Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: Stellajane on March 06, 2013, 05:02:28 PM
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Is anyone using Utrogestan vaginally on a cyclical basis? If so, would be interested to know what dosage you're taking and whether there are any particular side effects.
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Hi Stellajane
I was sure there would be others out there doing the same thing! Maybe they are not looking in at the moment!
Yes I use Utrogestan vaginally on 2 monthly cycle 200 mg - 12 days per 2 calendar months (just about to start at the weekend...).
Side effects I notice are: initial tiredness especially in the morning, more foggy headed than usual - but not unbearable, intolerance of alcohol while taking it ( ie a small amount of alcohol will set off a migraine) - but that is avoidable! A degree of fluid retention but not uncomfortable, and the need to get up to pee in the night more often (sometimes twice). This is more a pressure on the bladder thing (like when pregnant) rather than actually having a full bladder.
After a few days I generally get used to it but for me the worst but is sometimes having a migraine on withdrawal of the progesterone. This hasn't happened every time so I can't understand why sometimes and not others.
One thing I thought was that I must be absorbing more systemically the times I get a migraine on withdrawal - and the only reason I could think for this was that my vaginal tissues were thinner than usual. This time therefore I am going to use Vagifem every day until Sunday when I take the Utro and see if this makes a difference.
Also because of the difficulty of using vag oestrogen at the same time as vag Utro I may have missed a few over the 12 days, which could have thinned the tissues sufficiently so that more prog was absorbed.
So for me - nothing major - apart from the migraine.
Hope this is helpful and I also would be interested to hear others using the same method...
Hurdity x
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Hi,Hurdity & StellaJane.
I am on the Utrogestan 200mg on a 3 monthly cycle.It's great just on the Estraderm patch for 10 weeks! :)
Didn't have any real problems with the first use(vaginally)of the Utro.
I started on the 2 monthly course.The Doc said it is up to me if
I'd like to take it 3 monthly.So long as there is no breakthrough bleed,it is OK.
I am due to start the 2nd course of it mid April so,fingers crossed I won't get any
nasty side effects.It's so much better than the nasty Norethisterone.
Doc said it should only cause a normal period type bleed but if very heavy drop back
to 2 monthly cycle.
Will let you know how the 2nd course goes .
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Please tell me more about why Norethistorone is 'nasty' :)
I react badly to progestins because I have a bladder condition ( like IBS but bladder is the easiest way to describe). The 2nd half of my normal cycle pre meno was always the worst for me. Now when I take Noreth, the side effects of weeing more tend to kick in after about 5 days, so I just grit my teeth to get through to the 9 or 10 I need to take.
It's for this reason that I won't have a Mirena because although I think it's good in theory i am not going to have any progestins drip- dripping into my system all the time.
I have never thought about trying Utrogestan and surprisingly my dr never suggested it, even though he is wildly enthusiastic about Oestrogel and bio hormones generally.
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Hi Diana
Would be interested to hear about what sort of bleed you have with the three month cycle. For me the bleed is just about right with two months. Since I am almost 60 - in a few weeks (eek!) and have been on HRT for 6 years I don't want to have heavy bleeds so I feel that another 4 weeks of unopposed oestrogen before adding the prog would be an inconvenience too much. I don't want to start worrying about flooding and when am I changing tampons all the time and with a two monthly cycle I don't worry. Have probably 1 1/2 heavy days or so. Also - as an aside - when I told my husband this morning that I was bleeding he said he didn't want to know! He used to be really sympathetic and lovely when I had natural periods and was feeling rubbish, but goes deaf when I talk now about all my added hormones!!
Gig I imgine your doc chose norethisterone because he can get away with prescribing it for 7 days if you are prog intolerant and are monitored regularly, but really I would have thought most private docs would choose bio-identical over synthetic. I presume it's a balance between negative symptoms. As I said on the other thread - don't want to repeat the argument - but I would not take synthetic progestogens at all and would recommend anyone planning to stay on HRT for a long while after menopause to do the same if they possibly can (ie use bio-identical - Utrogestan), especially after 60. There really needs to be more research done.....
