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[Clovie]

Hello

I know there are some knowledgeable ladies on here who know a lot about this stuff...
Do you consider it safe to take 200mg on a conti basis?

Thank you

[Dotty]

Yes, it is advised to take 200mg of Utrogestan if on a high dose of oestrogen or if bleeding is. problem.

[Clovie]

Yes, it is advised to take 200mg of Utrogestan if on a high dose of oestrogen or if bleeding is. problem.

Thank you Dotty, do you know is that like forever, not for a defined length of time, just 'continuously' ?

[bombsh3ll]

Yes 200mg micronised progesterone can be taken continuously and is perfectly safe.

Personally when I am postmenopausal I plan to use sequential progestogen for long term as this results in better health outcomes for everything except endometrial cancer, which I am at very low risk for and have annual scans anyway. I am willing to accept the light, predictable withdrawal bleeding that usually accompanies this. My decision relates to me as an individual and is not medical advice for anyone else, whose needs and risk profile may be different.

Estrogen alone is best, but as most of us aren't lucky enough to have had a hysterectomy, sequential progestogen treatment is the next most favourable option. Continuous progestogen treatment does negate some of the health and quality of life benefits of estrogen replacement, however this is still MUCH better than going untreated, and guidelines do recommend the progestogen be applied continuously in those who are postmenopausal.

[Dotty]

Hi Clovie I presume it’s for as long as you’re on a high dose of oestrogen.

[Clovie]

Hi Clovie I presume it’s for as long as you’re on a high dose of oestrogen.

Thanks again Dotty. I'm only on 2 pumps of the estrogel? That hasn't been increased?

[Clovie]

Yes 200mg micronised progesterone can be taken continuously and is perfectly safe.

Personally when I am postmenopausal I plan to use sequential progestogen for long term as this results in better health outcomes for everything except endometrial cancer, which I am at very low risk for and have annual scans anyway. I am willing to accept the light, predictable withdrawal bleeding that usually accompanies this. My decision relates to me as an individual and is not medical advice for anyone else, whose needs and risk profile may be different.

Estrogen alone is best, but as most of us aren't lucky enough to have had a hysterectomy, sequential progestogen treatment is the next most favourable option. Continuous progestogen treatment does negate some of the health and quality of life benefits of estrogen replacement, however this is still MUCH better than going untreated, and guidelines do recommend the progestogen be applied continuously in those who are postmenopausal.

Thanks Bombshell,  I'm not on sequential, I'm on continuous estrogel and utrogestan. 2 pumps of gel and it was 100mg Utrogestan.
Im still getting periods, the HRT is not stopping any cycle I have going on.
Ive been told to take 200mg Utrogestan contiguously with no break.

I will do, but I'm concerned as I know the progesterone is the risk factor for breast cancer so I did want to keep it to a minimum.
I'm just so confused. I don't want to be taking more than I need. I am taking HRT to HELP my health, not to cause other risks 

[GraceM]

Why has the utrogestan been increased? Are you bleeding heavily?  HRT won't stop periods regardless of whether you take it sequentially or continuously.  I have been on both regimes and periods were troublesome all along.  I did take the 200mg continuously for a while but in the end I got the mirena.  Even that didn't stop periods but they're much lighter now.  If you were post menopausal and then started bleeding, then that's a different story.

[bombsh3ll]

If you are still menstruating naturally, it is unlikely that 200mg of micronised progesterone will stop this.

The purpose of the progesterone is to protect your endometrium from hyperproliferation.

If your current dose is doing so adequately (ie you have had a normal ultrasound scan +/- a biopsy) then there is little to be gained in terms of doubling your dose if you are only on 2 pumps of gel.

If there is evidence to suggest abnormal endometrial thickness then the increase would be justified.

If you are looking for menstrual suppression you would be better on a synthetic progestin that is capable of this such as provera, desogestrel 150mcg or slynd. Any of those should get rid of your cycle.

The mirena IUS also has most women bleed free after a few months but I would not consider this true menstrual suppression as it acts only on the endometrium and doesn't really affect ovulation.

Tibolone is also a good option for the progesterone intolerant, particularly anyone wanting to reduce their breast cancer risk, which tibolone does.

You would have to say you are postmenopausal to obtain this however I understand your medical provider is insisting that you are based on age, when in fact you are not, so this shouldn't be an issue.

This may not necessarily get rid of periods however - there is simply no data as it is not generally used premenopausally.

[Clovie]

Why has the utrogestan been increased? Are you bleeding heavily? HRT won't stop periods regardless of whether you take it sequentially or continuously.  I have been on both regimes and periods were troublesome all along.  I did take the 200mg continuously for a while but in the end I got the mirena.  Even that didn't stop periods but they're much lighter now.  If you were post menopausal and then started bleeding, then that's a different story.

It's because I am having regular, cyclical, predictable bleeds lasting for a set length of time, with PMT before them, with no spotting in between or other red flags.

