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Menopause Matters magazine ISSUE 81 out now. (Autumn issue, September 2025)

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Author Topic: Have to stop HRT  (Read 2691 times)

Rhiner

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Re: Have to stop HRT
« Reply #15 on: November 24, 2019, 08:52:01 AM »

Hi All,

I started alternate day dosing of Utrogestan, orally not vaginally., as I did not like the idea of vaginally.  I developed a polyp which was removed, but this may have been down to the fact that I was 10 weeks on oestrogen only rather than insufficient prog. I have seen the studies on vag route and Im pretty convinced this would have worked, then again maybe oral was sufficient as reason for polyp may have been E alone as stated already. My specialist suggested I then try 2 days on and one off which I have been doing for the past year with no problems, endo thickness is low (gave skewed results initially due to the polyp). Sample from endo lining showed as 'inactive endometrium'.

When I first started the alternate day dosing it took a little while to settle, just a bit of low level headache now and again and feeling itchy, but this soon passed. When I upped to 2 on one off, I felt no difference whatsoever.  It is a real shame that 50mg Utrogestan is not a Commercial product. 
Rhiner
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Hurdity

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  • Posts: 14076
Re: Have to stop HRT
« Reply #16 on: November 24, 2019, 06:31:55 PM »

Ah I see - thanks for the info Rhiner. The research on alt day was using it vaginally - as more gets to the uterus for a given dose when taken that way. I can see it wouldn't be ideal of oral intake.

I think we all agree about the need for a 50 mg product! At least for low/medium oestrogen doses and also for in between doses eg 150 mg prog for those who need it!

Hurdity x
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KiltedCupid

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Re: Have to stop HRT
« Reply #17 on: November 24, 2019, 07:09:17 PM »

Birdy - polyps are also fed by oestrogen. I had one removed last year, a big one, and the lab results said it was consistent with hrt use. My consultant then suggested that sequi was not a good idea for me as it's extended periods without prog.
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Sammiejane

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  • Posts: 963
Re: Have to stop HRT
« Reply #18 on: November 25, 2019, 03:28:18 PM »

hi hurdity and birdy.

would like advice ladies

latest estrogen 368 pmol
test 0.7 pmol

still shedding hair and this was initially thought was due to low estrogen ! not the case i'm still shedding and dermatology want me to stop the estrogel 2 pumps to see if shedding stops to confirm it is estradiol which is causing it as hair loss has been exelerated and possibly started since taking estrogen only hrt. my hair was very thick before and grew fast !
if i stop the estrogen this has to be for 4 months which i'm unsure to do because having no ovaries i don't want to plummet and has took 11 months to get estrogen levels up ! i've took progesterone last 4 days and my hair feels thicker but shedding same to early to say whether this would help !
but my question is would changing to a patch help or stop shedding or as this is still estradiol would it make no difference ? and should i add in testosterone first to see if this helps as i know this is low! dermatology said that adding in testosterone would not then determine what causing the hair loss because it may continue to shed as still taking the estrogen ! but if it's due to hormonal imbalance then it should in theory stop unless testosterone causes me hair loss in which case it would get worse ! am i correct in my thinking and what to you advise i should do !
thank u ladies
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Anaise

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  • Posts: 77
Re: Have to stop HRT
« Reply #19 on: November 25, 2019, 05:21:05 PM »

hi hurdity and birdy.

would like advice ladies

latest estrogen 368 pmol
test 0.7 pmol

still shedding hair and this was initially thought was due to low estrogen ! not the case i'm still shedding and dermatology want me to stop the estrogel 2 pumps to see if shedding stops to confirm it is estradiol which is causing it as hair loss has been exelerated and possibly started since taking estrogen only hrt. my hair was very thick before and grew fast !
if i stop the estrogen this has to be for 4 months which i'm unsure to do because having no ovaries i don't want to plummet and has took 11 months to get estrogen levels up ! i've took progesterone last 4 days and my hair feels thicker but shedding same to early to say whether this would help !
but my question is would changing to a patch help or stop shedding or as this is still estradiol would it make no difference ? and should i add in testosterone first to see if this helps as i know this is low! dermatology said that adding in testosterone would not then determine what causing the hair loss because it may continue to shed as still taking the estrogen ! but if it's due to hormonal imbalance then it should in theory stop unless testosterone causes me hair loss in which case it would get worse ! am i correct in my thinking and what to you advise i should do !
thank u ladies

If dermatology advise to stop the Estrogel then I would, may be reduce your dose gradually over the next few weeks and see how you go.
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