Menopause Matters Forum

Menopause Discussion => All things menopause => Topic started by: shoppingqueen on June 22, 2017, 07:38:29 PM

Title: Changing from utrogestan to provera advice please
Post by: shoppingqueen on June 22, 2017, 07:38:29 PM
Hi

I have recently changed from Kliofem to 75mg estradiol patch (Femseven) and 100mg  utrogestan 2 days ago taken orally. I was due to do 25 days at 100mg at night. I'm not coping with it-  I like the sedated feeling (and the complete night's sleep, and not getting up to pee continually throughout night as I was doing on Kliofem), but I feel like I've been hit by a sledgehammer all day! Very sluggish on waking, foggy head, can barely remember my own name, cannot be bothered doing ANYTHING. A total space cadet! Also some nausea/ loss of apetite etc. Now I've been off work for two days thankfully so been welded to the sofa so being spaced out and disconnected been ok, but due back at work tomorrow and I'm not wanting to take it tonight. I've popped to doctor for routine check up today and she  suggested sticking with it. I have done this with previous preparations as I realise takes time to adjust , but not sure I can function in work. Loathed to do v route as have bladder problems anyway.
The doctor has given me Provera 10mg to take as alternative if I can't cope with the utro. I had MPA previously as part of Premique and it helped with sleep and wasn't too bad so thought it would be good to try. No instructions issued by pharmacist and I want to do sequential, so googled it and it say to take for 14 days of the cycle, but if I'm switching, should I drop the Utro and just have my estro patch for 14 days before starting the Provera? Or start straight away with the Provera?
Previous to this I was on continual so not had any bleed as went straight onto patch/ utro.
Any advice would be great.
Thanks
SQ x
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on June 23, 2017, 01:15:25 PM
I really feel for you on this - it's all very well the doctor saying 'stick with it' but I was like you as in - it was like when you take a sleeping tablet - and my partner said i looked 'out of it' so I couldn't have turned up for work looking like that. I'm afraid I took the law into my own hands so to speak and took it alternate days and that helped but has risks (not strong enough to oppose the estrogen) and most docs here don't sanction that usage. I know you're committed to changing to Provera but I wonder if it's worth investigating lower dosage  of Utro? There are others on here who use it differently i.e. 10 days every other month but this depends on how much oestrogen you're using.  Please don't go on what I'm doing as it may be 'wrong' for you or indeed risky but I just wanted to say look into it maybe. Having said all that I'm just about to switch to provera due to hair loss which I'm almost certain is down to utrogestan. The specialist told me to just drop the 100 mg utro and replace it with 5mg Provera daily but I'm considering using it sequentially as you've suggested. If I do that I think I'll go straight into 14 days Provera (and estrogel) and hope for the best. Let me know what you decide and how you get on and good luck, it's hellish at times isn't it? :) :)
Title: Re: Changing from utrogestan to provera advice please
Post by: shoppingqueen on June 23, 2017, 07:42:57 PM
Hi Peacegirl

