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[Cosmos]

Because I've been spotting every two weeks for the last 6 months I've decided to come off HRT.
I'll have a break and if anything occurs in this time I'll go straight back to my GP.
Then after a month I'll restart on an alternative.
Anyone else done this?

[bombsh3ll]

There's no need to go cold turkey for a month (or any other amount of time) due to bleeding on hormone therapy.

This can easily be managed by a skilled clinician without interrupting your estrogen - there are lots of options including tweaking the dose, changing the route or timing of the progesterone or changing to a different progestogen.

[CLKD]

Is the bleed cyclical?  R U able to tell us why you decided to begin replacement, which symptom would you like to ease?

[Cosmos]

There's no need to go cold turkey for a month (or any other amount of time) due to bleeding on hormone therapy.

This can easily be managed by a skilled clinician without interrupting your estrogen - there are lots of options including tweaking the dose, changing the route or timing of the progesterone or changing to a different progestogen.

I have been looking at the flow chart from the BMS and it states you can either have a scan or opt to stop, I didn't want to go through another biopsy so I'll opt for a break

[Cosmos]

Is the bleed cyclical?  R U able to tell us why you decided to begin replacement, which symptom would you like to ease?

I want to protect my heart, bones, brain hopefully, I've felt so much better just getting some decent sleep is a revelation!
It's continuous not cyclical I'm on

[bombsh3ll]

Guidelines are a good starting point but shouldn't trump clinical judgement, patient autonomy and shared decision making.

A negative hysteroscopy is good for at least 6 months, and if you have never achieved amenorrhea then the more sensible option would be to try a sequential regime.

There is also a real double standard around hysteroscopy guidelines and pressure to come off treatment in women on hormone therapy, whereas if you were on the mini pill for contraception, which is indicated up to 55, you could bleed and spot irregularly until the cows come home and not trigger a hysteroscopy.

[Cosmos]

Guidelines are a good starting point but shouldn't trump clinical judgement, patient autonomy and shared decision making.

A negative hysteroscopy is good for at least 6 months, and if you have never achieved amenorrhea then the more sensible option would be to try a sequential regime.

There is also a real double standard around hysteroscopy guidelines and pressure to come off treatment in women on hormone therapy, whereas if you were on the mini pill for contraception, which is indicated up to 55, you could bleed and spot irregularly until the cows come home and not trigger a hysteroscopy.

It was a pipelle biopsy I had and I'm 12 years post menopausal....

[bombsh3ll]

I would consider a negative pipelle good for at least 6 months.

When you say you are 12 years postmenopausal, have you been bleed free in the past for any length of time?

[Cosmos]

I would consider a negative pipelle good for at least 6 months.

When you say you are 12 years postmenopausal, have you been bleed free in the past for any length of time?

I was completely bleed free for the last 12 years it's only since I've started on the Evorel Conti 50 patches