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[Meno44]

Hi
I’m post menopausal and have been on estrogel 3 pumps and 5mg provera daily for over a year.

Everything was good until I had some stomach cramps and light spotting. My GP sent me for investigations. I had a scan and hysteroscopy in November. I was told my lining was a bit thick (6mm) and everything looked fine so discharged back to GP.

So I’ve now been bleeding for about 4 weeks now and it’s getting me down. I spoke to my GP who suggested changing to Evorel Conti patch.

I put on my first patch yesterday and today I’m bleeding a lot more with stomach cramps. I’ve just looked at the box and it says it contains 50mg of estrogen, that’s not the equivalent of 3 pumps of gel which equates to 75mg.

Could the drop in estrogen cause this increased pain and bleeding?

Please advise me, I’m at my wits end with this bleeding

[Nas]

Oh dear, that sounds awful for you. Any change of oestrogen dose can potentially cause bleeding. I bled sporadically on the 75 patch and utrogestan for best part of a year. Finally I decided to have a mirena coil fitted ( not a favourite choice by many I know ) but it stopped the bleeding dead in its tracks

Would you consider a coil?

Maybe change progesterone?

Hope you get sorted soon. The bleeding isn’t nice, I remember it well and the pain too. I don’t get any bleeding at all now ( although I’m probably not on enough oestrogen!)

Good luck 🤞

Not sure why the GP suggested E conti, as that’s only 50mg as you said.

[Meno44]

Thanks Nas,

I was offered the coil but I’m a bit apprehensive as I did have a coil fitted quite a few years ago and it made my bleeding worse.

I’m just so tired of the on and off bleeding which is getting worse 

[Dotty]

You could double up the Provera dose to 10mg x

[Meno44]

Hi Dotty

I did ask the GP about this but was told the maximum dose for continuous use was 10mg? 

[Dotty]

Meno44…can you take Utrogestan?

[Meno44]

No, I can’t tolerate that unfortunately

[Dotty]

Are you definitely post menopause… did you go 12 months without a period before starting hrt ? This has to be 12 months of not using any form of hormone at all like the mini pill, combined pill, contraceptive injection ? Sorry for all the questions x

[Meno44]

Hi Dotty

Yes definitely post meno. Last period was about 2018 and I’ve had no bleeding at all in that time until recently.

[Meno44]

I’ve also not used contraceptives since 2018

[Dotty]

I’m not sure what to suggest apart from a Mirena coil or using Provera on a cyclical basis.

[Nas]

Not sure either then. Mirena is good at controlling post meno bleeding. Other than that, norethistone or utrogestan ( vaginally)?

[Nas]

Do toy have fibroids? They can cause bleeding.

[Meno44]

Thanks for the suggestions.

I don’t have fibroids just a slight thickening of the womb but the hospital said it’s nothing to be concerned about.

I can’t speak to my GP until the end of the month. I have some 5mg Provera tablets left and I know they can be taken to stop bleeding.

Does anyone know if I can take them along side the Evorel patches to stop the bleeding?

Thanks

[Meno44]

Just to update.

Last night the bleeding and pain was horrific. I managed to speak to a GP today and he has agreed to me going back on the gel and Provera but to up the Provera dose to 10mg for a month to see if the bleeding is controlled.

Hopefully this will solve my problems.