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[jillzrz]

Thanks Dotty!! Really can I just check?
25 days to take Utrogestan?
Nearly the whole month?
Then wait 3 days and start again Utrogestan ? I think prof Studd is for 7 days for this??...

And thank you - stay on oestrogel the whole time!
Sorry must be my brain fog!

[Dotty]

Studds regime is 7 days but that's not recognised by nhs .

My consultant told me to take it for 25 days starting on 1st of month and then start again on 1st of month.

Others say 25 days out of 28 and others take it every day!

Utrogestan should be taken on empty stomach at bed time.

Yes Oestrogel every day.

[crazywomen]

Hi my doctor told me to take for 25 days and 2 pumps of oestrogel I have been on it for 3 wks now and the hot flushes have reduced drastically this week I haven't had a lot of patience and was very hormonal yesterday do you think I need to up the oestrogel xx

[robotwars]

I've just started on this regime, I've been told to use the gel in the morning and the testerone gel in the morning but I have also been told to take 100gm of utrogestan at night every night of the month, is this correct? so I'm taking this orally, is it normal to feel so hung over in the morning, will this feeling pass?

[Dotty]

I use Oestrogel and testogel in morning and utrogestan at night. I haven't noticed any side effects with utrogestan.

[DBean]

Hi,

I think I'm going through early perimenopause. In 36, but my mum and grandma both went through it early. My symptoms over the last couple of years have included insomnia, anxiety, depression, feeling disconnected, tingling, head pressure, fatigue, aura migraine, headaches, hair falling out, water retention/thick skin on bottom of legs, brain fog/poor concentration, cystic acne on my jawline. I generally don't feel great, but I am far worse before and st the start of my period. My periods have been erratic for some time. In the last couple of months I've been on my period for over two weeks and only had just over a week before it starts again.

I saw Dr Studd on Monday who prescribed 3 pumps of oestogel and testogel. I start progesterone in April.

I've just got a few questions:
Since starting the gels I have felt more anxious and a bit nauseous. Is this just my body getting used to them do you think? And is it likely to settle down?

Does it take a while to find the right combination?

Also, have you had similar symptoms on perimenopause? How long have the symptoms lasted?

Thanks

D xxxxx

[Dotty]

Did you start in 3 pumps straightaway ? Could be that it's too much and you need to build up but I'm not an expert.

[DBean]

Yeah Dr Studd told me start on 3 pumps. I think I will call his office tomorrow and ask if I should reduce it?

Have you seen Dr Studd, and if so, how did you get your blood test results?

Do you think it sounds like I'm in perimenopause?

Thanks xxx

[Dotty]

Hi no I haven't seen Professor Studd.  But I am on Oestrogel and Utrogestan.

[Mary G]

DBean, I definitely would not reduce that dose of Oestrogel.   There is a very good reason why Professor Studd has put you on that high dose of oestrogen only HRT until April and that is because you are very young with a wide range of debilitating symptoms.   You need to build up your oestrogen levels to get the feel good factor and you can't do that with a low dose.  It would be a different approach if you were an older woman who was post menopause and wanted some fairly straightforward symptom relief.

Give it time to work and perhaps think about splitting up the dose by 12 hours to avoid hormone dips.

Dotty is right, the Professor Studd regime of 7 days 100mg vaginal Utrogestan for progesterone intolerant women is not recognised by the NHS but many of us happily use this regime (I use even less under supervision and it is enough for me) and as long as you have regular uterine scans to check your lining, there is nothing wrong with it and nobody should fear using it if it makes HRT viable for them.

[DBean]

Thanks so much Mary for your detailed and informative reply.

Does it make sense that I feel worse in the interim whilst my body adjusts? Have you seen Prof Studd and what is your opinion of his methods?

Xx

[Mary G]

DBean, yes I am a patient of Professor Studd and his low dose 7 day progesterone regime was a real life saver and made HRT viable for me.   He also introduced me to Oestrogel which I think is a brilliant product and the only form of oestrogen that has worked properly for me so as far as I am concerned it was worth every penny.   This was several years ago when it was difficult to get Oestrogel on the NHS and in any case they would have forced me to take a high dose of progesterone which is out of the question because I am severely progesterone intolerant.

Don't worry about feeling worse before you feel better, it's very common for this to happen while you adjust but why not send Professor Studd an email or phone his very helpful and knowledgeable secretary to put your mind at rest?

[robotwars]

Hi! Having a bad day today, been taking utrogestan 100 mg at night for 6 days now by mouth, but feeling rubbish, I have such a muggy head and feel so nauseous, could this be the utrogestan? I'm also using the estrogel and testogel, will this feeling pass. I'm looking after my 7 month old grandson today who is teething and I just feel so rough, roll on 6.30pm....... just wanted a moan.... Thanks

[4meSons]

Hi robotwars I've just finished my utro too and I'm struggling with bad anxiety. I use the vaginal route as I've read this helps lessen side effects
This really is an awful time of life x

[Peony]

Thanks for the update Peony and glad it's working for you - especially the vaginal use of Utrogestan on a continuous basis - since there are not many of us who do this due to bladder irritation and also not wanting to take progesterone continuously.

Do you mean you get up in the middle of the night to apply the estrogel  and do you mean 3 pumps in total? If you are taking quite a high dose of gel then you may well get a small bleed eventually when you stop the utro although it is mainly designed as a no-bleed continuous combined HRT  with the break just in case there is any thickening. Some women do find they get random spotting on the conti dose but perhaps less so with vaginal use as the dose would be more consistent.

Hope you continue to feel well

Not so good.  Although the utro made me feel well in myself the bleeding has gone from bad to worse. After more than a decade of zero bleeding with Mirenas, the bleeding started with the utro and has increased to the point where the last "period" ending about a week ago was torrential with blood and clots literally falling out of me . If I 'd been alone in the house I think i'd have called an ambulance. Have appointment with GP tomorrow to request pelvic ultrasound and referral to Abnormal Bleeding and Hysteroscopy Clinic ( under the 2 week rule to be on the safe side and because am terrified of having another "period" like the last one. My 25 day cycle of utro ends on Saturday and am not re starting because somehow the two things are associated. I know I have fibroids I got the Mirena in the first place because I was bleeding heavily, not as bad as now however. Am going to need a different progesterone , fingers crossed Mirena will work for me again rather than anything surgical. My abdomen is distended and uncomfortable however, don't understand how the fibroids seem to have grown with utro however, though I have read other posts where people seem to have experienced bad bleeding.

No am not so dedicated as to get up in the middle of the night to apply oestrogel. I apply two pumps in the morning after my shower one on each thigh. Then I wash my upper arm when am getting ready for bed and apply one pump then. I ve always done better on divided doses when I first started and had bad menopausal symptoms I found taking all the oestrogel in the morning didn't work. The fluctuations in levels caused symptoms so I divided the doses and that helped. I haven't had a bleed and am now 10 days into the next cycle so hopefully will settle down to no bleed. When I was researching menopause I discovered that it was the fluctuations in hormone levels that caused the symptoms rather than the absolute levels so I have always tried to avoid fluctuations in dosing. This combination seems to be working well for me at present so will see what the future brings. Thanks for your help.