Thanks so much for your reply- I just couldn't bring myself to take it last night- like you, I felt totally out of it and think I even looked a bit wild about the eyes! Not a good look for work  :o If I wasn't working I might have been tempted by the alternates- I didn't start with provera last night as wanted a day to get the utro from my system and it's lifted a bit today, still a bit zonked out but not feeling like you said like I'd just taken sleeping tablet. So annoying as I could do with solid sleep more than anything but that's too high a price for me. Such a shame there's no lower dose.
My plan now is to do the provera tonight but am going to do 5mg and split tablet to see how I tolerate it- I'd had 5mg previously in premique continual tablets so hoping it'll suit. So my thinking is maybe this cycle keep it every night at 5mg continual no bleed and next cycle stop for 14 days and do 10mg at night for last 14. I've not done anything sequential as doc said he thought I was post meno as no period for year prior to HRT but had been in mini pill for ages which stopped my periods anyway so who knows??
It is bloody hellish switching, isn't it? Like all of us on here, I just want to feel normal but it's that long since I have I can't remember what me used to feel like.
I'm off for long break at end of July and wish I'd started the utrogestan then but in all honestly, I couldn't see my body adjusting having such an extreme reaction. I'll keep you posted on the provera.   
You using gel- how's that going? Let me know how you get on with the 10 mg  provera- let's be hopeful as it seems lots have good outcomes with it.
Fingers crossed xx SQ
Title: Re: Changing from utrogestan to provera advice please
Post by: shoppingqueen on June 23, 2017, 07:58:45 PM
Ps Peacegirl
Meant to ask how long you did the alternates and did you feel you could manage/ function on the reduced symptoms? I'm on 75 patch- previously had 2mg in kliofem tablet. I'm not sure it might be bit high but will stick it out to see if I adjust. And anyway, have had to change my femseven patch 3 times as keeps peeling off so am sure I'm not getting full hit. Have requested estradot from docs instead so will see if they'll agree a new script next week. Happy days, eh?
Did you try patches before gel?
SQ x
Title: Re: Changing from utrogestan to provera advice please
Post by: TinaOptimist on June 23, 2017, 08:01:12 PM
I started on HRT recently - sequential. I started the Utrogestan 200mg on Day 15 and it was terrible. Sore boobs, flushed cheeks, bladder pressure. So went back to gp and asked for Provera and she gave me it in 5mg tablets to try. It was fine. No side effects at all. I used it to Day 26 but my period started that day anyway. Doctor thinks it was break through bleeding but it was at Day 28 since my last period so all ok in terms of no build up of womb lining. Am going to keep at 5mg to see what happens next month. Will get a scan of wom lining if necessary to stay on this dose.
Good luck with Provera if you try it. I know it's not bio-identical but it felt a lot kinder.
Title: Re: Changing from utrogestan to provera advice please
Post by: shoppingqueen on June 23, 2017, 09:23:18 PM
Hi Tina
That's interesting- so you did 5mg for 26 days and did you break then for two days when period came? Or carry on taking continually?
Great news you settling on it- gives me hope😀Xx
Title: Re: Changing from utrogestan to provera advice please
Post by: TinaOptimist on June 23, 2017, 09:33:11 PM
Oh sorry- no. Maybe I explained it wrong. I used Estradot 50mg patch everyday and on Day 15 I tried the 200mg Utrogestan but it was awful. Made GP appointment and asked for Provera instead. Then continued with 5mg of that until Day 26 which makes the 12 days I needed to be on a progesterone tablet. Then I started my period. Bit earlier than expected as I think it's the withdrawal of the progesterone that makes you have a period. But this was my first month of using and I had my own natural period the month before. So I think my own cycle broke through as the period was actually 28 days since my last one. Hope that explains it. Just saying really that I found Provera a much nicer progesterone even if it is synthetic. I'd rather use it even if it isn't bio identical because my bladder went haywire with Utrogestan.
Title: Re: Changing from utrogestan to provera advice please
Post by: shoppingqueen on June 23, 2017, 09:49:07 PM
That's great Tina thanks! I've been given 10mg and there wasn't anything on the pharmacist leaflet re meno, but think doc said to take in last 14 days of cycle. My thinking was that I'd had 5mg of it as part of continual premique and obviously no bleed so decided to adjust I'd split tablet to 5mg each day for first month continual just to adjust. Am assuming this will keep
Lining down but estradiol patch different to premique horse estrogen, can't find dosage for 5mg on line anywhere just 10mg for sequential. I'd go sequential for this month but am bit worried as never done 14 days estrogen only and as have felt so bad adjusting to patches and horrid experience with utrogestan didn't want to go mad!! Am thinking maybe should bite bullet and do 10mg for 14 days and just see. God what a minefield😁 Good news is I agree re provera as being kinder than utrogestan. I'd wish it had suited as loved the full sleep but didn't want that for rest of the bloody day 😁😁
Title: Re: Changing from utrogestan to provera advice please
Post by: TinaOptimist on June 23, 2017, 10:20:03 PM
My doc will want me to increase to the proper dose of 10mg but was happy for me to be tentative this month as Utrogestan had proved too much for me. I will see how I get on with that much next month but may ease myself into it. Good luck anyway.
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on June 24, 2017, 05:51:55 AM
Shopping queen, I think that's sensible, I have also done every 3 days on the utrogestan and found it still helped me sleep so it will stay in your system a little while. Did you say you were using it orally or vaginally? I had less drowsiness with the vaginal route? I think what Tina says about being tentative and then upping the provera dose makes sense. You're not going to get thickening of your lining in one month! Regarding the alternate days of utrogestan, it worked a treat, I felt good on that regime which I did for 3 months. It's just that half way in I started getting the same extreme hair loss as I have previously experienced with evorel conti. (Not that many get it with utrogestan think if that was the I was just unlucky). I'm picking up my provera mo day - I've got 5mg prescribed and I think the estrogel at 2 pumps is roughly the equivalent of 50 rather than 75 patch. But as I've learned on here, you can't really compare dosage across different hrt types, it's kind of trial and error. But I was previously on a 50 patch of evorel twice a week. I'm guessing I got enough utrogestan because if the estrogen was ruling I would have got insomnia and spotting and stomach cramps. But it's also pointed out on here that it's risky not to take the correct dose but some on here do follow a lower utrogestan regime so I guess it's up to every woman on here to weigh up all the info and make an informed choice. I honestly do like the utrogestan - it's not perfect, it's the best I've had and if it wasn't for the hair loss....
Oh and like many on here, I love the estrogel so I just need to find a progesterone regime that will work!

