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[walking the dog]

Think you all know I got changed to continuos micronised progesterone as I have wpmb lining 8mm and intermittent bleeding Bern going on several years now so meno specialist put me on 200mg utrogestran daily as she thought I may be post menopausal. Well here I am on day 38 having a bleed with awful cramp and I knew it was going to happen as had pmt from hell since Thursday totally irritable angry not like me at all as I usually cry so loh and behold yesterday I was in floods tears had some spotting and a bleed has started today much to my emotional relief
So can any one tell me does this mean my own hormones have over rode the hrt ? Am I still perimenopausal not post ? And in general what's happening to me ? I have to carry on taking the progesterone until I go back menopause clinic in October 😐 any help much appreciated

[Hurdity]

Hi walking the dog

You can't really tell whether you are post-menopausal or not once you've started HRT. To determine this you would need to stop HRT and if you did not have a period for 12 months then you are post! I think approx 80% of women have reached menopause by age 54 which is the time many women are changed from cyclical to continuous combined HRT - although some women are changed after just one year on HRT so see what happens.

The fact that you felt extreme pmt and have had a bleed suggests that you are not yet post-meno and your own cycle is still happening. However, equally, if you are taking this dose of utrogestan orally, and your lining was already thickened - it would well be that a minor fluctuation in systemic progesterone levels  (ie a fall) could trigger the endometrium to shed. Not sure if this would be felt as pms or not - but possibly your body would react to the fall in prog and give pms symptoms as well as a bleed? Do you have any digestive disturbances at all which could have affected absoprtion?

I presume your specialist advised that bleeding might occur?

Hurdity x

[walking the dog]

Thanks hurdity your advice as,aways is much appreciated. No digestive problems and the specialist hoped tho would stop my bleeding not enable it to continue 😐 I think I'm very much peri still, it was the pmt from hell 😒 roll on my appointment in October