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[Katejo]

Hello All

I started Evorel Conti half patches in April 2019. Benefits were initially limited so I moved to full patches in June which worked better. However the bleeding started in September and has continued since then. It gradually reduced over time but is showing no sign of stopping and I get period style pains with it. A hysteroscopy found nothing wrong but I have had enough of the bleeding.
I want to try reducing down to half patches again to see if that stops the bleeding but I am not sure how it will work. I did apply a half instead of a full patch a couple of days ago but the bleeding reappeared by the following day so I added the other half patch.

Has anyone managed to reduce bleeding by using half patches? Did you get bleeding to start with which then stopped?

[robotwars]

will be watching this thread with interest, as i also have had bleeding with evorel conti, but heavy bleeding, dr changed me to evorel sequi but bleeding is so heavy with dreadful period pains, which i didnt think i would have at 56 years of age, as i was period free before starting this!!!! be interested to see your replies.

[robotwars]

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

Just found this on this site

[Katejo]

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

Just found this on this site

  Yes I have read this in the past. I don't want to stop the patches completely but just want to see if reducing to half patches will stop the bleeding.

[shrosphirelass]

Also interested in hearing about this. Hopefully there's some women out there who have had success with this.

[Hurdity]

Hi katejo - sorry to hear about your ongoing bleeding on Evorel conti. What were the results of your hysteroscopy ie what was the womb lining measurement? Unfortunately some women never settle on continuous combined HRT and choose to change to cyclical so that the bleed is predictable. Is this something you can consider? Another possibility is a Mirena coil but that might be overkill - and it depends on the amount of bleeding and what your womb lining was like?

Hurdity x

[Katejo]

Hi katejo - sorry to hear about your ongoing bleeding on Evorel conti. What were the results of your hysteroscopy ie what was the womb lining measurement? Unfortunately some women never settle on continuous combined HRT and choose to change to cyclical so that the bleed is predictable. Is this something you can consider? Another possibility is a Mirena coil but that might be overkill - and it depends on the amount of bleeding and what your womb lining was like?

Hurdity x

My womb lining was only 5.5mm . No fibroids or polyps. No biopsy taken in the end because the lining found was 'scanty' as the consultant described it. I was offered a Mirena but I really don't like the idea of that at all so I said no. My bleeding is already pretty regular once a month without a change to cyclical. I just want to know whether the bleeding might stop if I drop back to half patches. Not sure how to go about trying it.

[robotwars]

Hi Katejo, just wondered how you got on, did you go to half patches???

[vickypk]

Hi
I've been on Evorel Conti for four years and been okay with it, apart from having a polyp and bleeding for three months last year.
All seems fine now.
Hope you are ok Katejo.
Xx. Vicky

[shrosphirelass]

Hi Vickypk are you still taking evorel conti and did they think the bleeding and polyp was related to it at all?

[Katejo]

Hi Katejo, just wondered how you got on, did you go to half patches???

  I haven't got any further. I applied 1 half patch and immediately got a tiny bleed the following day so added the 2nd half of the patch and haven't tried again yet. Think I will wait another month or 2 before testing it again.

[Katejo]

Also interested in hearing about this. Hopefully there's some women out there who have had success with this.

I have just heard that I have an unexpected phone call appointment with the meno clinic next week. They have moved a hospital appt (which I didn't even know about!) from later in the year to now. I am going to make a point of asking (if I can)  about the continued bleeding with Evorel Conti/reducing to half patches. I will report back afterwards.

[shrosphirelass]

Also interested in hearing about this. Hopefully there's some women out there who have had success with this.

I have just heard that I have an unexpected phone call appointment with the meno clinic next week. They have moved a hospital appt (which I didn't even know about!) from later in the year to now. I am going to make a point of asking (if I can)  about the continued bleeding with Evorel Conti/reducing to half patches. I will report back afterwards.

Look forward to hearing what they say

[vickypk]

Hi shrosphirelass
No they didn't think the polyp was connected to the Evorel Conti. They just said it was okay to continue using it
Hope all is fine with you xx

[Katejo]

Also interested in hearing about this. Hopefully there's some women out there who have had success with this.

I have just heard that I have an unexpected phone call appointment with the meno clinic next week. They have moved a hospital appt (which I didn't even know about!) from later in the year to now. I am going to make a point of asking (if I can)  about the continued bleeding with Evorel Conti/reducing to half patches. I will report back afterwards.

Look forward to hearing what they say

I had the call this morning. I told her that I had cautiously tried with one half patch but got a tiny bleed the next day so had stopped. Her view was as follows:

She thinks  that this would be a good idea to try but persevere a bit longer with half patches, perhaps 3-4 months to see if it stops. If I do get more bleeding, I should continue for a while unless it becomes continuous for a week or more or I find that the VA symptoms become worse despite using Vagifem as often as i need it. She thinks that the tiny bleed could have been a coincidence.

She mentioned the possibility of a Mirena coil again but I am really not keen. I don't want another general anaesthetic which I would need to have it inserted. I also don't like the idea of something in me which I can't remove myself  (lack of control for me) and I have read of women having bleeding with that too.

A third point she made was that if the bleeding were to continue much longer, I would have to have the hysteroscopy repeated even though my layer was only 5.5 mm and they failed to get a biopsy at the 1st attempt. I said that I regretted having the first one. I have had recurrent cystitis episodes since that was done and I suspect that there is a connection. I have a follow up urogynaecology appt. in November and intend to ask about the cystitis. It usually responds to bicarb of soda and water but comes back a few weeks later.

I applied just a half patch this morning so will see how that goes and report back. Please let me know if you decide to try it.