Good luck and let us know how it all goes xx

Title: Re: Changing from utrogestan to provera advice please
Post by: shoppingqueen on June 24, 2017, 07:58:42 AM
Thanks Tina
Yes tentative sounds like a good plan! Let me know how you get on. I agree I'll also need to up to 10mg eventually as well.
Peacegirl, I took the utro orally- if I ever was to try again I'd go the v route to see if this helps re reducing side effects it's just I already have a weak bladder and some say that it irritates this.
 It's such a shame re the hair loss reaction for you as it suited! It just doesn't seem fair. I've noticed that it's all a bargaining game- one treatment is better for x y z but doesn't help with b. Whereas another helps b and y but not x and z.... if you know what I mean? No wonder we get confused/ frustrated as you're then left thinking which is best to settle on. I felt super calm on the utro and great sleep, my breathing felt easier too, but unable to focus so no good for work. Grrr!
I'm very interested in the gel and do think I'd try this if patches don't stick. I'm so glad this is working for you.

Keep me posted on the provera both  I'd be interested to know how you get on xxx
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on June 24, 2017, 09:40:04 AM
Hi, I have a 'weak' bladder too and it didn't seem to get worse with vaginal use. I have started with vagifem though and with pelvic floor work which has been really difficult to do but is starting to work again this helps with that awful problem. Yes the bargaining thing, I know!!  I am investigating wigs (in case the Provera doesn't work out) but they will have to be bloody good and natural before I venture out in one!
Title: Re: Changing from utrogestan to provera advice please
Post by: shoppingqueen on June 24, 2017, 04:52:02 PM
That's good news re not affecting bladder v route- I'm prepared to give utro another go if provera doesn't work well as I'll be running out of options- it'll be when I'm off work though in case I get the spaced out feeling again! J really hope the hair loss abates with provera for you! We don't deserve all this do we? Xx
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on June 25, 2017, 04:33:20 PM
Utrogestan is not working for me either. I've blown up like a ballon to where it's so uncomfortable. My GP said to take it every other day, which I have been doing and I still have fluid retention but not as bad.  The consultant has now said it's not safe to take it every other day as it's not enough to clear the lining. I'm dreading taking it tonight as I know I'll be going to work with big puffy eyes. I'm wondering if I should ask for provera. How are you finding it? 
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on June 25, 2017, 04:37:14 PM
Peace girl, I'd read Utrogestan was supposed to be the best for hairless, but funny my hair has gone bad on it. Gestodene in Femodene pill was the best for me for hair loss. I do t know if it's available for HRT
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on June 25, 2017, 04:41:36 PM
Utrogestan is not working for me either. I've blown up like a ballon to where it's so uncomfortable. My GP said to take it every other day, which I have been doing and I still have fluid retention but not as bad.  The consultant has now said it's not safe to take it every other day as it's not enough to clear the lining. I'm dreading taking it tonight as I know I'll be going to work with big puffy eyes. I'm wondering if I should ask for provera. How are you finding it?

Hi, do you mind me asking how much estrogen you're taking? I also had horrible side effects (bloating headaches, nausea, sedation, Ibs) from 100mg of utrogestan and so took it every other day as is sanctioned in some countries. But my specialist said on Thursday thst this isnt safe. However I only have two pumps of estrogel so how could it be that if I have 2 pumps of gel I need 100mg of utrogestan daily and if I have 4 pumps of gel a day I only need the same amount of progesterone? I am also now trying provera next week but this is mainly because my hair loss has started up again. Will report back re side effects.
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on June 25, 2017, 04:43:37 PM
Peace girl, I'd read Utrogestan was supposed to be the best for hairless, but funny my hair has gone bad on it. Gestodene in Femodene pill was the best for me for hair loss. I do t know if it's available for HRT