Hurdity x
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Hi be interested to know more about your feelings on Noreths. Is this due to a possible link with b cancer?
I don't think my dr has given me Noreth due to any intolerance of progesterone because when he first prescribed this wasn't even mentioned by me. My prescription is for 10 days- but when I told him how I sometimes had side effects with it he said I could take a couple less each time if that helped. But the actual script says 10 days, and as far as I can I stick to that. I think I also have mild vulvodynia and when taking progesterones, the burning feeling gradually incrreases over the course. It stops as soon as I start bleeding.
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StellaJane- sorry to hijack but my bleeding on Noreth is pretty much like that. I find tampons uncomfortable some of the time (I had a prolapse repair ) but they also seem to make period pain worse- like a dragging -crampy feeling.
My first day of bleeding is pretty awful- compared to the periods I had before HRT and painful too. last bleed I felt nauseous, very weak for a few hours, upset bowels, and there is no way I could have worked- I am s/e and manage my bleeds around my working day.
I am now trying a 2 month cycle for the 2nd time, and hope it may not be so bad.
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The pain was worse last cycle than before. I take 5mgs Noreths. for up to 10 days but sometimes only 8-9 if my bladder is irritated by it. The flow is heavy and free flowing- no clotting. if you took 1mg a day I assume that was every day for 30 days? ie 30 mgs in total?
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yes but remember that I am only taking it once very 12 weeks- or was- and now every 8. I may cut it back with his consent to 7 days if that's ok- he said so but need to check. When I told him the bleeding was pretty heavy he suggested 6 weekly bleeds instead of 12 , but that would mean taking noreth every 4 weeks for 10 days then a bleed 3 days later- and I said no. so we compromised on 8 weeks.
One thing I need to check- maybe you kind people can help- if the bleeds are every 8 weeks that means I bleed on the 8th week- which means taking the progestins after 6 weeks , for 10 days and then the bleed starts 4 days later.
Does that make sense or would you START taking progestins on the 8th week if you are on a 2 month cycle?
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Gig if you are on a two month cycle you just start the progestins 8 weeks (or two months) after you started taking them the last time.
My cycle is 2 calendar months but I keep the utrogestan to the same number of days - ie 12 per 2 months and take it at approx the same date - but usually forward or back to a Sunday so the withdrawal migraine if it occurs will come mostly at a weekend and not mess up my working week ( although this didn't work this timne as got migraine before!).
Basically if you have an 8 week cycle you take prog for the last 2 of them (or 10 days or whatever you do) and the cycle resets. Doesn't matter what you call the first week etc as long as the interval is the same. It is the total length of time of oestrogen and then oestrogen and prog which is the length of the cycle. I start my timing from when I start the prog which is easier to remember. If your bleed is consistent you could time it from that but I don't just in case it varies if you see what I mean?
In your case then - just go 8 weeks from when you last started the prog and take it again for the 10 days. If you took it only for 7 days then shorten the cycle a bit - after all you are trying to reduce the time of unopposed oestrogen if you want to make your cycle shorter. This is 6 weeks for an 8 weeks cycle and 10 weeks for a 12 weeks cycle (approx).
Is this really garbled? Sorry if so. Think I need to go to bed...
Hurdity x
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Thanks :) I THINK I understand and i was managing fine with the 12 week regime but now this new 8 week regime has thrown me- which is a bit daft!
What your first line here said
Gig if you are on a two month cycle you just start the progestins 8 weeks (or two months) after you started taking them the last time.
seems different to this:
Basically if you have an 8 week cycle you take prog for the last 2 of them (or 10 days or whatever you do) and the cycle resets
The first part of your post says take them at 8 weeks, the 2nd says take at 6 weeks ( presume that's what you mean?)
