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[Cleocat]

Hi everyone, newbie here.
I am 60 years old and post meno.
I was on femoston conti for 4 years then had a blood clot so put on everol conti. I had a blood test to see if I was absorbing, pmol was around 96. Then onto sandrena 1.5 and utrogestan 100 every night. I have bled every few weeks for the 9 months I have been on this.
I had a hysteroscopy 3 weeks ago, there was a polyp removed.
I had read about the 3 day break from utro to re set the receptors, my doctor agreed to my trying it which I did at the beginning of the month and today I have started to bleed.
I am wondering, as I don’t want to up the dose of utro as it can still make me a bit groggy, low mood, if I have to stop gel and utro then my only option is the patch again because of the blood clot, is it better to have low pmol than nothing?
I don’t want a coil due to a bad experience with it in the past where it moved.

[sheila99]

I'm not I've understood this correctly. Are you stopping oestrogen as well as utrogestan for 3 days? Because you should continue to take oestrogen as normal, it's only the utrogestan that stops.

[Nici_j]

This isn't advice but my own personal story as I know that getting progesterone right can be difficult for some people. I have really struggled with continuous progesterone. I am 60 now and around the age of 56 I started taking Kliovance continuous but I had bad anxiety with it. So I changed back to having a bleed with Oestrogen and 200mg Progesterone 12 days. Then a year ago my doctor advised me to use continuous progesterone as it is recommended for older women. 100mg wasn't enough to stop bleeding and so I took 200 mg per day but I had a lot of problems with breakthrough bleeding, exhaustion, irritation below, dryness and generally just didn't feel good. I realised that I used to feel great on a sequential regime and decided to go back to that on a 6 week cycle. It's been two months now and I feel really good again with good energy levels. I have also recently asked my doctor to try testosterone and this has been great so far. . Obviously having a bleed again is a slight nuisance but in overall quality of life it is a small price to pay.

Each person is so different and I know there are plenty of people who do well with continuous progesterone or the coil. It may just be a case of finding the right progesterone. Don't be afraid to persevere until you find the right regime. It may even be worth paying for a consultation with a private menopause specialist for advice. You can still have your prescriptions and continue treatment through the NHS but it might just help get on the right track.

Good luck

[bombsh3ll]

There are multiple other oral progestogen options that you could take alongside your Sandrena gel, either cyclical or continuous.

Options include
Desogestrel
Slynd
Norethisterone tablets - same as in the combination patch.
Medroxyprogesterone acetate

Using 2x combi patch (this is still only 100mcg estrogen)

Topping up the combi patch with a bit of gel - this is unlikely to be sanctioned by the NHS as theoretically the progestin may not be enough however this strategy is used by some private specialists with monitoring.