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[Polpringle]

I've been on hrt for 5years continuous as I suffer with fibromyalgia and the pain gets worse with periods. I occasionally had break through bleeding which was ok as very little pain and only lasted a day or two. It's been 233 days since I last had a breakthrough bleed for one day but today I started bleeding and feels like I'm being ripped apart it's so painful (had to take prescription strength co codamol and ibuprofen 600mg)
I've been using 4 pumps gel and 200mg Gepretix vaginally for over 6m and no problems whatsoever until today! I'm 53 do I drop my oestrogen a pump? Or just take this as my own hormones still taking over and just carry on as normal? Do I take a break from the gepetrix fo  reef a few days/week?
I've just changed dr and not seen them yet so unsure how they are when it comes to menopause! Thought I would ask here first
Tia

[CLKD]

OUCH!  Hopefully some1 will be along with advice.

[Kathleen]

Hello Polpringle

I haven't had the same experiences as you but I think it is worth seeing your GP who will likely refer you for a scan to check that all is okay.  If you have made changes to your HRT recently this could account for the bleeding but it is best to be sure.

Hopefully someone will be along soon to advise you about what to do in the meantime.

Wishing you well and take care.

K.

[bombsh3ll]

I wouldn't reduce your estrogen as there is (or should be) a reason your current dose was arrived at based on symptoms, quality of life and future health goals.

Sacrificing these to get rid of bleeding which there are multiple other ways to manage makes no sense.

However nobody needs to accept vaginal bleeding, whether menstrual or iatrogenic, at all unless they want to. Periods have been optional since about 1965!

I would discuss alternative progestogen options with your GP.

You could increase the micronised progesterone eg to 3 nightly however tolerability can become an issue at higher doses and it will always be the worst performer in terms of bleed control (although there are other reasons people like it vs synthetic progestins).

Alternatively you could consider a mirena IUS or an oral progestin such as desogestrel 150mcg or drospirenone (slynd) alongside your estrogen of choice.

These are much likelier to help you achieve amenorrhea.