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Author Topic: Taking continuous Utrogestan when still having periods  (Read 7707 times)

Tora

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Re: Taking continuous Utrogestan when still having periods
« Reply #15 on: July 24, 2022, 09:10:16 PM »

Sorry to read you’re feeling rough Gilla. I looked at taking Utrogestan continuously but doc’s were against it so I didn’t try.
8lbs in weight in 3 weeks is rapid. The good news is that Progesterone is a diuretic and as long as you’re certain the gain isn’t from overindulgence it’s got to be water weight so very easy to shift!
I had very similar symptoms to you in February,  worrying about gaining more really did a number on my self esteem. I saw a nutritionist who has been fantastic.
I hope the P increase works, I take 200mg orally in bed at 9pm and don’t get hungover feelings on aywakening.
Good luck.
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Gilla999

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Re: Taking continuous Utrogestan when still having periods
« Reply #16 on: July 25, 2022, 07:57:00 AM »

Thanks for the lovely message Tora. Out of interest did your docs give you any reason as to why they were against you taking continuously?

It is rapid and the same thing happened in Feb 21 when I started HRT, I gained nearly 1.5 stone in about 4 weeks - it was terrifying! Because I seem to do so well mood wise on Estrogen and it got rid of my life-limiting night sweats and insomnia I just focused on that and never really bothered about the Progesterone part. I knew I couldn't tolerate taking it orally so just took the least amount I knew was allowed (100mg vaginally for 12 days). My sense is that the balance therefore has never been quite right (especially as I need around 700-900 Estrogen level to fell well which is relatively high) and it's caused me all the issuest such as the weight gain, chronic constipation, painful boobs etc. So now I'm focused on trying to up my Progesterone in however best way I can tolerate it! I hadn't thought about it potentially being water weight...

I find it amazing that you're able to take 200mg orally with no issues - has it always been that way or did it take your body time to used to it?
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Tora

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Re: Taking continuous Utrogestan when still having periods
« Reply #17 on: July 25, 2022, 08:49:28 AM »

You sound so like me! I didn’t have sore boobs, everything else is identical.
I was advised to try and factor HRT around my cycle until I’m 50. That might have been influenced by me adjusting to Utrogestan after 4 months of it causing drowsiness and withdrawal symptoms which have hugely improved.

Have you had the constant hunger?
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Gilla999

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Re: Taking continuous Utrogestan when still having periods
« Reply #18 on: July 25, 2022, 09:16:07 AM »

Do I really? Am I right in remembering that you also need your Estrogen to be quite high like me? I too have been fitting the HRT (the Utrogestan part) around my cycle, but funnily enough I was told by the NHS menopause specialist I finally saw last week NOT to do that!! She couldn't give me any satisfactory / scientific answers as to why though  ;D

It's difficult for me to answer on the hunger, because I have other factors at play - back in 2019 (before I realised that the insomnia I was experiencing was due to perimenopause and low Estrogen) I was prescribed Mirtazapine, a sedating antidepressant. Unfortunately it is repeatedly shown in studies to cause the most weight gain out of any antidepressant or antipsychotic there is on the market and I was no exception. I gained 1-1.5 stone from taking that (went from 8.5 stone to 10 stone). But that then plateaued and didn't change for about two years until I started HRT which then caused me to rapidly increase further to 11.5 stone. So you can imagine how soul destroying it's been - on top of all the general health and hormone problems - to deal with a 3 stone weight increase that has absolutely nothing to do with what I eat or how much I exercise (believe me I have tried every single diet, exercise, supplement, everything under the sun you can think of and nothing makes any difference). So I do believe wholeheartedly that too high Estrogen can absolutely cause weight gain - but I'm not sure if it through hunger or other mechanisms, or both! I am SO careful about how much and what I eat now - I eat way less than I did in 2018 when I weighed 8.5 stone!

Interesting that your initial drowsiness caused by Utrogestan really improved - that's positive to hear! I've been doing a bit of research trying to figure out how i can get the most Progesterone into my system with the least side effects!!
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joziel

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Re: Taking continuous Utrogestan when still having periods
« Reply #19 on: July 25, 2022, 10:01:24 AM »

You folks experimenting with progesterone things might be really interested to get Lara Briden's book 'Hormone Repair Manual' as she has some thoughts on that one.