When I was having a 3 month cycle ( which i was for years- have just changed to 2-monthly after Xmas) then i was taking progestins every 10-11th week and would bleed around 14 days later. I know that now I am moving this forward by 4 weeks.
I just wanted to check though that a cycle means the actual bleed- not when we start taking the progestin- which will be 10 days plus 4 after stopping before the bleed starts.
Does this make sense? i can ask my dr but not due to see him for another couple of months for routine check up.
Basically the question is- does an 8 week cycle mean you start the progestin at 8 weeks , or you take it before so you bleed by the 8th week?
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StellaJane
My friend who sees the same dr was on oestrogel but as she is younger than me was told to have monthly bleeds and she was taking the same as you were - 1mg Noreth. for 10 days each month.
So that seems to make it clear to me that our dr prescribes different strengths depending on the length of the cycle.
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Thanks.
I don't think the bleed has to be spot-on! When i was on my 3-monthly cycle I was quite cavalier and would go from anywhere between 12- 13 weeks for the bleed.
Then I had some incidents of spotting, and ny gynae got all worried. I think now that this spotting was due to my fiddling with the oestrogel dose- trying to reduce it. However, I had a biopsy and a year later a hysteroscopy. This means he now keeps a very close eye on my bleeding.
When I mentioned how heavy the bleeds were he suggested I had a 2 monthly bleed instead just to be sure that I wasn't going to get endometrial hyperplasia/ cancer.
I haven't noticed any difference in quantity of blood loss etc if i take 7 days or 10 days.
I see your logic in suggesting 2.5 mgs might be enough. My thinking is that if you need 12 mgs for 4 week bleeds, then you need 3 times as much for 3-monthly bleeds ( and therefore 7-10 days of 5mgs was roughly the same: 7 x 5mgs= 35mgs.) Now that i am going only 2 months, I think 7 days might be worth trying.
I have scan now and then ( once every couple of years now, but was every few months for 2 years because I had a benign ovarian cyst) and when scanned my lining was always over 6. About 6.4. They like to to be below 5 post meno but my dr accepts 6.4 on the basis I am on HRT ( even though the scan was just post bleed.)
However, I know he is being careful re. this and we are balancing the risks of breast cancer and progestins, and uterine cancer.
He's trying to keep my intake of progestin to a minimum and so far this has meant taking it less often. Whether I can also reduce the dose is something I need to ask.
I think I need to ask him at my next appt.
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I used the 200mg for the first time this past month after my gynae upped my dosage from 7 days of 100mg as he said that it was not enough, was told to use it for 10 days but was naughty and stopped after 8, I know I shouldnt!
Had a normal bleed, nothing major, didnt really notice the difference. Would love to use the Utrogestan for 12 days every 2nd month rather but wonder if I would get breakthrough bleeds again, thats what happened when I didnt use it regularly, have another one at the mo but this is my own fault, ran out of Oestrogel and boy, just a slight dose less and wammo! Hate it, but will start a separate thread for that whole saga!
x
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Hi Gig
Well I did say it might sound garbled!
Those two statements that I made are actually the same! What I was saying is just time it from whatever you use to time it ie when you start the oeostrogen only or start the prog or finish the prog (this doesn't count for odd days fiddling you said you do sometimes!).
It doesn't matter when you start the 8 weeks from if you see what I mean. It is the cycle length that is important and the bleed has nothing to do with it - sometimes these vary with different women and in the same individual (mine dont vary as they always come 3 days after the last prog). As stellajane said it doesn't have to be that precise. I make sure I always start my 12 days Utro on a Sunday night approx 2 months since the last time - adjusted forward or backwards to avoid where the migraine might come. Does that sound clear?
I'm the same as you stellajane 12 days per 2 months. I must say I would imagine that if I was on 100 mcg patch then 200 mg utro every 3 months may not be enough prog. It certainly is supposed to be dose dependent ie you need more prog and/or for longer the more oestrogen you have and for longer - but I think some of the doses are given to cover a wide range of usual oestrogen doses. Remember we are messing with what is licensed.
