Have been prescribed 2 pumps oestrogel and 200mg utrogestan days 15-26 by my doctor today.
I haven't been on anything since my last femseven became unstuck last week. I would of been due to start my phase 2 patch on Friday so should I start my utrogestan then or count 15 day from now? X
Personally I would start from then, on the progestogen phase as planned - well actually a couple of days later as utrogestan is only taken for 12 days.
In terms of when to take it generally - I would say that it depends on where you are in menopause and how sensitive you are to progesterone. If you are very early peri and having fairly regular periods, it makes sense to tie the progesterone in with your own cycle - so if that's 28 days then take it accordingly. However of course, cycles become sporadic during peri-menopause so the further you are towards menopause then the less you will be able to tie in with your own cycle - and in this case the 1st of the month regime is just as good.
Also if you are progesterone intolerant to some degree or if it has a sedative effect then better also to try to tie it in with your own cycle otherwise you could end up taking it immediately following your own progesterone production and end up feeling rough for longer.
If you are post-menopausal also then 1st of the month is also fine - it doesn't matter when you take it. As my cycle is longer than a month - so for me in practice I adjust when I take it to fit in with what I'm doing in my life - to avoid times when I'm going away, Christmas etc!
In terms of protecting the endometrium then as you say as long as it protects the endometrium then that's great and yes I agree rachel FD you need to work out how you tolerate it too HopeAlone - as rachel FD says some women love it
Hurdity x