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[merrygoround]

A question about my HRT (or alternative to HRT depending on who you ask).

I'm three years post meopause, so no bleeding when I'm off HRT, I've been on tibolone a few months now.
I've taken it before, but stopped it before the bleeding settled.
My cycle on tibolone has been between 22 and 25 days in length, always with a five day bleed once only, no spotting etc.

I just wonder if anyone else knows if the bleeding lasts six months, a year, forever?
All I've found via google is that bleeding is common on tibolone, but no useful details.

[CLKD]

Morning.  MayB put the product name into the search box on the Forum to read the threads?  Make notes ;-)

[Taz2]

Hi. It gives details in the Tibolone patient info leaflet. You need to have a look a Section 2 under Irregular Bleeding. https://www.medicines.org.uk/emc/product/4429/pil#about-medicine. Hope this helps

Taz x

[shrosphirelass]

I don't know about Tibolone but I have been on evorel conti for several years and I have have had regular bouts of bleeding throughout.

The menopause clinic suggested it could either be caused by not being fully menopausal and my natural cycle kicking in,  or else my body interacting with the evorel. They said that some women struggle to find HRT that doesn't cause bleeding. I was advised to try provera and more recently a mirena which out of desperation is the path I'm going down.

[merrygoround]

I don't know about Tibolone but I have been on evorel conti for several years and I have have had regular bouts of bleeding throughout.

The menopause clinic suggested it could either be caused by not being fully menopausal and my natural cycle kicking in,  or else my body interacting with the evorel. They said that some women struggle to find HRT that doesn't cause bleeding. I was advised to try provera and more recently a mirena which out of desperation is the path I'm going down.

Thanks, it's good to know I'm not alone! The menopause clinic say bleeding is the most common complaint about HRT, they told me most of their referrals are for abnormal bleeding, but it seems difficult to find anyone on here with any similar experiences at all.

I found provera was like having a particularly bad bout of flu. I would be in bed with complete and total exhaustion from the second day until a few days after I've stopped taking it, plus depression and feeling hopeless, they got me to try it three times, I left work because of the sick leave due to provera, but I digress, the mirena only made my mood crash, there was no physical flooring, only provera does that to me.
I didn't like norethisterone much (in Evorel Conti), but it was better than those two ime.

Just make sure they'll take the mirena out if you want it out, ask the question of any doctors who you might later ask to remove it if it doesn't suit you. I removed my own, they refused at the two month time mark to even consider removing it before 3 months no matter what I said.

[shrosphirelass]

Thanks merrygoround. To date I haven't had an issue with progesterone in terms of mood so I'm hoping the mirena is ok. I haven't got a lot of other choices. It seems like its mirena or no HRT. It is quite a worry re the need to have it taken out, as I am having it inserted at the same time as hysteroscopy and biopsy under general and I know they wouldn't give me a general just to remove it. Amazing, you were able to take it out yourself, I'd never manage that, I'm a real wimp.

The only other suggestion the menopause clinic made about controlling the bleeding was to reduce the HRT, ie cut the patch in half but of course that may not adequately control the symptoms. Its a mind field. Good luck.

[Jan1234]

I have bleeding issues alot on hrt tried quite a few different ones over the years, the one Im on now as been great for the past 8 months and then bleeding started I've now been put on provera for 3 weeks decreasing the dosage each week on top of my hrt to see if it all settles down I've got a appointment for a coil next month but I'm still very unsure whether I will go ahead and have it, I also don't bleed at all when not on hrt but unfortunately I cannot manage my symptoms tried for a few months lasy year and I was a mess

[merrygoround]

Thanks merrygoround. To date I haven't had an issue with progesterone in terms of mood so I'm hoping the mirena is ok. I haven't got a lot of other choices. It seems like its mirena or no HRT. It is quite a worry re the need to have it taken out, as I am having it inserted at the same time as hysteroscopy and biopsy under general and I know they wouldn't give me a general just to remove it. Amazing, you were able to take it out yourself, I'd never manage that, I'm a real wimp.

The only other suggestion the menopause clinic made about controlling the bleeding was to reduce the HRT, ie cut the patch in half but of course that may not adequately control the symptoms. Its a mind field. Good luck.

If you've no problem with progesterone in general then the mirena is well tolerated, as they say. Even though it made my mood low it stopped my bleeding completely after the first couple of months of odd little bleeds. It does the job, good luck!

I have bleeding issues alot on hrt tried quite a few different ones over the years, the one Im on now as been great for the past 8 months and then bleeding started I've now been put on provera for 3 weeks decreasing the dosage each week on top of my hrt to see if it all settles down I've got a appointment for a coil next month but I'm still very unsure whether I will go ahead and have it, I also don't bleed at all when not on hrt but unfortunately I cannot manage my symptoms tried for a few months lasy year and I was a mess

I found provera was the worst one of them all for making me completely unwell both physically and mentally and it didn't even control the bleeding, my body laughed at that attempt and bled at all the "wrong" times.
It shows how different we are, you are ok on provera and there are some people love it.
For me the coil was milder than provera by a long way. If you are OK on provera then I expect the coil (mirena?) will be fine, but there really is no way of knowing currently which women react which way to which progesterone. Maybe someday they'll work out suitable tests so we don't need to be guinea pigs, every single one of us, it's a bit ridiculous as things are.