Also Gig as you are with private doc who is also probably erring on side of caution re a high dose of norethisterone for the 3 month cycle.
By the way also if you have a 3 monthly cycle it is not 3 x as much prog as needed - but more!
I said this before when previously on the forum:
For the sake of argument - say you take prog for 2 weeks:
4 week cycle = 2 weeks oestro only + 2 weeks Oestro + prog
8 week cycle = 2 wks O + 6 weeks O+P (ie 3 x as much unopposed oestrogen)
12 week cycle = 2 wks O + 10 weeks O+P ie 5 x as much unopposed oestrogen).
That's why you need to make sure you have enough P when you lengthen the cycle to shed the (even more) lining that has built up.
However as stellajane says - you should be able to reduce the dose to around half - although you are having just over half the length of time of unopposed O ( ie 6 weeks instead of 10).
Hurdity x
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I am still confused- sorry :)
From what you say I've been doing it wrongly for 4 years and hae in fact beenhaving 10 week not 12 week cycles.
If you take your progestins every 8 weeks then you are not having a bleed at 8 weeks- you are having a bleed at 10 weeks- allowing for the 12 days taking your progestin plus the downtime waiting for the bleed to start.
I thought my dr had told me to have a bleed every 12 weeks- which is why I took progestins 14 days before that.
I thought the bleed was the whole point- to shed the lining. And i thought I was supposed to be shedding mine every 8th week. Just like on a 12 week cycle I was shedding it at end of week 12. NOT opposing the oestrogen at 8 or 12 weeks- but ensuring I had a bleed then.
Sorry if this makes me sound dim- but I was as far as I know following my dr's instructions. I am pretty sure he's said "Now you are having a bleed every 12 weeks?"
Put it another way- if I was taking progestins on 1 Jan, then the next lot would be 1 march, ( or 1 April if it was 3 monthly.)
I have been told by dr that it doesn't have to be precise but I am SURE he said have a bleed every 12 weeks which you can't do unless you start the progstins before the 12th week.
Aaaaaargh! have I really been having 10 week cycles for 4 years- not 12 week ones?
This cycle then is too early- it's only 7 weeks since the last time I took Noreths.
Are you saying Hurdity that I could take 30mgs Noreths. say compared to someone taking 10 days@ 1 mg for one month, 20mgs for a 2 monthly cycle and 30mgs for 3 monthly cycle? That would be 6 days x 5 mgs or more days @ 2.5 mgs.
What I don't know- and please say if you can!- is whether there is a direct correlation between days on unopposed oestrogen and amount of progestins needed. we are assuming that's the case but it may be more complicated.
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Well over thanks SJ, went over prematurely :(
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Oh dear..... seem to have got in a muddle here - sorry if I am not explaining very well.
In a natural cycle the cycle length is the length between day 1 of the bleeds - but in an artificial cycle created by HRT the cycle length is counted as the total length of O and O+P irrespective of when the bleeding starts, so you are giving your body the same dose of each hormone each cycle. This is because some women start to bleed before they withdraw from the prog but you don't start counting any differently ie with HRT you don't change Day 1 of the cycle depending on when you bleed. Day one of a peri or cyclical HRT is the first day of the oestro only tabs or patch. That's all there is to it. If you start you prog on the 1st of the month then your two monthly cycle (ie just over 8 weeks) starts the 1st of the following two months. eg 1st Jan, 1st March, 1st May etc. In a 3 month cycle it would be 1st Jan, 1st April. It's very straighforward. You have made it a little more complicated by varying the number of days you take the prog for - as I said before 7 days in 3 months is not very long at all.
When I said forget about the bleed - I meant don't count from the bleed because it could vary in start time and length - although I think probably less so for vag prog as it doesn't go through the system. You will still be having a bleed every 12 weeks or 8 weeks. We are arguing about nothing - just a different way of looking at it or counting. The only reason I need to count is to remember when to start the prog (for me approx 9th of every alt month) - I don't worry about anything else. If you are going from a 3 month to a 2 month cycle, then count 2 months (or 8 weeks from the first day you started the prog last time) and start the next course.
