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[Cassie]

Hi Ladies, has anyone else, who uses Utrogestan cyclically started bleeding whilst still using it. I have another 2 tablets to go, the bleed usually comes a few days after I stop but its started this morning. I seem to think I have had this happen to me previously as well, just checking that I should finish the Utrogestan nonetheless

[Mojo-swaptop]

Hi Cassie,

Yes, I think you should carry on with the utrogeston this month, regardless of your period starting a few days early.
I only used utrogeston myself for 3 months and each cycle my period started before the end of the utrogeston phase. I would carry on taking it  for the full 12 days (15 - 26) though.

Mojo-swaptop x

[sheila99]

My own cycle was always stronger than the hrt one so I don't think this is unusual. If you regularly bleed before the end of utro you can start it a few days earlier but medical advice to take the complete course regardless of when you bleed (though I stopped when I bled).

[Cassie]

Thank you ladies. Mojo are you post menopausal or peri? i know about the cycle in Peri but I am long post meno but will finish the course.

[Mojo-swaptop]

Hi Cassie,

I'm still perimenopausal and on cyclica/sequential HRT.

Mojo-swaptop x

[bombsh3ll]

Yes you should absolutely complete the course of progesterone.

The objective of the progesterone is to prevent hyperplasia, the bleeding is just a side effect not the goal, which you have chosen to accept in order to reap the quality of life and long term health benefits of non-continuous progesterone exposure.

You are lucky to have a provider who supports this, and it works both ways, they have to be able to trust you take it as agreed, as they are already risking professional scrutiny and criticism from their peers for individualising your care in this way rather than sticking rigidly to guidelines recommending continuous progestogen postmenopausally.

If you are going it alone with long term non-continuous progestogen treatment then it is even more important to be fastidious about protecting your endometrium.

[Hurdity]

Hi Ladies, has anyone else, who uses Utrogestan cyclically started bleeding whilst still using it. I have another 2 tablets to go, the bleed usually comes a few days after I stop but its started this morning. I seem to think I have had this happen to me previously as well, just checking that I should finish the Utrogestan nonetheless

Now and again I've had this but usually the bleed comes a couple of days afterwards. Also depends on my cycle lengths. If I've noticed this occurring I do a few shorter cycles (say 5 weeks rather than nearer 6). In recent years, every now and again - not annually, longer than this probably, but when I think about it - I take a course of a regular progestogen like norethisterone (in the past a couple of times), or more recently Provera - on the advice of my gynae specialist GP - to "strip" the lining as she put it, as the synthetic progestogens are more effective than Utrogestan in thinning the lining, especially if one is on unconventional regimes (ie in my case, longer cycles).

Hurdity x