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[Flossy]

Utrogestan made me feel awful, I would rather take nothing than feel like that. I am wondering what alternatives there are? My doctor has said to stop it for a week and just use the Estradot patches, but of course I will have to have some progesterone at some point if I take the Estradot for a week and I really don't want to have to take Utrogestan again, I was completely floored for days. Anyone's experiences of being in this position would be great, thank you.

[Dotty]

Other options are Mirena coil , Provera, Norethisterone x

[Flossy]

Thank you Dotty. Do you know if I have bad side effects from Utrogestan is it likely these other progesterones would be the same? I can't have a Mirena coil, fibroids in the way. Thanks again.

[Nas]

Hi Flossy,
Have you tried utrogestan vaginally instead? The side effects are meant to be fewer that way?

[Flossy]

Hi Nas
Yes I did try it vaginally as well as orally but still felt bad, and it seemed to cause some irritation, like I was getting cystitis. Didn't take it last night and feel marginally better today but know I can't just take the estrogen on its own!
Thank you

[Nas]

Ah okay, that’s a blow that it doesn’t work vaginally for you.

Maybe provera or norethistone will suit you better? Both are synthetic but quite strong progesterones I think.

[Dotty]

Hi Flossy some ladies can’t take utrogestan but are fine on Provera. X

[Flossy]

Thanks Nas and Dotty
I don't really want to take a synthetic so not sure where that leaves me.
Thanks for your quick replies 

[Nas]

If your Estradot is a fairly low dose, you could try switching to the femeston conti tablet. The progesterone in that  is very gentle ( dydrogesterone).

Other than that, maybe you could request to take progesterone for a certain number of days each month and have regular scans along the way? 

[Flossy]

Thanks Nas
Yes I did wonder about the femeston Conti but that is a tablet estrogen? I have high blood pressure so I think I can only have a transdermal estrogen.

Unfortunately due to my fibroids my womb lining cannot be seen clearly enough on a scan - I had one last year after suffering hugely long periods and the gynaecologist said the only option to see my womb lining would be a hysteroscopy, which I would not want to have regularly! 

[Flossy]

Also I am still having sporadic, v light kind of periods so not sure I should be on a Conti. Though the doctor (menopause specialist) said to do Conti on the Estradot / utrogestan but she said if I got a lot of break through bleeding then I could change to sequential. It is all v confusing! 

[Nas]

Oh dear, you are somewhat limited then.

Yes, femeston is a tablet oestrogen, so maybe not for you with the high blood pressure.

Probably try provera or norethistone then? They are synthetic, but utrogestan is the only progesterone which isn’t I  think.

[Nas]

If you are still getting periods, you need a sequential regime. Some get away with conti if periods are light and infrequent maybe. Maybe sequential would be better, but that’s still  two weeks of some kind of progesterone.

[Flossy]

Thanks Nas, I know  I was really hoping the Utrogestan / Estradot was going to work for me. I wasn't keen to start HRT anyway and really didn't want to take a synthetic progesterone so now wondering what to do.

Yes I couldn't tolerate even two weeks of feeling how I did on the Utrogestan. From what I can see on this forum it seems unlikely those were transitory side effects. I am usually a very active person and could barely leave the sofa, it was weird, and my brain was so foggy.

[Flossy]

I know, I don't really understand why the doctor put me on a Conti regime. She is a specialist menopause doctor so doesn't seem it was a mistake. I can only think maybe she thought it is better for my fibroids?