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[Cleocat]

I have had my third hysteroscopy in 3 years because of bleeding. I didn’t want a coil due to a bad time with it years ago.
Due to a previous blood clot I am quite limited as to what I can take.
Patches made me very low plus I didn’t absorb.
I have been on sandrena and utrogestan 100, continuously as post meno.
I am not the best on utrogestan, so the gynae prescribed utrogestan 100mg vaginally rather than increase it to 200mg orally , so I am to take 100mg orally, 100mg vaginally.
But trying to get the prescription have been told 100 utrogestan vaginally does not exist. So I rang my doctors surgery (couldn’t speak to doc, messages sent to clinician) did a new prescription of utrogestan 200mg vaginally.
Should I use the 200mg vaginally every other night with the 100mg orally daily as if I use the 200 vaginally daily that will be 300mg daily.
Or could I just use the 200mg vaginally daily without the oral tablet?
Can’t get a doc appointment for a while to ask.

[bombsh3ll]

This is a licencing issue, both the 100mg and the 200mg utrogestan capsules are suitable for vaginal use, but only the 200mg has a UK license for this.

Current guidelines recommend the same dose vaginally as orally, so if that's 100mg for you, then you should use the 100mg capsules rather than doubling your dose.

It can absolutely be prescribed off label for vaginal use.

However you mentioned taking 100mg orally and 100mg vaginally - whilst there's nothing wrong with this, if you don't feel great taking it orally and actually have been prescribed 200mg daily in total, you might just be better off taking the 200mg vaginally and then it won't matter if this comes as 1x200mg or 2x100mg.

[Cleocat]

Thankyou x