I tried tibolone and it was great, I loved it, but I was taken off it because although definitely post meno, I had a five day heavy bleed once a month on tibolone, so after 8 months I wasn't allowed it any more even though each month I was bleeding less and I wanted to wait and see if it stopped.
The other day I was reading the NICE guidance to GPs on prescribing HRT and it warns bleeding with tibolone is a common side effect that can lessen given time.
I've decided to ask for it again because it definitely made me feel better overall and no other HRT has been worth the side effects. I've tried a lot of them now, they are nothing short of brutal to mind, body and soul.
My only negative side effect on tibolone was that return of periods a couple of years after menopause, but there was no build up of lining in the womb, just heavy bleeding from an empty uterus, they scanned to check.
I got no spots or extra hair, didn't turn into a man at all unless you count feeling physically stronger

I'm waiting until after new year to switch though, because the first couple of months were only ok, the oestrogel works well and I don't want to be ill over the holidays if that is what happens when stopping oestrogel. I've not had it to stop before so I don't know that one.
When the benefits of tibolone kicked in last time, I felt so much better and stronger both mentally and physically just from taking one tablet a day. I'm looking forward to that simplicity again as well as getting rid of the life threatening side effects of progestogens.
How have you been finding it?