Hi puddlesmum
Re your cycle - if you are still ovulating regularly then you will be producing your own progesterone (hopefully sufficient every cycle) so the addition of another 7 days worth will help keep the lining thin. Sounds like you are taking it at approx the right time for you? However in some women 3 pumps of gel on top of their own oestrogen is sufficient to suppress the cycle anyway so that you don't ovulate - and perhaps this might happen with you? I think it will depend on your absorption. I never understand the prescription for taking prog on the first 7 days of a calendar month for peri-menopausal women for the reasons you give ie will throw out your own cycle - unless the oestrogen dose is sufficiently high to suppress it.
Thinking about it, I would actually start taking the utrogestan a little later because even though you will presumably be producing your own, the addition of the utrogestan and then withdrawal of it - may bring on an earlier bleed? Working back from Day 1 (when you want to bleed) I would aim to stop the utrogestan say no more than 3 days before which would mean taking the utrogestan days 21-28 or 20-27. Difficult to say what will happen and you can only try - and perhpas try it your way to start with and then take it a bit later next cycle if it messes things up?!
Sorry I can't help with all the other meds - but I am sure they are all affecting you and maybe even interacting? I don't know how they work (the Mirt.. and the Serox...) but Utrogestan is a sedative and maybe the metabolites bind to similar receptors (out of my depth here?) - and if you are taking it orally there are more metabolic by-products. Taking those 3 products together (and estrogel) is bound to confuse your body a bit I would say|!
Good luck with your new regime anyway and let us know how it works out
Hurdity x
