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[Mumto3]

Hi, 52 year old and perimenopausal.

I've been on 2 pumps of Oestrogel and cyclical Utrogestan vaginally for the most of this year (I started HRT in Dec 2023).  I increased to 2.5 pumps of Oestrogel in July, as my depression returned, the dose increase addressed that well.

Then my perimenopause symptoms returned a month ago (August), it was nearly at the level of pre-HRT.  Had an appointment at my meno clinic about this.  Now on 3 pumps of Oestrogel and continuous Utrogestan vaginally - no break, as this is used every day.  My meno nurse said it's fine to use it this way.  I've been on this new dosing for 2 weeks.  I've been doing ok with this new dosing schedule, it's improved my peri symptoms and I thought the continuous Utrogestan would stop my periods but no, dead on day 28 since the first day of my last period (when I was using Utrogestan cyclically) I started my period.  I'm now on day 4 of my period and feeling very low and hormonal and wiped our, not myself at all.  The flow is heavy. I hope this continuous regime will be ok for me, as the cyclical stopping and starting of the Utrogestan I found challenging and bumpy.

*However, I'm wondering whether to stop the continuous Utrogestan and return to cyclical, is this causing me to feel low and wiped out this period?
*Why am I having a period, even though I've switched from cyclical to continuous Utrogestan?
*I was still having pretty much regular periods when I first started HRT in Dec 2023.  Maybe my own cycle is still functioning, hence the period?
*How long does it usually take for a dose change of HRT to settle in?
*Is 2 weeks too early to expect a continuous regime of Utrogestan to settle in?

Any feedback or advice would be gratefully received. x

[CLKD]

 

[Dotty]

Hi if you were having regular periods in Dec 2023 then it's unlikely that you are post menopausal now and so you will get breakthrough bleeding on a continuous oestrogen.  There's no harm in taking it continuously but the bleeding might not be what you want.

Utrogestan doesn't work like a birth control pill....it won't stop your periods. 

[Mumto3]

Thank you Dotty for your reply.

[Mumto3]

Thank you for the hug emoji CLKD 

[bombsh3ll]

Dotty is right, HRT provides a whole world of benefits but unfortunately menstrual suppression is not one of them.

A mirena can be a good option for getting rid of bleeding.

If that's not suitable you could switch from micronised progesterone to desogestrel 150mcg daily instead (2x cerazette pills)

That would shut you down.

You could stick with whatever estrogen you are using, and try swapping back in a year or two when they are likely to have stopped for good.

[sfreesto]

Same thing happened to me. I went back to cyclical and felt better in general.

[Mumto3]

Thank you for your reply Bomsh3ll.  The options you suggest are something to think about.  I'd ideally like to stick with the body identical hormones if I can.  So will see how this transpires on the Utrogestan but may have to switch back to cyclical if the continuous isn't working for me.

[Mumto3]

Hi sfreesto, thank you for your feedback.