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[Dotty]

https://www.newsonhealth.co.uk/wp-content/uploads/2021/07/Micronised-Progesterone-or-Utrogestan-March-22-update.pdf

Dr Newson’s guide

[sheila99]

The PIL for utrogeston says 25 days in each 28 day cycle

Continuous used to be to take 25 days out of 28 so a 3 day break, but up to date guidance is to take it every day.

Not according to the PIL, that says 25 days out of 28.  Newson says every day for those who are menopausal (1 year without a bleed) but Bungo may still be peri. Have you found any studies that show peri women taking it every day have no build up? Or is it unknown so still possibly a risk? Perhaps I'm wrong but I expect Besins to have tested their own product thoroughly to get it licenced so should know more about than newson.

The BMS says that after a year you can 'attempt' to go on conti - that isn't the same as saying you can. It goes on to say some will have to stay on sequi for longer.

[Bungo]

Hmmm ..I wonder what the reason for 28 is.  I mean if anything, having a 3 day break is going to cause even more lining build up as unopposed oestrogen .

[chucklesista]

Hi Bungo,

As I understand from the PIL and other threads, with utrogestan everyone is treated as though they are on a 28 day cycle of medication, whether peri or post-menopausal. Rather than monthly. Perhaps my misunderstanding... please will someone with empirical knowledge correct if so.

So if you are post-meno (and have no negative reaction to micronised progesterone) - prescribed for 25 days from 28 at 100mg (assuming estrogen less than 100) ie 3 day break. I can't speak for anyone else but this has not resulted in a withdrawal bleed for me, although it could do if the womb lining had built up and needed shedding.
One can choose to take it continuously ie no break in each 28 day block if post-meno.

Cheers, Chucklesista x

[Bungo]

Does anyone know answer to Sheilas question "Have you found any studies that show peri women taking it every day have no build up? Or is it unknown so still possibly a risk".
 I thought taking it each day prevents buildup and the only reason to not was in case of irregular/unpredictable bleeds.
I'm in Ireland and know from a support group that some peri women with egendometriosis are prescribed continuously. I'm dreading seeing the locum doctor now

[Dotty]

Hi Bungo bleeding can happen on continuous use of Utrogestan even if post menopausal….the advice then is to take 200mg of Utrogestan daily to stop the bleeding and prevent build up of the lining.

I can’t answer your question and I don’t think anyone without medical training can. All I would advise you to do is to read the advice from the British Menopause Society. xxx