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[Popmummy]

Hello

Any advice welcome as I can’t find anything online that gives me a possible answer.

Went on HRT 3 years ago when I had not had a period for about 7 months and prior to that they had got less and less.

Following a scare this year when I bled after sex, I saw a consultant. Had an US scan which was normal apart from womb lining being 7.5mm. Had a pipelle biopsy, results of which were all normal. I was going to try the mire a instead of utrogestan and then decided I’d see how I felt without HRT, so I stopped.

That was approx 6 weeks ago. Have felt fine apart from breasts becoming sore lately and then two days ago I started bleeding like a proper period, along with painful cramping.

I haven’t read anything about HRT causing bleeding when you stop it (apart from maybe some spotting at first) so not sure what’s going on. Has anyone else experienced this? I can’t believe it’s a real period as I hadn’t had one for 7 months before HRT and nothing whilst taking it (apart from the withdrawal bleed from utrogestan).

Thanks
Sarah x

[bombsh3ll]

It is entirely normal to bleed after stopping exogenous hormones.

It is just that 7.5mm lining that you had built up shedding.

You have had a benign biopsy, there is no cause for concern.

I would also make sure your cervical screening is up to date.

Regarding the bleeding after sex, you may want to look into topical estrogen for vaginal atrophy if you plan to remain without systemic estrogen, as this could become a more frequent issue without treatment.

[Ayesha]

If you do feel you need topical oestrogen in the future here is a link to a document that is helpful going forwards.

https://bssm.org.uk/wp-content/uploads/2023/02/GSM-BSSM.pdf

[Popmummy]

Thanks for the replies. My smears are all uptodate and recent appointment said all looked healthy. This is a full on, heavy bleed now. I was more confused as to whether this was from stopping the HRT or the return of actual period. Thanks again.