Please login or register.

Login with username, password and session length
Advanced search  

News:

Mobile version of the Forum Click here

media

Author Topic: Continuous vs sequential  (Read 1547 times)

Jasmine_2015

  • Guest
Continuous vs sequential
« on: February 07, 2019, 07:43:31 PM »

Hello,

I just wondered if anyone could shed light on why one would need to have a bleed when it comes to HRT?

I am 29 and taking HRT for osteoporosis. I have recently started Utrogestan 100mg daily and oestrogel however I've just been listening to a vlog by dr Renée Hoenderkamp and she mentioned briefly that if you are under 50 you need to have a bleed? It didn't say anymore than that though and I haven't been able to find anything that gives further information about this. I've never menstruated so am a bit of a different situation and confused as to whether I need a sequential regimen or not!

Thanks for reading and any advice would be much appreciated!
Logged

Dancinggirl

  • Member
  • *
  • Posts: 7091
Re: Continuous vs sequential
« Reply #1 on: February 08, 2019, 10:14:00 AM »

If you are oestrogen deficient, then using HRT at your age is crucial. If you are fine using progesterone all the time then there would be no benefits for you to use a sequential regime.  If, however, you were getting progesterone side effects (as some women do) then staying with a sequential regime can be preferable.  I suspect the doctor you saw on a blog was referring to peri menopausal women who are likely to experience problematic bleeding on a conti HRT regime. I think there could also be a psychological benefit to having a monthly bleed for some women who have had premature ovarian failure. 
You might find that having a Mirena fitted would be a good way forward for you - this usually gives fewer side effects overall, you don't have to remember to pop pills and you could simply use oestrogen patches alongside to give you the oestrogen. 

I know many women find Utrogestan really good but it gave me more side effects than any other form of progesterone, especially used continuously.  See how you get on with the 100mg per night and if this works for you then stick with it.

BTW - HRT for you is not just to protect your bones but also to protect the connective tissue in your joints and also maintain skin, muscles, bladder function, immune system etc.  Oestrogen is a vital hormone for the body and without it many things suffer.  DG x
Logged

Jasmine_2015

  • Guest
Re: Continuous vs sequential
« Reply #2 on: February 08, 2019, 12:36:24 PM »

Thanks so much DG for taking the time to respond. That information is very helpful and reassuring. I will see how I get on on my current regimen and go from there.

Best wishes,
J x
Logged

Jasmine_2015

  • Guest
Re: Continuous vs sequential
« Reply #3 on: February 08, 2019, 04:56:15 PM »

Thanks Stella Jane, I've got a new clinic appointment in May so just going try and persevere until then!
Logged