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[Penguin]

So, I've finally decided to go ahead and see a specialist with a view to lowering my dose of utrogestan and shortening the number of days I take it for. I know this needs to be done under supervision and with regular scans to check lining growth. I assume that whoever I see will need to do a baseline scan to check thickness before letting me start, and wondering therefore what is the best day in my cycle to arrange this for please? I am still in peri and have a regular bleed when stopping the utrogestan. The bleeding usually starts literally the first day I stop taking it, so day 26 or 27 on my hrt cycle as I take utrogestan on days 15-26. Anyone know what day would be best please?

[sheila99]

I think it should be done when it's at it's thinnest which is just after the bleed so perhaps day 5-6 (assuming day 1 is the start of the bleed). Might be best to check with the diloc though?

[Penguin]

I think it should be done when it's at it's thinnest which is just after the bleed so perhaps day 5-6 (assuming day 1 is the start of the bleed). Might be best to check with the diloc though?

Thanks yes, just done that and anytime days 5-8 is fine. They'll scan even if I am still bleeding. Downside though is the clinic (the Doc is the one Mary G mentioned) have said they no longer prescribe lower dose / shorter duration progesterone. Only thing they can offer me is a mirena 😥

[sheila99]

Not quite sure where diloc came from 😂 - I blame predictive text. I wouldn't encourage anyone to go against their doc's advice but as long as you're scanning regularly I don't see it's too risky. If it's an NHS gp I can understand they have to follow the guidelines they're given. Good luck with it.

[Penguin]

Not quite sure where diloc came from 😂 - I blame predictive text. I wouldn't encourage anyone to go against their doc's advice but as long as you're scanning regularly I don't see it's too risky. If it's an NHS gp I can understand they have to follow the guidelines they're given. Good luck with it.

Thanks Sheila. No this was the private clinic that Professor Studd used to run - I'd read on here they do lower/ shorter doses, but rang today and turns out they have now stopped because of being worried about getting imto troubpe for going against BMS advice. I am going to research the mirena a bit more - I can handle physical stuff more than I can handle mental. Although tbf the private clinic today did say I'd know really quickly if I was okay with mirena and they'd just remove it if I wasn't. If I am not comfortable with mirena idea , then yes I may just go it alone and get scans from ultrasound direct.

[Mary G]

Penguin, you need to have the scan immediately post bleed if on a cyclical regime.  Good womb lining clearance would give a reading of 3-4mm.  5mm would be an absolute maximum.

For women on continuous combined HRT, obviously it can be anytime and it must always be under 5mm.