I don't have time at the mo' to look into prog doses but all I will say is it is approx dose dependent but as always HRT is not precise. The amount prescribed for 1 month will be probably to cover a range of individual scenarios, and will have a big margin of error to ensure most women shed all lining for a range of oestrogen doses. If you look at the HRT preparations though often the prog dose is doubled for double the oestrogen - but for utro the oestro dose is not given - but again I imagine it must err on the side of caution which is why many women ( under the care of a specialist) are able to get away with lower utro doses than given.
I do hope that's clearer but do pm me if not cos I don't know what else I can say! I really think we are just counting differently!
Hurdity x
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Yep- I do get it!
The reason i was confused is because I was counting cycles as if they were normal pre-meno cycles ( ie 14 days oestrogen then 14 days progest and a bleed on day 28)- so i was juggling the progestins to give a bleed at the end of every 12 weeks ( or 8 now.)
I have maybe over-egged the idea that I was only taking 7 days of progestins every 12 weeks. Most of the time I was managing 9 or 10- some occasions I stopped at 7-8 if my bladder was really irritated.
And now from our chat I can see that i was in fact having 10 week cycles- by your calculations- not 12 week ones. so I was having at least 35mgs Noreths. every 10 weeks.
I know my dr did tell me that some women started the progestin on the 1st day of each month but he then went on to say it wasn't critical- which is why I;ve ended up confused!
Once I have had this bleed I will go back to taking every 8 weeks. I will also ask my dr if i can reduce the amount- such as 2mgs over 10 days not 5mgs over 10 days.
Does this sound about right?
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This has been very intersting reading for me, ladies,
and Stellajane I do hope you get a dosage that suits you! :)
I asked my GP last week for Utrogestan after having the most AWFUL PMS-type reaction on the synthetic progesterone I was taking - and she had never heard of it!!!! :'(
I too, would like to try Utrogestan vaginally (to hopefully avoid systemic absorption of progesterone as it would appear i am clearly prog intolerant) so am having to wait for a referral to see a gynae.
If the appt is not forthcoming quite soon I will ask to see someone privately.
Very interesting reading, as I said above, so thank you. :)
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No it doesn't seem to be heard of so much by GPs but it is a licensed product so it is up to us to educate them! Ditto my GP Stellajane!
Just remember anyone who wants to ask for it and the doc hasn't heard of it - to ask for "Micronised progesterone" because that is how it is listed in the magic book. That will appear on your prescription but you will get Utrogestan.
No not licensed for vag use in UK but is in rest (or some part) or Europe. I have the translation from the French SPC (product info) which I sent for from the manufactuers about 18 months ago. If anyone wants them I can pm it (if you can add attachments).
Hurdity x
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When I originally asked my GP for it, his response was oh ok will give you two months trial, but I hope that I dont get into trouble with your Gynae, had never heard of it! My very clued up lovely pharmacist lady told me about it when I was looking for a more natural approach to progesterone as the cream was not strong enough to oppose the oestrogel. And I have always used it vaginally, I know that orally, it would make me feel grotty, I get nauseous very easily. This method so much easier, just pop it in at night and sweet dreams :)
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I just wanted to update this after having read what my dr has said in his book on this.
He calls bioidentical progesterone 'micronised'. It can be given orally, vaginally, rectally ( ouch) or with a gel. He states that orally, 300mgs is needed to overcome the 'bypass' issue- meaning a lot of the product is lost via the liver, and this dose of 300mg may give unacceptable side effects for some women ( digestive.) I don't know if this info. has been updated since the book was published because you all take 200mgs.
Vaginal pessaries he says are not licensed in the UK for use with HRT but can be used for PMS and infertility. I think they are licensed in France but they are a gel in a pessary and not a hard oral tablet. Obviously this is not the same as using the tablet vaginally. Tablets are not licensed for vaginal use in the UK - but again, if your GPs have said okay then they must be.