You could also check out this website which she is a fan of, and see the diagrams there for how to get utrogestan to fit with your cycle: https://www.cemcor.ubc.ca/resources/cyclic-progesterone-therapy
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Gilla999

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Re: Taking continuous Utrogestan when still having periods
« Reply #20 on: July 25, 2022, 01:10:19 PM »

Lara Briden is excellent, I've been a follower for a few years and have her books! Highly recommend.
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Gilla999

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Re: Taking continuous Utrogestan when still having periods
« Reply #21 on: July 25, 2022, 01:12:50 PM »

Interesting that the article says 300mg Joziel! Other than that it describes how I take it except I've been doing 12 days not 14 (but will start 14 from this cycle).
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joziel

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Re: Taking continuous Utrogestan when still having periods
« Reply #22 on: July 25, 2022, 05:18:06 PM »

Yes, she says she uses between 100mg to 300mg dependent on what is needed. For powerful usages(!), like stopping unwanted bleeding or endometriosis suppression etc, she uses 300mg.
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Tora

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Re: Taking continuous Utrogestan when still having periods
« Reply #23 on: July 26, 2022, 10:21:20 AM »

Do I really? Am I right in remembering that you also need your Estrogen to be quite high like me? I too have been fitting the HRT (the Utrogestan part) around my cycle, but funnily enough I was told by the NHS menopause specialist I finally saw last week NOT to do that!! She couldn't give me any satisfactory / scientific answers as to why though  ;D

It's difficult for me to answer on the hunger, because I have other factors at play - back in 2019 (before I realised that the insomnia I was experiencing was due to perimenopause and low Estrogen) I was prescribed Mirtazapine, a sedating antidepressant. Unfortunately it is repeatedly shown in studies to cause the most weight gain out of any antidepressant or antipsychotic there is on the market and I was no exception. I gained 1-1.5 stone from taking that (went from 8.5 stone to 10 stone). But that then plateaued and didn't change for about two years until I started HRT which then caused me to rapidly increase further to 11.5 stone. So you can imagine how soul destroying it's been - on top of all the general health and hormone problems - to deal with a 3 stone weight increase that has absolutely nothing to do with what I eat or how much I exercise (believe me I have tried every single diet, exercise, supplement, everything under the sun you can think of and nothing makes any difference). So I do believe wholeheartedly that too high Estrogen can absolutely cause weight gain - but I'm not sure if it through hunger or other mechanisms, or both! I am SO careful about how much and what I eat now - I eat way less than I did in 2018 when I weighed 8.5 stone!

Interesting that your initial drowsiness caused by Utrogestan really improved - that's positive to hear! I've been doing a bit of research trying to figure out how i can get the most Progesterone into my system with the least side effects!!

Hi,
It sounds like you’re balancing a lot at once which is super stressful. Insomnia and low mood were sorted by oestrogen for me too. Can you stop Mirtazepine now? Is there any data about weight reduction when the medication is stopped?
I do take a high E dosage, I’ve tried lots of smaller dosages but I’m symptom free at current dosage. I hate taking medication of any type but need to accept that HRT is necessary. I settled the Utrogestan by taking 100mg vaginally and 100 orally for a month and then both tablets orally the next month, for 12 days.

My weight loss started when I increased eating, I eat a lot of food now and my metabolism is no longer asleep. What you’ve written about trying all diets, exercise sounds like where I was, do you feel like you’ve lost control of hunger symptoms?

One thing I’m absolutely convinced of is that balancing P & E and possibly T too is the tip of the iceberg. Many more hormones are involved, I’m watching thyroid function and insulin too as if these two are out I feel sluggish and I’ll gain weight.

Sorry for long post!
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Gilla999

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Re: Taking continuous Utrogestan when still having periods
« Reply #24 on: July 26, 2022, 03:21:18 PM »

Unfortunately I can't just stop Mirtazapine without getting horrendous rebound symptoms (primarily insomnia) so I'm having to reduce it at a tiny amount a month which is taking forever. But I will eventually get off it!

How interesting about your weight loss... YES I 100% feel like I've lost control of hunger symptoms. I used to have a fast metabolism and would eat "little and often" and would frequently suddenly find myself VERY hungry (you know the shaky kind where you have to eat straight away) and feel full up quickly after not much food. Now I don't really ever feel hunger in the same way but I also don't ever really feel full up - it's like all the signals which play a part in appetite have been switched off.

It has really showed me how weight really is NOT necessarily about calories in and out - there are so many other factors at play that have a huge impact in it.
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Tora

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Re: Taking continuous Utrogestan when still having periods
« Reply #25 on: July 28, 2022, 08:08:24 AM »

Hi,
I really feel for you with living with a medication reduction, I know it feels like navigating a bouncy tightrope. Insomnia is tough, are you getting any professional support whilst reducing and getting through with insomnia?

