Kittyjay - if you are getting spotting etc on the Utrogestan then have you thought of going back onto a cycle - it sounds like you are not post-menopausal yet and your own hormones are breaking through? If you have no uterus problems, that is probably the only explanation, unless your oestrogen dose is also quite high?
I agree re inserting capsules every night - I am on a long cycle for just that reason, as I don't want to take it orally. It's a bit of a bind still having a bleed at 61 though!
The empty stomach thing is weird though - because the info shows that the bio-availability of progesterone is increased when taken with food - but that can't be a bad thing - except it could give rise to more side effects?? Generally much of the progesterone taken orally is lost in digestion and going through the liver, so a much higher dose is taken than actually gets into the system. It is also an unstable compound.
Yes utrogestron pessary with applicator.
Dazned, can you use vagifem at the same time ?
Just getting my options together for when I go back on hrt in 3 weeks xx
Hi Annie0710 - when I am using utrogestan (at night) I use Vagifem in the morning just to vary what I put up there and when

. I just use fingers - it's quite easy - just like a tampon only a bit further up!
dazned - have you been prescribed Utrogestan 200 mg vaginal for fertility? It does not come with an applicator normally as it is only licensed for oral use for HRT, unless you are being prescribed it privately and the dispensary provides one separately?
Hurdity x