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[StrideOrDie]

This might be a dumb question, but if I'm taking progesterone cyclically (also on estradiol patch) and getting a pretty substantial withdrawal bleed, wouldn't that mean - regardless of dosage - that I'm fairly protected simply due to the lining shedding? I'm still in peri (although I have got to be close to done, I'm nearly 53) and have gone through a few P cycles. Each time I bleed far heavier than before I started taking exogenous P. I had an ablation over a decade ago and my periods came back after about five years, but were much lighter.

I don't really care about the bleed (I've reframed it as a good thing!) and the few days I'm feeling PMSy (versus feeling good the rest of the time) are actually worth it to me if it means I clear out whatever is in my uterus, so I have no plans to go the continuous route.

[CLKD]

If U are happy with the regime stick with it?

Peri can throw up all kinds of unexpected issues.  It may start 10 years prior to the last bleed = menopause.  We are advised to be 12 months without a period and then consider that we may be into menopause.  If Mother Nature causes a bleed/show, then we begin counting from month 1  .

There is no 'early' nor 'late' menopause in that we get there eventually  .  How R U otherwise?

[bombsh3ll]

You can't infer anything about the state of your endometrium from how heavy your bleeds are.

But if you are on a standard dose of estrogen and progesterone, endometrial protection can generally be assumed as these have been worked out based on the amount that effectively protects everyone.

This means the average woman is slightly overtreated with progesterone, but it has to be this way rather than use doses that risk some not getting enough.