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[Sunriser]

I had an endometrial ablation in 2007 (way before meno) I'm 53 now and can't tolerate utrogestan orally so am inserting it vaginally. The information I had seen previously stated inserting it on alternate days but now I see it's recommended daily?
In light of the progesterone intolerance (I've tried everything) I attended my GP Mirena clinic last week, if my cervix was any further back I could have worn it as a rucksack  . Once she got her mining lamp on and found it the coil wouldn't go past the cervix into the uterus. Apparently it's at a funny angle. The alternative is to go privately so it can be done with a scan (£500! No thanks).
So the GP wasn't happy with the Utrogestan being used vaginally, I have no leakage and very little discharge.
Any advice? I'm also on Everol 75 patches as the Evorel conti stopped working for me. I have pre existing chronic illness which seems to complicate everything. When I started the Utrogestan vaginally I had some stomach cramps which have settled down.

[Penguin]

I don't know about daily or alternate daily dosing, but I do know there are plenty of GPs who say vaginally is fine. It is licensed for vaginal use in other countries. I have only ever used it vaginally as i cant take anything orally on an empty stomach. For first couple of days each month I get mild tummy cramps (like period pain) shortly after inserting, but it settles down like you said. It is your body, your choice. I would stick with vaginally if you prefer it and perhaps see another GP at your surgery if that is possible.

[Sunriser]

Thanks! I didn’t know that. That’s a relief. I’ll continue with it and I’m sure she’ll keep prescribing for me. She’s very helpful and understanding.

[Penguin]

Oh well don't give up on a helpful and understanding GP then, they are hard to find! Perhaps mention to her that it is licensed for vaginal use in other countries, she may not know.

[sheila99]

Or just don't tell her. She might be one that's frightened to prescribe something off licence.

[Sunriser]

Yep, I was intending on telling her that I tried to take Utrogestan orally again and can tolerate it this time. A little white lie to keep her onside.