My specialist said hair loss war rare yet it's listed under common side effects for utrogestan.  I found femoston conti ok just not enough estrogen effect from it.
Title: Re: Changing from utrogestan to provera advice please
Post by: shoppingqueen on June 25, 2017, 08:59:54 PM
Hi Katia
I'm only third or fourth day in with provera- I'm only taking 5mg, was prescribed 10mg but want to see how I tolerate it- been taking about 7pm as makes me feel bit sleepy. However, have slept well throughout night. So far so good. But will keep you posted. My main problem is that I've also gone from tablet to patch and am having a nightmare with them getting to stick also instinctively feel I'm not coping with 75mcg feels too high or it's meno symptoms returning and maybe I'm just not absorbing because of sticking problems so hard to tell. Warmed skin with hairdryer as suggested by some on here so have cut patch down to 50 ish today I  just removed a quarter- going to see how I go. I also have terrific backache but don't know if I've pulled it or is related to putting patch on bum!! Might need to try on tummy when I'm due a change. Katia, what estrogen you using and what route if you don't mind me asking ? Xx
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on June 25, 2017, 10:22:53 PM
I use the estrogel. I've only been on HRT three weeks. I was using three pumps, reduced it to two as I wasn't sure if it was the gel or the Utrogestan that was causing the fluid and have just gone back to three as two isn't enough. I could tolerate Utrogestan if it was every third day, but I'd still have some fluid retention and it's unpleasant. I was in Femodene pill before and had no side effects. I am happy with the gel, but I need to find a progesterone and I don't think the Utrogestan is right.

Shopping queen could you switch to the gel?

 Peacegirl, my specialist is saying the same about the fluid. He said it's highly unlikely it's the HRT. It started with the HRT, I'd never had it before and when I had a break from the Utrogestan it went away. At least he's open to changing the progesterone or me going back to Femodene pill if needed. I'm taking 100mg of Utrogestan a day. He feels it's better for me to have the lower dose. I've tried it vaginally and I still got really bad bloating and fluid. I decided myself to have a 3 day break from it then my GP said to go to every other day. It still wasn't good. I've skipped it again for a few days now as I was meeting a friend and didn't want to look like a puffed up ball. Ive just taken it tonight and am giving it a few more days to see. When it's taken every other day does it build up enough to shed the lining or not? 
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on June 25, 2017, 10:25:10 PM
Someone has posted about taking it vaginally 2 or 3 times a week like they do in the continent. I think it was either from a gynae or a study. I'm trying to find the post/study so that I can show it to the specialist as he seems to say it needs to be taken every day
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on June 26, 2017, 05:54:39 AM
I will try and find the thread for you. Can't remember right now. I have been warned about risks of such light use on here too so all I can suggest is if you find a paper evidencing use like this in other countries, you signpost it to your specialist. But as I'm sure you know, not everyone can tolerate utrogestan. I get minimal, bearable side effects from alternate days use.
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on June 26, 2017, 05:56:29 AM
Found this for now but will try to do more research at lunchtime

https://www.menopausematters.co.uk/forum/index.php/topic,35603.msg569522.html#msg569522

With reduced use, regular scans are recommended to measure thickness of lining, even though my specialist says this isn't effective.

Also can I stress that I'm not in any sense very knowledgeable myself and only speaking from my own experience and still struggling to make sense of it all 🙄
Title: Re: Changing from utrogestan to provera advice please
Post by: Jenna on June 26, 2017, 08:11:08 AM
Someone has posted about taking it vaginally 2 or 3 times a week like they do in the continent. I think it was either from a gynae or a study. I'm trying to find the post/study so that I can show it to the specialist as he seems to say it needs to be taken every day

Hi Katia - this thread might be useful and look for Hurdity's post re the published info.

https://www.menopausematters.co.uk/forum/index.php'topic=33514.0
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on June 26, 2017, 08:35:06 AM
Someone has posted about taking it vaginally 2 or 3 times a week like they do in the continent. I think it was either from a gynae or a study. I'm trying to find the post/study so that I can show it to the specialist as he seems to say it needs to be taken every day

Hi Katia - this thread might be useful and look for Hurdity's post re the published info.

https://www.menopausematters.co.uk/forum/index.php'topic=33514.0

Thanks for finding that Jenna - have now saved this in my desktop meno folder as I clearly have the memory of Dory!


