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[janeyg73]

I’ve been on continuous hRT for a couple of years (100mg Utrogestan and 1mg Sandrena every day). Gp moved me to continuous after a year of sequential even though i was still peri. I have a 5 day period most months , although sometimes skip a month. I had an US last year which showed thickened lining, so had a hysteroscopy in Jan and all was clear.
I’m still concerned whether it’s ok that I’m bleeding regularly on continuous regime. Gp doesn’t seem bothered, should I push for better advice?

[bombsh3ll]

Continuous hormone therapy with estradiol and micronised progesterone at standard doses will not typically get rid of your menstrual cycle if you are not yet menopausal.

If you would prefer not to bleed you would be better with either the IUS or an oral progestin that is strong enough to shut your own cycle down such as desogestrel 150mcg, slynd or provera.

Of these, only provera is licenced for hormone therapy however desogestrel and slynd can be bought from online pharmacies up to age 55 if you say it is for birth control.

Your GP may also be willing to prescribe a single 75mcg dose of desogestrel daily for birth control - some women take this in addition to micronised progesterone and this can be enough to provide menstrual suppression in some.

[sheila99]

The nhs is far too quick to move you onto a conti regime before your body is ready for it and this inevitably leads to unnecessary intrusive investigations for 'unexpected bleeding'. Expect the same thing to happen over and over whenever you mention you've had a period. What time of your cycle did you have your scan? If it was soon after a period you should be worried as it should be thin then. If it was before one you'd expect the lining to be thick. If you want to be bleed free a mirena is usually the best option but personally I'd stay on sequi until your body is ready for conti.