mentioned by me.  My prescription is for 10 days- but when I told him how I sometimes had side effects with it he said I could take a couple less each time if that helped.  But the actual script says 10 days, and as far as I can I stick to that.  I think I also have mild vulvodynia and when taking progesterones, the burning feeling gradually incrreases over the course.  It stops as soon as I start bleeding.

Gig:
StellaJane- sorry to hijack but my bleeding on Noreth is pretty much like that. I find tampons uncomfortable some of the time (I had a prolapse repair ) but they also seem to make period pain worse- like a dragging -crampy feeling.
My first day of bleeding is pretty awful- compared to the periods I had before HRT and painful too.  last bleed I felt nauseous, very weak for a few hours, upset bowels, and there is no way I could have worked- I am s/e and manage my bleeds around my working day.

I am now trying a 2 month cycle for the 2nd time, and hope it may not be so bad.

Gig:
The pain was worse last cycle than before.  I take 5mgs Noreths. for up to 10 days but sometimes only 8-9 if my bladder is irritated by it.  The flow is heavy and free flowing- no clotting. if you took 1mg a day I assume that was every day for 30 days?  ie 30 mgs in total? 

Gig:
yes but remember that I am only taking it once very 12 weeks- or was- and now every 8.  I may cut it back with his consent to 7 days if that's ok- he said so but need to check.  When I told him the bleeding was pretty heavy he suggested 6 weekly bleeds instead of 12 , but that would mean taking noreth every 4 weeks for 10 days then a bleed 3 days later- and I said no. so we compromised on 8 weeks.

One thing I need to check- maybe you kind people can help- if the bleeds are every 8 weeks that means I bleed on the 8th week- which means taking the progestins after 6 weeks , for 10 days and then the bleed starts 4 days later.

Does that make sense or would you START taking progestins on the 8th week if you are on a 2 month cycle?

Hurdity:
Gig if you are on a two month cycle you just start the progestins 8 weeks (or two months) after you started taking them the last time.

My cycle is 2 calendar months but I keep the utrogestan to the same number of days - ie 12 per 2 months and take it at approx the same date - but usually forward or back to a Sunday so the withdrawal migraine if it occurs will come mostly at a weekend and not mess up my working week ( although this didn't work this timne as got migraine before!).

Basically if you have an 8 week cycle you take prog for the last 2 of them (or 10 days or whatever you do) and the cycle resets. Doesn't matter what you call the first week etc as long as the interval is the same. It is the total length of time of oestrogen and then oestrogen and prog which is the length of the cycle. I start my timing from when I start the prog which is easier to remember. If your bleed is consistent you could time it from that but I don't just in case it varies if you see what I mean?

In your case then - just go 8 weeks from when you last started the prog and take it again for the 10 days. If you took it only for 7 days then shorten the cycle a bit - after all you are trying to reduce the time of unopposed oestrogen if you want to make your cycle shorter. This is 6 weeks for an 8 weeks cycle and 10 weeks for a 12 weeks cycle (approx).

Is this really garbled? Sorry if so. Think I need to go to bed...

Hurdity x

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