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[Pqow]

This is long, sorry. But I could really do with some perspective and advice.
Back in early 2022 (age 48) I experienced really bad hot flushes day and night. Periods were irregular but still natural.
Dr put me on Oestrogel/Utrogestan but one pump made my breasts really sore so I ended up using a pea sized amount, for about 7 months. Then I decided it was causing weight gain and not relieving my anxiety so stopped it. Menopause symptoms came back within 2/3 weeks so I restarted it again in about March 2023, using a pea sized amount.
Periods/bleeds became very heavy but short, would start and stop abruptly. Always within the progesterone week.
Because my ferritin was so low, and periods/bleeds heavy, in April 2024 the dr suggested as I was now over 50, I went onto Evorel Conti. She said it would stop me bleeding and to combine that with iron tablets.
Made me feel great, more energy etc but bleeds became much more frequent immediately. One every two weeks, short 2/3 days - with days 1.5 being really heavy, starting and stopping abruptly.
Because I couldn’t have another period and work I stopped it at the end of July and asked the dr for a referral for possible fibroids.
Since then I have felt like pre menopausal, vaginal discharge becoming stretchy/thin and lots of it in the first couple of weeks, now it’s changed to not very much/thick, with breast pain starting now like before a period. No return of menopausal symptoms like hot flushes which I expected.
I have another thread where I had a scan and have been referred to 2 week pathway for thickened womb lining (xx cm) with polyps and cystic areas (small cysts).

I’m thinking I have or had a lot of oestrogen kicking around in my system which has caused the womb lining to thicken significantly and I need a bleed to clear this out. I’m really worried and I need to think about possible causes so any advice is really welcome. And I know I should let the drs sort it but I’m the type of person who needs to analyse things to stop my anxiety. Sorry for length and TMI!

[CLKD]

U could have continued with your other thread  .  There was good advice there .

Sometimes ladies find the progesterone part of HRT really difficult.  It is used to keep the womb healthy and the lining thin.  2 weeks pathway is normal but there maybe a waiting list, what with strikes and referrals.  If U R able to take a cancellation let the Dept. know so that they can contact you should someone not turn up or no longer require their appt..

[Pqow]

I wasn’t sure if it was more all things meno or post meno! There is excellent advice there and I really appreciate it.

[CLKD]

Make notes about the suggestions ;-)

[Pqow]

Yes I have thanks. Sorry I didn’t reply properly to your post.

I never had any bother with progesterone and as far as I know EConti contains it so my lining should have thinned.

I suppose my specific query is if I stopped it at the beginning of July, my womb lining might have got thick in the past few weeks, so showing up on the scan. And no natural progesterone to make me have a bleed.

I’m think I’m clutching at straws as I’m worried. My anxiety is beyond me today.

Having checked I think I took the Utrogesan I had back to the pharmacy 🙄

[Taz2]

It's understandable that you are anxious but it's good that you have been referred so quickly. Didn't you say that the scan showed signs of polyps? These are associated with thickening of the lining. This doesn't mean that they are cancerous but removal of them is advised. I personally wouldn't use anything until after your appointment without medical advice.  You may start a bleed anyway due to the withdrawal of the progesterone. The advice as to when to begin conti hrt seems to vary too. My GP wouldn't entertain the idea of changing me to conti under the age of 53 whereas others, like yours, will allow it at 50. I'm not sure whether that changes the build up of lining but others on here might .

Do you know when your appointment is yet?

Taz x   

[Pqow]

The report said ‘hyperechoic areas suggestive of polyps but not confirmed’

I don’t know when the appt is yet, the dr said they’d call me.

[sheila99]

How thick was yhe lining? It can be 16mm before a bleed and there's no need to worry. It's only a worry if you're post meno and i don't think you know that you are? Unless you're fairly close to meno a conti regime isn't going to stop you bleeding and it won't stop your own cycle. I think you may have gone on a conti regime before your body is ready. It's good you're being investigated but it's far more likely to be fibroids or polyps than cancer.

[Kathleen]

Hello Pqow.

From what you have said you have used very little oestrogen so far. Just a pea sized amount initially and Evotel Conti from April. I hope I have got that right.

I wonder if your problems are all related to you own, natural oestrogen being topped up by HRT. I was still having regular and heavy periods at 54 and when my periods stopped they did so suddenly with no tapering off.

I have since had investigations for post meno bleeding while on HRT and both times everything was fine and a reduction in the oestrogen element of HRT was all that was needed to stop the bleeding and breast tenderness.

I know how worrying it all can be but you are having the correct treatment and hopefully everything will be fine.

Wishing you well and take care.

K.

[Pqow]

How thick was yhe lining? It can be 16mm before a bleed and there's no need to worry. It's only a worry if you're post meno and i don't think you know that you are? Unless you're fairly close to meno a conti regime isn't going to stop you bleeding and it won't stop your own cycle. I think you may have gone on a conti regime before your body is ready. It's good you're being investigated but it's far more likely to be fibroids or polyps than cancer.

It was 16mm.
I don’t know if I’m post meno- from 2022 I was on oestrogel (tiny pea sized amount) and utrogestan made me bleed - I wasn’t post meno then. Then Evorel Conti because the dr said I probably was post meno.
I think it might be thick because I stopped Evorel at the beginning of July so I might be due a bleed about now. But maybe not enough natural progesterone to trigger it. Does that sound sensible? I am not totally au fait with all of the hormonal ins and outs!

[Pqow]

Hello Pqow.

From what you have said you have used very little oestrogen so far. Just a pea sized amount initially and Evotel Conti from April. I hope I have got that right.

I wonder if your problems are all related to you own, natural oestrogen being topped up by HRT. I was still having regular and heavy periods at 54 and when my periods stopped they did so suddenly with no tapering off.

I have since had investigations for post meno bleeding while on HRT and both times everything was fine and a reduction in the oestrogen element of HRT was all that was needed to stop the bleeding and breast tenderness.

I know how worrying it all can be but you are having the correct treatment and hopefully everything will be fine.

Wishing you well and take care.

K.

I used a pea sized amount on and off for about two years. With utrogestan.

Thank you x

[bombsh3ll]

It won't be anything you've taken or done, endometrial hyperplasia and polyps are common and treatable.

In perimenopause estrogen levels can get very high at times naturally and anovulatory cycles result in insufficient progesterone.

Your treatment will probably include polyp removal and a D&C.

Thereafter a mirena IUS, particularly if you are continuing estrogen, is likely to be recommended.

It is extremely unlikely to be cancer - this takes years to develop.

[Pqow]

It won't be anything you've taken or done, endometrial hyperplasia and polyps are common and treatable.

In perimenopause estrogen levels can get very high at times naturally and anovulatory cycles result in insufficient progesterone.

Your treatment will probably include polyp removal and a D&C.

Thereafter a mirena IUS, particularly if you are continuing estrogen, is likely to be recommended.

It is extremely unlikely to be cancer - this takes years to develop.

thank you, this is really helpful.