Am late perimenopausal , 53 years old. Had periods upto January. On continuous hrt for a year( I asked to go straight to continuous as wanted utrogestan every night to help sleep). I have gluteal tendinopathy and facet joint syndrome which has caused pain most days for over a year, days worse than others. Ive had on and off light spotting since Jan. I had spotting for about 9 days ending 3 days ago. During these 9 days,.my pain levels were really low and a few days I felt pain free. As soon as the spotting stopped, my pain returned. I think I heard before that higher oestrogen causes bleeding so I'm wondering if my own oestrodial levels were higher last week and that's why the pain was low? On 2 pumps oestrogel at moment so wondering if should ask to increase to 3 to help with pain. Maybe it's totally unrelated but I found it curious how the pain returned when the bleeding stopped. Must try to see if similar pattern in future. Can't remember if was the same pattern the past 6 months