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[Pinkfizz]

Hello All...hope you're well.

A bit of help please, I've been on a sequential HRT for over 16 months and life is pretty good. The odd hot flush,  the odd bit of serial killing...but nothing too serious!! However, oddly I've started my bleed mid way through the progesterone pill rather then at the end. I am on 1mg...do I need a higher dose or is this common?

I suppose what I'm asking is....should I be worried??

Thank you xxxxxx

[Hurdity]

It is quite normal to bleed at some point in the second half of the progestogen phase of HRT especially if you are still peri-menopausal and depending where you were in menopause when you started the HRT. it could just be your own hormones breaking through this month? If your bleeds are very heavy or this one is and you are concerned - then do contact your doctor for reassurance.

Here is what it says on this website about HRT and periods:

What effect can Hormone Replacement Therapy have on your periods?

If your periods have not yet stopped when you start HRT, it is important that you have a regime which includes estrogen and progestogen and is given in a sequential manner so that your periods will continue. Sequential HRT is HRT with estrogen taken every day and progestogen taken for at least 10 days per month. This will produce a bleed towards the end of each pack, or at the beginning of the next pack in 85% of users. This type of HRT will not necessarily make your periods lighter, nor will it necessarily improve unpredictable, unscheduled bleeding. Therefore, HRT should not be used primarily as a treatment for heavy or erratic periods.

If you have been taking sequential HRT for several years, or have reached the age of 54 and wish to continue HRT, it can be changed to continuous combined, or period free HRT. This provides both estrogen and progestogen every day and although some bleeding in the first 6 months of therapy is quite common, it doesn't usually cause bleeding thereafter.

https://www.menopausematters.co.uk/hrtandperiods.php

Hurdity x