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Author Topic: How many ladies feel good on Continuous Combined HRT? Do You?  (Read 5876 times)

jillydoll

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Re: How many ladies feel good on Continuous Combined HRT? Do You?
« Reply #15 on: August 12, 2019, 02:53:37 PM »

Hi....I'm on Femoston Conti. And I feel good now it's kicked in properly.
I've had trial and error with the dosage, but have now found the right way to take it for me..
Been on it continuously for the last 18 months, and have felt better, more like myself for the last 4/5 months...used to have terrible headaches, some which were migraines, horrible bloating, bad, bad, wind problems from it, and nausea.....all of which have settled down.
I can't really believe I'm writing this, it's only when i stop and think, that i realise just how better I actually am! No more mood dips, ( only from normal life) no more sky high anxiety,
which was a biggie for me, and I sleep better....( except for my OHs snoring) 😆
So, yeah, I wouldn't give it up for all the coffee in Starbucks...🙂
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linz57

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Re: How many ladies feel good on Continuous Combined HRT? Do You?
« Reply #16 on: August 12, 2019, 03:46:22 PM »

That is interesting Linz57,

I sleep better on the progestereone phase of my combined regime. There is a difference in feeling a bit more tired than exhausted. I wonder what if any research there is on a low dose progsterone on mood has etc. I wonder if it builds in the system or keeps at a stable level

PMX
Good point pepperminty, it would be interesting to find out. I've heard of some women feeling worse when they've been on progesterone a long time, but for me I just seem to keep pretty constant mood wise. I wonder if taking it on a sequi regime is causing more ups and downs than on a conti basis for some?
« Last Edit: August 12, 2019, 03:48:27 PM by linz57 »
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pepperminty

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Re: How many ladies feel good on Continuous Combined HRT? Do You?
« Reply #17 on: August 12, 2019, 04:13:28 PM »

Hi....I'm on Femoston Conti. And I feel good now it's kicked in properly.
I've had trial and error with the dosage, but have now found the right way to take it for me..
Been on it continuously for the last 18 months, and have felt better, more like myself for the last 4/5 months...used to have terrible headaches, some which were migraines, horrible bloating, bad, bad, wind problems from it, and nausea.....all of which have settled down.
I can't really believe I'm writing this, it's only when i stop and think, that i realise just how better I actually am! No more mood dips, ( only from normal life) no more sky high anxiety,
which was a biggie for me, and I sleep better....( except for my OHs snoring) 😆
So, yeah, I wouldn't give it up for all the coffee in Starbucks...🙂

Hi Jillydoll, when you sy trial and error with the dosage, did you experiment and how did you find the correct dose ?

PMX
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pepperminty

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Re: How many ladies feel good on Continuous Combined HRT? Do You?
« Reply #18 on: August 12, 2019, 04:16:54 PM »

That is interesting Linz57,

I sleep better on the progestereone phase of my combined regime. There is a difference in feeling a bit more tired than exhausted. I wonder what if any research there is on a low dose progsterone on mood has etc. I wonder if it builds in the system or keeps at a stable level

PMX
Good point pepperminty, it would be interesting to find out. I've heard of some women feeling worse when they've been on progesterone a long time, but for me I just seem to keep pretty constant mood wise. I wonder if taking it on a sequi regime is causing more ups and downs than on a conti basis for some?

Yes Linz57, I wonder too, as sounds logical that the body may adjust over time for some.

PMX
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Kat17060

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Re: How many ladies feel good on Continuous Combined HRT? Do You?
« Reply #19 on: February 10, 2025, 07:21:39 AM »

What specialist did you see?
I think this is what I need?
I’ve tried all combinations but can’t get it quite right? I need both as I have endometriosis
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flo69

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Re: How many ladies feel good on Continuous Combined HRT? Do You?
« Reply #20 on: February 10, 2025, 09:47:52 AM »

What an interesting question to uncover.

Kat, have you tried Tibolone? It is supposed to be the first line HRT for women who are intolerant to progestins, but doctors really don't care about progestin intolerant women, the more arrogant among them even speculate that we don't exist :o instead of the more sensible self reported figure of 15-20% of women believe they are intolerant to progestins (and know it even if they haven't learned the word progestin yet, that was me for 40 years).

To answer the original question, Tibolone is continuous and used as an HRT and I absolutely love it.

I was offered the most awful HRT progestins while I wasn't allowed tibolone, I was fool enough to believe my GP that progesterone intolerance only occurs in younger women. No, it's incredibly awful in older age, worse than before as it happens because I'm not so used to it any more.

I go from happy (because I have a good life), to planning my suicide and deciding how to tell my kids I need to die, that's within about three days of starting most progestins. My GP's stern order? Don't stop taking it, it must be taken for 12 days otherwise you'll be at risk of the most sinister dangers of HRT.
No, the risk of suicide comes first, she's an idiot, it's obviously a mistake to cause a patient to become suicidal, don't double down and repeat.

But she did repeat, I've tried loads of them now and lost my last job in the process, I couldn't possibly work while on progestins, it was horrific. I will never put my trust in a doctor again after being led that unmerry dance.

Utrogestan is horrible for wind pains and no sleep because I was so wired on it. I felt all over the place emotionally on it, but it was the best of a bad bunch.

With Tibolone I don't get side effects at all, unless you count things like more energy and renewed appetite for life as side effects.
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Mary G

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Re: How many ladies feel good on Continuous Combined HRT? Do You?
« Reply #21 on: February 10, 2025, 11:46:56 AM »

The progesterone component of HRT is a massive problem for a lot of women and it's very difficult to find the right type at the right dose.  So many women end up ditching HRT altogether because their regime is blown apart by taking too much progesterone which wipes out all the benefits of oestrogen. 

I think problems with Utrogestan come up on here more than anything else and even people who are not progesterone sensitive often have problems with it.  I can't stand the stuff and never go anywhere near it.

There are other progesterone options like Cyclogest if you want to stick to body identical or some of the synthetic progesterone brands are quite tolerable like Cerazette.  A lot of women do well with Femoston so that is worth a try.

If you can afford it, compounded progesterone is a very good option because it's bespoke and easy to tolerate - I didn't have any side effects at all.

The important thing is don't overdose on progesterone because you will probably have side effects and it will cancel out the positive effects of the oestrogen.  You need to find the right type of progesterone at the right dose which means the minimum amount to keep the womb lining below 5mm on a continuous combined regime.  Obviously it means having regular uterine scans but that is no bad thing.

As mentioned, Tibolone is well worth trying too.
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