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[lizzog]

Does anyone on here use Utrogestan vaginally?  I've been doing so for about 3 weeks and have noticed that I've been having more night sweats and very poor sleep since I changed from taking them orally.
Not sure if anyone has had that experience?  I assumed that my symptoms would improve as it was localised...
I've been told by a consultant gynae that the bleeds I'm still having sporadically are periods and nothing to worry about as my womb lining etc., all ok after scans, and that age 57 years I could potentially have another mirena in. I'm reluctant to do it as I found it so painful on my last two mirenas, but am considering this now as I can't seem to get a long with the Utrogestan.

[sheila99]

Flushes and insomnia are symptoms of low oestrogen though utro does help some people sleep better. If you're happy using it vaginally I would look at increasing oestrogen. It's very unlikely utro is affecting flushes.

[lizzog]

Yes I'm just a bit unsure what to do as I'm obviously having a very low dip of one of the hormones and struggling to stay awake during the day at the moment!  Will up my oestrogel a little bit.

[Hurdity]

Hi lizzog

Depending when you started peri-menopause - when you last had a natural period, unless you are having a late menopause, it is unlikely - though not of course impossible - that it is your natural periods. Also depends how often they are, the bleeds? The main thing though is that your womb lining is OK - presumably not too thick?

You haven't mentioned what your oestrogen dose is and I presume you are taking 100 mg utrogestan?

I have only ever taken it vaginally but I don't sleep so well when I'm on the Utrogetsan phase (I take it cyclically) - partly because it gives me vivid dreams, but also irritates my bladder so I have to get up in the night to pee.

In terms of sweats - some women do find that they get increased flushes on the utro phase and some women increase their oestrogen dose during this phase - (maybe the utro interferes with the beneficial effect of oestrogen in some way?) but if you're taking it continuously, then a permanent increase in oestrogen is a possible solution - as sheila has already suggested.

Hurdity x

[Gnatty]

I wonder too if you take it vaginally whether you lose the sedative benefit of utrogestan. I believe this is something that happens when it is metabolised by the liver so I guess that won't happen if you don't take it orally. Can anyone confirm this, or am I talking nonsense?
I would prefer to take it vaginally but not at the expense of sleep and feeling hot. I tried it the other night and just like you was awake feeling hot and bothered.

[Hippolyta]

I take Utrogestan vaginally (and apply my Oetrogel) about 2ish hours before bed and it has definitely improved my sleep. I get off to sleep much easier and not being woken in the night with hot flushes. My sleep also feels better if that makes sense? More settled.
When I first started, I took them just before bed and I couldn't get off to sleep - felt a bit 'buzzy' so it definitely helps me to leave a couple of hours between taking and going to bed.

[lizzog]

I reverted back to the oral Utrogestan last night and added in more Estrogel and definitely felt much better - no hot flushes and didn't have that mind racing thing.... could have been a coincidence but feel completely different today and way better.  Tried to re-order my Estrogel today to discover that I need a review of my HRT groan 

[sheila99]

I wonder too if you take it vaginally whether you lose the sedative benefit of utrogestan. I believe this is something that happens when it is metabolised by the liver so I guess that won't happen if you don't take it orally. Can anyone confirm this, or am I talking nonsense?

I think you might be right though I don't have a scientific explanation. For several years I've taken it vaginally (sequi, 200mg) and found it had a negative effect on sleep though left me dopey all day. I had some irritation last time so this time I used the same dose orally. To my surprise it did help me sleep though at least an hour after taking it. My body clock is all over the place atm as we've been lambing but I'll try orally again next time and see if it's consistent.
The one time I took it before going out for the midnight check I had to stay up late as one was lambing, I could hardly keep my eyes open  .