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[dixie63]

Hello, I was wondering if anyone had experienced the absence of a period/bleed while using hrt cyclically.
 
I am 53 years old, and probably post menopausal. I am in the U.S., so forgive me if I use names of medications not familiar in the UK.

I am taking Divigel (Sandrena gel) 0.5 mg. daily, and Prometrium (Utrogestan) 200 mg. for 12 days every month. I have been on these medications for close to a year, and had a period after the Prometrium for the first few months.
Now it has been about 6 months since I have had one even though I have continued the medications the prescribed way.

My question is, should I be concerned that the bleeds have stopped? Could it just be that I am no longer building up enough lining to shed since my own hormones have declined?

Thank you in advance. I really love this forum!

[dixie63]

Thank you for the quick response, StellaJane!
That is a reassuring answer. I do take the progesterone every month, so hopefully all is well.

[Lizab]

Hi dixie! Maybe you're pregnant?  Sorry, couldn't resist! I'm also in the US and on Prometrium cycles. It's my understanding that the prometrium prevents excessive buildup of the lining, so you should be fine. You could actually switch to a continual combination patch or take the lower dose of 100 prometrium daily instead of cyclical since you're not bleeding anymore. But if what you're doing is working for you I don't know that I would change a thing.

[dixie63]

Hi dixie! Maybe you're pregnant?  Sorry, couldn't resist! I'm also in the US and on Prometrium cycles. It's my understanding that the prometrium prevents excessive buildup of the lining, so you should be fine. You could actually switch to a continual combination patch or take the lower dose of 100 prometrium daily instead of cyclical since you're not bleeding anymore. But if what you're doing is working for you I don't know that I would change a thing.

Thanks for the reply, Lizab!
Surely not pregnant, LOL! That ship sailed long ago.  I will be talking to my gyn about changing to continuous hrt, as I'm pretty sure I'm post now.