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[Girlinabox]

Hello

I am post menopause by a a good few years but only 52. It’s impossible to say how long post as have until this year always taken progesterone on a sequential basis due to side effects. I started hrt at 40.

This year I moved to a conti regime and eventually things have settled except the sore breasts. I was hoping this too would go after a few month but if anything it’s getting worse.

For some reason it seems to effect my left breast more but both are enlarged, sore and feel heavy. It makes any touch really uncomfortable even things like hugging.

I’m under a memo specialist after starting trt at the same time and went to see my gp a month ago to get the progesterone change. Gp was going to contact meno specialist and get back to me but I’ve heard nothing despite chasing it up.

I’ve absolutely had enough now. Woke up this morning and the tenderness is there straight away.

I was thinking of trying the utrogestan every 2nd day and wondered if any one had any experience of this or if painful breasts has happened to anyone else and how they resolved it. It’s been going on now for 7 months and only began when I started the utrogestan.

[sheila99]

Every other day isn't enough. Did your oestrogen dose change as it's usually this that causes it not the progestogen? If it's definitely the utro I'd look at using a different progestogen.

[Girlinabox]

Thanks your reply. No oestrogen dose hasn’t changed. I felt really good on that.  Only things that changed is adding testosterone and continuous progesterone.

[bombsh3ll]

Whilst moving to continuous progestogen is usually recommended postmenopausally, this is a guideline not the law, and treatment should always be individualised.

Continuous is recommended due to a (very small) increase in the risk of endometrial hyperplasia if cyclical is continued.

However this has to be balanced against other outcomes such as quality of life and breast health.

Personally I believe we have not quite struck the balance right between suppressing the endometrium at all costs Vs other aspects of women's health.