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Hi Gig
Thanks - yes this is out of date - we have posted several times about these preparations. Those of us who use bio-identical prog have researched it quite a lot over the last couple of years or more - here it is again:
There are 3 main brands of bio-identical progesterone - you will see from my post below that somepreparations are referred to as micronised
Cyclogest - these are waxy pessaries/suppositories used for infertilty but prescribed by some GPs for HRT as endometrial protection - the dose usually given is 400 mg - but I feel this is too high for endo but because not licensed there is no other yardstick. My GP started me off with this after I couldn't tolerate Evorel sequi
Utrogestan - these are the micronised progesterone capsules (small oval shape containing the micronised prog suspended in arachis oil) which are licensed for oral use in UK. Usual dose 200 mg for oral use for sequi. 100 mg for conti ( 26 out of 28 days). As I have posted before on this thread and elsewhere it is licensed in France for V use but not in UK for HRT and there is quite a lot of research giving dosage for endometrial protection by V use (lower than oral because of uterine first pass effect ie goes straight to womb and not through liver) although admittedly small trials.
I have also posted that I do have the French SPC if anyone wants them (translated) which I obtained from manufacturer.
Finally Crinone gel - not many women seem to use this and I don't know much about it but theroetically it is available but again not licensed for HRT in UK. It is now only available at a higher concentration - the lower concentration - probs more acceptable for meno women - was withdrawn a while back
We have discussed all of this before.
They are not tablets (Utrogestan) - because progesterone does not come in tablet form. Presumably something in the manufacturing process means it cant be done, which is why Femoston is dydrogesterone - not progesterone.
Some docs do prescribe it vaginally but probably only a very few - and the notable ones like Nick Panay and some of the private ones. I expect Dr Currie would too.
I told my doc I was using it V and she was OK with that although it does not say that on my prescription.
Not trying to be difficult Gig but we have covered a lot of this ground and are well up on it!! Also had some good Friday vino so a bit hurried!
Hurdity x
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Not everyone has been on the forum for ages and read everything. Apologies if you find it irritating that I've posted things you and the others know already or , that I am showing my ignorance.
Will go away now. :)
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Gig - I didn't mean it to come out like that. Of course I realise not everyone has read it all which is why I re-posted about the 3 diff types of prog in more detail as this hasn't been posted in this way for quite a while, but it's just that I have posted several times recently in the last couple of days pretty much exactly the same things as you said re vag use, micronised progesterone and the french thingy - in fact in my reply just before yours in answer to stellajane! I would not ever think anyone is showing ignorance and you have just changed your post! It just made me feel as if I might as well not have said what I said earlier or that my posts aren't read which is why I did feel a bit irritated I suppose.... sometimes I take ages writing a long post which I have thought about carefully and the member doesn't even respond, so probs overeacted because this has happened. I'm not looking for big thanks but sometimes I have spent 20 mins or so writing it specifically for someone and the post is ignored. Perhaps my posts are too long and people just switch off.:( Anyway going away for 3 weeks soon so I won't be posting at all.
Soz folks - I'm just trying to help. Sometimes it comes out wrong :(
I don't normally edit my posts after I have posted - I do so beforehand -otherwise threads don't read right afterwards. So I will leave it as it is and you have my apology and explanation.
Hurdity x
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That's okay- no offence taken.
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Ive read the whole thread and am i understanding correctly that Utrogestan is absorted more effectively if used Vaginally? I only take 100mg for seven days so i would like to get the full absorbtion and would be happy to try this method. Thanks.
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Hi Meeka, interested to hear that you are one of the ladies taking 100mg for 7 days only. What oestrogen dose are you on with this and do you have to for regular scans? Any breakthrough bleeding on this dosage? I was also on it but it didnt seem to work for me :(
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Sorry Meeka, have replied on your other thread which I just saw where you stated your dosage. Hoping that the 100mg works well for you, I def prefer the V route.