You’ve described my metabolic history! The weight gain really damaged my mental health but it only took about 10 days to correct, the weight started to correct itself and everything took a dramatic change for the best.
I totally agree with you about calories, unfortunately society/ industry has beaten women with that stick for decades. A dietitian told me to stop exercising for a month and eat to fuel and enjoy, minimum 3 meals a day.
At 39 and only 11lbs weight gain my bloods showed I was heading for pre-diabetes/metabolic syndrome. All reversed now.

You will get off the Mirtazepine, every minute reduction is a huge step. Well done for tackling it.x
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joziel

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Re: Taking continuous Utrogestan when still having periods
« Reply #26 on: July 28, 2022, 10:45:39 AM »

If you're struggling with weight gain (I had an awful time with this, even though I am skinny!) - for me, what helped was...

- Fixing hormones. I had very low hormones - all of them(!). Desogestrel was suppressing my ovaries from producing estrogen and testosterone and without ovulation there would have been little natural progesterone. Starting HRT has helped HUGELY and especially the estrogen. Each time I increased estrogen, my guts worked better/faster and my sluggish guts stopped being slow. I started to process food faster and everything just sped up, including my metabolism. I really think that, without fixing hormones, all the rest is just not going to work. I know that NOTHING worked before I fixed my hormones. After that...

- Eating high fibre. When you find yourself weighing too much, the tendency is to try to eat less and to 'diet'. For me, this just slowed everything down even more. So - eating more food, but making sure this quantity was high fibre and low carb. I ate loads of watercress(!), raw carrots, broccoli, spinach and greens...

- Intermittent fasting or having a short eating window. My husband prefers to skip breakfast and eat his first meal at lunch time and then again at 6pm. I can't do that, I find that I need breakfast - but I don't like eating in the evening or going to bed with food in my stomach, so I eat my main meal for breakfast and then a smaller meal at lunch time and I really don't eat much at all from 3pm until the next morning. It doesn't matter when you do it, but having a 6hr eating window each day really helps like nothing else. You can have water, black coffee or black tea/rooibus any time.

- Apparently research shows that having a tablespoon of vinegar before eating really helps reduce your blood sugar spike after food. (I heard this on the Zoe Health podcast!) So if you have a little green salad with vinegrette on it before your meal, it will help you not to spike after the food.

- No sugar and low carb. Even if your weight is optimal, this is just best practice and healthy eating now. No pasta, bread, pizza, white potatoes, starches... No refined sugar. Use stevia, monkfruit, allulose and healthy artificial sweeteners. A bit of honey or maple syrup is okay but don't go overboard.

- Supplements - berberine is supposed to be excellent, almost as good as metformin, the prescription diabetes medicine, for improving blood sugar levels. Therapeutic dose is 350-500mg 2x daily. Do not take longer than 8wks, for 5 days a week (2 day break each week). Then stop for at least one month before going again. It's also really good for endo (reduces inflammation) so I am about to start it for that reason. NAC is also supposed to be great, 3x daily for 3 days a week - also good for histamine issues. And so is chlorella.

- Exercise. Not to lose weight but because it gets your mitochondria working better and just helps your body get back into energy burning mode. I hate exercise but during lockdown I discovered the Fiit app and the structured 5-6 week courses there, where they assign you 4 classes a week. It really motivates me to get my classes done. Since lockdown, I work out 4x a week with free weights - having hated all forms of exercise before this in my life. I've got muscles where I never knew they existed now  ;D

If you are really stuck, you can purchase a continuous blood glucose monitor and use it to monitor what is causing your spikes and how you are reacting to foods. This will really help you know the foods your particular body reacts to.

Hope that helps give people some ideas!

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Gilla999

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Re: Taking continuous Utrogestan when still having periods
« Reply #27 on: July 29, 2022, 06:35:49 PM »

Just wanted to say thank you Tora for the good wishes and thank you Joziel for all the helpful info! Tora, we really do sound so similar!

The biggest lesson I've learnt over the last year or two is how much our hormones affect our weight. Perhaps some have more of a disposition towards this than others, but it's been huge for me. I am on a journey (it will take time as sudden changes to my HRT just cause me rebound symptoms and then I'm worse than where I started!) to get my E and P in a balanced state. If after that I still haven't lost the weight I randomly gained when I started HRT then I can at least right it off as a cause. Unfortunately I had to stop the continuous Utrogestan as I felt very tired - BUT even at the time I was certain that the Utro was the cause. I also reduced my Lenzetto slightly and I should know by now only to introduce one change at once otherwise it confuses things! So the tiredness could equally have been from that, as it's a common symptom for me of lowering my HRT.

I plan to try 200mg Utro (vaginally) on day 14 (in about one week's time) and I'm praying it goes OK with no side effects!! Thanks lovely ladies for all your feedback here and hope everyone is doing OK today xx
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