My periods have never stopped, I am 61 though so my doctors will NOT refer to my 'abnormal bleeding;' as periods despite at age 59 I was exactly the same as I am now and had a scan that was absolutely fine.

This is my problem - I'm being treated as having abnormal post menopausal bleeding yet I know I am having my period. I don;'t WANT my period. I'm sick of it. The doctors have made me hate my own body, I feel shame and disgust every time I start to bleed. I am in a dark place because of all this. Its like they think I'm delusional or something but my husband can vouch for what I say, we are very open with each other regarding this. I'm worn out by it.

i'm booked for another scan for 'post menopaysal bleeding' 

[Clovie]

If you are still menstruating naturally, it is unlikely that 200mg of micronised progesterone will stop this.

The purpose of the progesterone is to protect your endometrium from hyperproliferation.

If your current dose is doing so adequately (ie you have had a normal ultrasound scan +/- a biopsy) then there is little to be gained in terms of doubling your dose if you are only on 2 pumps of gel.

If there is evidence to suggest abnormal endometrial thickness then the increase would be justified.

If you are looking for menstrual suppression you would be better on a synthetic progestin that is capable of this such as provera, desogestrel 150mcg or slynd. Any of those should get rid of your cycle.

The mirena IUS also has most women bleed free after a few months but I would not consider this true menstrual suppression as it acts only on the endometrium and doesn't really affect ovulation.

Tibolone is also a good option for the progesterone intolerant, particularly anyone wanting to reduce their breast cancer risk, which tibolone does.

You would have to say you are postmenopausal to obtain this however I understand your medical provider is insisting that you are based on age, when in fact you are not, so this shouldn't be an issue.

This may not necessarily get rid of periods however - there is simply no data as it is not generally used premenopausally.

Hi * big sigh * I am worn down by all this, I'm in a very dark place. Thank you for all this info, I'll try digest it all.  Some good ideas but I definitely feel my surgery just wants me off HRT even if I wanted to discuss them.
If I wasn't badly progesterone intolerant to the synthetic progs then I'd be happy to try one just to stop the bleeding, Ive been made to feel like a freak 

I just want them to stop, so I can get on with my life without this threat over me the whole time,
I'm dreading the scan although I've done a lot of reading and feel a bit better that i have no red flags, and 2 year ago I was fine on the scan. Of course I'm imagining the worst but not to be unexpected given when my last scan my GP actually TOLD me I had womb cancer and my bleeding couldn't possibly be periods. i never got acknowledgement after, instead I feel like Im treated as a neurotic delusional woman who thijks she is still having periods ..... 

[Clovie]

sorry for my posts being so doom and gloom, I am feeling very down, it's taking over my whole life. and I have no-one to talk to 
THANK YOU for taking the time to chat this through all, you've no idea how much it's helping me. 

[Dotty]

Hi Clovie. …are you on continuous Utrogestan or sequential ? ( sorry I can’t remember )

[bombsh3ll]

Please don't be upset and hate your body, that is so sad, and late menopause is a really, really good thing for healthy longevity.

There are literally teams of scientists right now beavering away trying to figure out how to extend female reproductive span, freezing ovarian tissue, taking one ovary out of a mouse and putting it back when the animal is senescent etc.

Very misplaced in my opinion given we have safe and affordable ways of getting the lost ovarian hormones into the body, and who wants to be giving birth at extremes of age, but your situation really is beneficial in many ways.

[Clovie]

Please don't be upset and hate your body, that is so sad, and late menopause is a really, really good thing for healthy longevity.

There are literally teams of scientists right now beavering away trying to figure out how to extend female reproductive span, freezing ovarian tissue, taking one ovary out of a mouse and putting it back when the animal is senescent etc.

Very misplaced in my opinion given we have safe and affordable ways of getting the lost ovarian hormones into the body, and who wants to be giving birth at extremes of age, but your situation really is beneficial in many ways.

Awwww thank you so so much Bombshell  I was in a bad place yesterday. You really really helped by writing this.

Yes, I do agree with you,  I can appreciate how being late to stop has benefits - but I feel anyting positive about it is being swept aside by all the scaremongering by my doctors. A spectre of  doom is overhanging me instead of feeling happy that although I'm having periods late I have no issues down below yet, sex is not painful, no dryness, etc, I feel young generally, and I just feel like I'm having periods. If I was spotting on and off or was bleeding randomly without obvious PMT at the 'right;' time I would be worried.

I see you say the 200mg won't likely stop my period, I was hopeful that it would, damn!
ok so I'm prepared for it to carry on

Also, I seems to have alternate cycles, like one ovary is giving up the fight?
I have one cycle that is a few days later than the next, then alternating

Does that sound like a thing?
To me, that seems like I AM getting closer to stopping?

Thanks again, appreciate being able to chat - and I hope that anyone else searching this subject on here in the future might get some comfort if THEY are feeling alone in this too