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[sphere27]

Hi ladies I’ve been on continuous oestrogen 3 pumps plus was on alternate uterogestan vaginally. Had bad pain and bleeding on the 24 th Dec. Doc increased uterogestan to nightly to help bleeding. That stopped and she said to increase my pumps to help with continual symptoms. So now on 4 pumps plus started androfemme on Xmas day. So exactly a month since last bleed I now have awful cramping. Bleeding not started yet but this feels like im back to monthly pain and bleeds. If I was feeling fabulous on hrt I would try and put up with it. Really what im looking for is reassurance and if anyone else suffered this. I was on tibilone for 7 years. No bleeding at all but unfortunately had other symptoms hence the change. Feel
I want to give up with it all! Will contact meno doc on Monday but not sure what else I can do. Look like the pale miserable teenager except a lot more wrinkly that I spent years feeling crap every month!!

[sheila99]

If you're not meno hrt won't suppress your periods so you would be better on a sequi regime. If you went straight from tibolone to hrt perhaps you don't know? If you want to be bleed free in peri your best option is a mirena.

[sphere27]

Thanks. Yes I went on Tibilone after my periods stopped for 2 years. Never bled at all even if I forgot to take .I’m 57

[Hurdity]

Hi sphere

Have you ever had the womb lining checked through a scan? If your lining has built up due to insufficient progesterone then it may well take a while to thin so if you have also increased the oestrogel this is counter productive if you're trying to do two things at once.

You really should keep the oestrogen constant if you have increased the progesterone, I would have thought - if the aim is to thin the lining?

My view would be, if you want to increase the oestrogen, would be to take the progesterone cyclically - at the proper licensed dose ie 200 mg for 12 days per 28 day cycle (ideally vaginally) , have a few good bleeds and if they start to tail off, then this means your lining is thinning well and the balance is right. Then see if taking it continuously at the licensed dose will work to keep the lining thin on the standard 100 mg dose (though it may not) with higher oestrogen doses.

I would not want to be having heavy unpredictable bleeds when post-menopausal, due to too much oestrogen. Your meno doc sounds like they have prescribed too little. Alternate day utrogestan is very much unlicensed and in fact is not recommended by BMS. https://thebms.org.uk/wp-content/uploads/2021/10/14-BMS-TfC-Progestogens-and-endometrial-protection-01H.pdf

This meno doc doesn't seem worried about your endometrium - is this on NHS?

Hurdity x

[sphere27]

No meno clinic doc .
She had said she wasn’t too concerned re bleeding as it was new hrt and under 6 months but if I had more heavy bleeding she would recommend a scan. I’ve had awful cramps for 3 days now with no bleeding as yet. Also feeling very tired and sweaty during night.  OTC analgesia not cutting it. I’m hoping this is not causing endometriosis to return? I’ve been taking nightly vaginal uterogestan now since the last bleed a month ago. Beginning to feel go back to  tibilone with no bleeding or sweating and just put up with everything else. Bad weekend and hoping I will feel better tomorrow. Thanks