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[Smudgy]

Firstly I want to say how grateful I am to have found this forum. It has been so useful!

I am taking low dose estrogen and prometrium for perimenopause symptoms and am finally starting to feel better. I am sensitive to synthetic progestins and to oral progesterone so have started with vaginal progesterone 3 x weekly on a continuous basis (as per endocrinologist dr Eden in Australia, whose protocol has been pasted here a couple of times). This has finally  stopped the horrible responses I was having to cyclical oral progesterone but my one question is, will the spotting and bleeding ease up over time? I know people who have had intermittent bleeding for a few months on slinda and then it stopped so I’m wondering (hoping) if that’s a possibility on prometrium as well?

[CLKD]

Morning.  11.20 a.m. here.    

I can't help much as I don't take HRT . If no one pops up then put the medications into the search box on the Forum: separately.  make notes ;-)

Do read the threads about bladder issues and vaginal atrophy: 4warned is 4armed.  Ask away !

[bombsh3ll]

It's not possible to know if the bleeding will stop on this regimen- it depends on many things such as age, stage (peri vs post), absorption, dose of estrogen and your individual chemistry etc.

Generally if bleeding is a problem, either increasing the dose of micronised progesterone or switching to a synthetic progestin which provide much better bleed control is recommended, however where tolerability is an issue, it comes down to finding the best possible compromise in terms of your quality of life.

Assuming you are having endometrial monitoring due to being on a reduced progesterone regime, it may well settle in time, or be something you choose to accept in order to feel well.