And just a question for the ladies using Utro cyclically but not monthly (perhaps every 2 or 3 months) is this a dosage discussed with and prescribed by your Drs or do some of you do what I do and tweak my dosage a bit by myself, which I know is naughty, and how often do you go for scans of the uterus.
x
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Hi Cassie
Yes two monthly cycle discussed with my doc - but basically I told her what I wanted to do. The other doc when I told her said yes it was OK no reason to take prog monthly - that it was fine for 2 months. Ditto re vaginal use - they were fine with that. However they know that I know what I'm talking about and know more than they do when it comes to Utrogestan (micronised progesterone - to avoid any confusion).
I also have the experience of being on a monthly cycle for a long time ie several years (admittedly not with Utrogestan but with Cyclogest) when towards the end I got no bleeds at all with the same dosage of Oestrogen that I am on now - ie 50 mcg patch. I stopped HRT completely for a while too and did not get a withdrawal bleed, so my using it 2 monthly is based on my own experience of my body.
It has to be personalised - and cannot necessarily be the same for every woman. We are all different sizes and will absorb oestrogen differently, so the amount getting to the oestrogen receptors in the uterus will be different. Also some have minor polyps that will contribute to greater bleeds etc
Re the scans - no I don't have regular scans - this is not offered on the NHS. I would need to have a problem and would then be referred. However when I stopped HRT for 3 months a couple of years ago I had pelvic/bladder discomfort and pain and I was referred for a U/S scan then and my lining was v thin, so I knew there had been no problem on the HRT. I haven't had a scan since being on this 2 monthly cycle but so far have not experienced any breakthrough bleeding or spotting, nor any abnormal withdrawal ( 2 monthly) bleeding, nor pain or discomfort - so I am guessing from this point of view I am OK for the time being.
You know your body and how it has responded to the various treatments you use so hopefully you can judge it it's OK.
Personally I would think 7 days of 100 mg oral utrogestan maybe insufficient for some women but as I am sure I have said before, some private gynaes (and the top NHS ones) sometimes prescribe this to progesterone intolerant women but ensure they have regular scans.
I hope this is helpful
Hurdity x
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Thanks Hurdity, I'm going to try the V route next time. Not sure if 100mg of Utrogestan for 7 days will be enough for me long term, ive only been using HRT since December 2012 so its trial and error at the moment. At 50, im peri so was still having bleeds before so maybe it will be enough.
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yes i am usisng 100mg vaginally every night for 5 months now seems ok? latest level was 14?
fliss
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Hi,Thanks to all that replied to my post.Sorry I have not been on here for a while but
have had lots of family issues going on !! My daughter who is 35 has had an awful time time with 'womens problems'.She has just spent 10 days in hospital with ovarian cysts.She had quite a few but the biggest was 5cms and the smaller 2cms!She has been in agony ,couldn't eat for nearly 12 days and was on all kinds of meds including morphine for the pain.She is off to consultant today,hoping he will give a full womb sweep .Has tried the mirena coil but had to have it taken out because of problems.Bleeds heavily for 18 days out of 28.
Anyway,back to replies.the reason I call norethisterone nasty is because it is!!!Nasty side effects with headaches,abdominal pains,bloating,mood swings,anxiety,tiredness just to name a few.5mgs daily was a nightmare.
The Utrogestan has been great so far...I was due to start the 12 day Utro on Monday but started bleeding on Sunday.I took 1 Utro last night and still got a show of blood today.Not sure if I should ask Doc or not.If it is a case of 3 months causing a bleed then I will drop back to 2 monthly like Hurdity and Stella-Jane.
Will let you know how the Utro goes for my 3rd time,hope it's as kind as before.
It's strange because I hadn't had a period or bleed for at least 5 years.I don't think it's too much estraderm (50mcg patch).Will see how it goes.
Thankyou all again
Off to Hospital with daughter now.
Regards
Diana