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[Clairesouthall]

Hi I’m new and looking for some advice please. I’ve just started On sandrena 1mg gel - they are little sachets and I use one each morning spread on my leg. On day 14 of my cycle I started utrogestan 100 mg capsules taken at bedtime and these were taken each night from day 14 until day 28.  Im now on day 37 and haven’t had a bleed.  Do I have to wait until I have a bleed to start my cycle again from day one and then start the capsules again at day 14? Can anyone help please.  I can’t get an appointment with my gp to ask. Thank you Claire

[sheila99]

I think you should to the 28 cycle even if you don't bleed. It might be that there isn't enough build up for a bleed this month or it might be that your own cycle is overriding the hrt one and you will bleed when your cycle dictates.

[DottyD68]

Hi clairesouthall,

I agree with sheila99. I would stick to the 28 day schedule, irrespective of bleeds,  as you need the progesterone to protect your womb lining if using oestrogen.

I started off on a sequential regime like you timed around my normal period occuring after day 28. The first couple of months I bled a few days after I stopped the progesterone. I wasnt sure if this was a natural bleed or a withdrawal bleed from the progesterone. But I soon started having bleeds whilst i was taking the progesterone and not after which I think is my own cycle overriding the HRT. I have had bleeds either during progesterone or after since I have been on HRT.
Apparently 85% women have bleeds on a sequi regime whilst 15% don't. I have a notebook where I keep a record of when I take oestrogen only and then both oestrogen & progeterone and also when I bleed. Its useful to do this so you can tell your GP what's going on in terms of a bleeding pattern when you have a HRT review.

Good luck

[SarahT]

Sorry, I cannot advise as am patches and mirena coil.

But I just wanted to say hello, welcome, and am sure someone will be along to advise. X

[Dotty]

Hi carry on as normal with the Utrogestan regardless of bleeding.  If you’re doing two weeks of each then you carry on with that, don’t wait for a bleed.

[Losingtheplot]

Hi I’m new and looking for some advice please. I’ve just started On sandrena 1mg gel - they are little sachets and I use one each morning spread on my leg. On day 14 of my cycle I started utrogestan 100 mg capsules taken at bedtime and these were taken each night from day 14 until day 28.  Im now on day 37 and haven’t had a bleed.  Do I have to wait until I have a bleed to start my cycle again from day one and then start the capsules again at day 14? Can anyone help please.  I can’t get an appointment with my gp to ask. Thank you Claire

Hi Claire,

Dotty is right with her advice I am on this particular HRT also but 0.5mg of gel.  I am on day 10 of the gel so far so good  And then start Utrogestan 5 days 2 x 100mg. 
You maybe one of the lucky ladies that does not bleed    I didn't bleed on Evrol Sequi but couldn't tolerate the Evorol Conti patches on week 3 and 4 terrible side effects to the progesterone so hoping this one suits me better!

Do you mind me asking how you have found the utrogestan?  I know everyone is different but I am just nervous about when I start it with having bad side effects to other HRT.