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[Kikie]

Having been given conflicting advice on when to use the gel and the progesterone tablets I ended up with the gel in the morning and the prog tab at night. Sometimes quite late, ie 10 or 11pm.  I've been feeling nauseous at night and also getting the occasional sweats at night.  I'm wondering if the timing of the progesterone could be part of this or if the balance of oestrogen to progesterone is out.

[Dancinggirl]

Hi and welcome to MM Kikie
What progesterone are you using? Dg x

[Hurdity]

Hi Kilkie

I answered on your other thread but I see you have asked a different question here and from this I gather you must be taking the utrogestan orally. It is recommended to be taken at night to avoid side effects such as dizziness, tiredness and nausea which should be less apparent while you are sleeping. I said on the other thread you could take it vaginally (to minimise side effects) but would need discussing with your doc as you would not want to take it vaginally all the time I doubt. I think most women who use gel apply it in the morning but hopefully someone else can give you their experience as I only use testogel (in the mornings). Depending where you apply it and how you sleep there could be an issue with transfer to partners if you apply it at night as skin to skin contact is not advised for at least an hour.

re the sweats - some women find that progesterone actually decreases the beneficial effects of the oestrogen and for some reason also with vasomotor symptoms of flushes and sweats so this would imply your oestrogen dose is not high enough. If you went to a cycle (with withdrawal bleed) though you might find that this problem resolves. The higher dose you take of oestrogen the higher dose of progesterone you need to ensure the lining stays thin so increasing may also cause other problems in the future!

Hurdity x

[Kikie]

I'm on Utrogestan 100.

I was originally on 2 pumps of oestrogen in the morning but got bad fluid retention in my legs.  A gynaecologist friend of a friend suggested I cut it to one pump, which fixed the problem. I don't want to keep pestering him but I wonder if I should increase it again or not, if the balance is wrong now.

[Dancinggirl]

If the flushes are under control and you feel OK then stick with what you are using.  DG x

[Kikie]

The trouble is the only benefit I have noticed is less vaginal dryness.  (I didnt have night sweats, post menopausal for many years)  No increase in well being or anything else healthwise.  And as the libido hasnt increased I dont know how much improvement there has been vaginally!  Where is a blushing smiley when you need one?! 

[warwick01]

Hi Kilkie

With me all progesterone gives me night sweats. That's why I keep to sequi HRT

Wx

[Dancinggirl]

Kikie  apart from vaginal dryness, what meno symptoms are you trying to control?  If you weren't suffering flushes etc, before and you are simply wishing to increase libido and reduce daytime flushes then you might be better with Tibilone alongside a local oestrogen such as Vagifem.
If you are using Utro continuously (I did find my flushes increased with daily Utrogestan) then as Hurdity suggested more oestrogen would be an idea to try - however this may not actually help you situation.
Utrogestan does have to be taken on an empty stomach at bedtime to reduce the side effects (sedation) so I'm wondering if this HRT regime is right for you if it's not giving you what you need.
You may need to try it sequentially, again as Hurdity suggested, to see if that helps at all.  DG x

[Kikie]

warwick01 sequi hrt?

Dancing girl - the original desire (hahahahah!) was to increase libido. Also sort out vaginal atrophy (not the only cause of loss of libido). Apart from that an improvement in well being in general.

The night sweats seem to have decreased (hadn't had them for years but they restarted with the hrt), the fluid retention stopped since reducing the gel pumps to one, and the emotional lability has stabilised. Still no sense of feeling happier, fitter, more energetic, fitter, less achy or randier! Maybe I could gradually increase the gel.

Sequentially in this context? To me that means one after the other...

Currently living in Spain where supper is eaten LATE (9pm to midnight tho we try to eat earlier)...... empty stomach at bedtime seems contrary to the culture!     Hm, could blame the other half with the late night cheese snacks...

[Hurdity]

Sequi HRT = sequential HRT = cyclical HRT ie approx 2 weeks of oestrogen and two weeks of oestrogen + progestogen and designed to mimic the menstrual cycle ( well sort-of) and produce a monthly withdrawal bleed. The taken on empty stomach thing - personally I wouldn't worry too much about that as long as you do the same thing each day. The info and research on Utrogestan says that bio-availability ( ie how much gets into the system after digestion/metabolism) is INCREASED when taken with food - so you might think that is a good thing since so much is lost in digestion. However as Dancinggirl says the side effects also increase. However if you always take it with food due to late mealtimes then I presume this is not a problem as you will get used to however much you absorb? - you can but try...

Hurdity x