 :)
Title: Re: Changing from utrogestan to provera advice please
Post by: Jenna on June 26, 2017, 08:48:55 AM
My pleasure, Peacegirl.  :)
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on June 26, 2017, 11:25:06 AM
Thank you for all these.  I am seeing a specialist, but he seems to just follow the rules of every day 100mg, or cyclical 200mg.  I never had any problems with the progestogens in the pill so I'm thinking of changing

Title: Re: Changing from utrogestan to provera advice please
Post by: matildamouse on June 27, 2017, 02:30:03 PM
I do well on alternative day progesterone vaginally, 50mcg Estradot and  vagifem twice a week. My scans have been good so far.
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on June 27, 2017, 07:52:21 PM
Peace girl, I find the quality of my hair seems to improve with the Utrogestan. Could you take the femoston with a pump of gel? 
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on June 27, 2017, 08:09:16 PM
Peacegirl, did you have any problems with the progesterone in femoston?  Ive done two days of Utrogestan, I've felt tired but haven't bloated as bad, but I know if I take another I will. I'm wondering about days on one off. The texture of my hair has improved with the Utrogestan vs just the gel, but it's not as good as a few weeks ago on the Femodene pill
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on June 28, 2017, 07:19:41 AM
Peacegirl, did you have any problems with the progesterone in femoston?  Ive done two days of Utrogestan, I've felt tired but haven't bloated as bad, but I know if I take another I will. I'm wondering about days on one off. The texture of my hair has improved with the Utrogestan vs just the gel, but it's not as good as a few weeks ago on the Femodene pill

No problems at all with Femoston (I was on 1/5 conti). No hair loss - it just didn't hold my meno symptoms (hot flushes, aching bones, brain fog, chronic mouth ulcers and gum problems).
I'm going to try the Provera this week. If that doesn't work out I have thought about seeing if my GP would agree to Femoston with a pump of gel. I feel like I can tell if I'm carrying too much oestrogen as I get a bit 'high' (not in a good way) and can't sleep. So I like being able to control/monitor this. My GP was happy wth me taking the Femoston and topping up with half an evorel patch but the specialist says no as this not recommend dose - but hey we don't all fit within average ranges do we??

What's your next move Katia? You could try 2 days on and one off but like me, you may feel at some point you need to get this reduced utrogestan use sanctioned by a medical practitioner and this can be a problem. There is research/evidence around if you feel like taking them on.  Not that we should have to fight for what's best for us individually - we're entitled to quality of life like anyone else with scans and whatever else is needed to ensure our good health.
Title: Re: Changing from utrogestan to provera advice please
Post by: br350 on June 28, 2017, 11:49:44 AM
shortie, natural progesterone does that to me too.  Progesterone slows digestion considerably.  By the time I'm at the end of my 10-day/month use of it, my digestion is all messed up.  It's awful - at least to me. 
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on June 28, 2017, 03:12:27 PM
I've done two days back on the utrogestan now and then skipped the third day.  Two days on and one off still seems to have the same side effects.  I think it would have to be one off and one on and then I still don't love it.  I'm fairly new with HRT so I wonder if it will settle.  Although it seems to get worse not better the more the utrogestan builds up. The bloating hasn't been quite so bad this time, but I'm so tired with it.  The consultant said I could try a different progesterone or consider going back to Femodene pill for a couple of years.    I'm giving it the week.  My hair and skin are better when I am taking the utrogestan daily, so progesterone does have a role in that.  I just don't feel like I'm balanced at the minute.
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on July 02, 2017, 09:58:14 AM
I've done two days back on the utrogestan now and then skipped the third day.  Two days on and one off still seems to have the same side effects.  I think it would have to be one off and one on and then I still don't love it.  I'm fairly new with HRT so I wonder if it will settle.  Although it seems to get worse not better the more the utrogestan builds up. The bloating hasn't been quite so bad this time, but I'm so tired with it.  The consultant said I could try a different progesterone or consider going back to Femodene pill for a couple of years.    I'm giving it the week.  My hair and skin are better when I am taking the utrogestan daily, so progesterone does have a role in that.  I just don't feel like I'm balanced at the minute.

It's so tough isn't it? I feel absolutely rotten for 3 weeks now, much like I did when I first started progesterone. Am continuing with alternate days utrogestan (100mg) as haven't managed to get provera yet. I'm also hoping this is just a very long-lasting cold/lurgy thing but it could be progesterone build up. I'm going to try Provera and estrogel combo and if that doesn't work out will ask (GP not specialist) if I can try Femoston with estrogel.
I really, really hope you get some relief soon :)
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on July 05, 2017, 02:50:11 AM
I find every other day almost worse with the constant change in hormones. My body prefers steady. I also found my hair went bad that way. Im finding the fluid has settled. The digestive changes are still there. I'm not wanting to sleep 24/7 but now I'm up typing this at 3am. My mood is also lower and much flatter. This is my main concern with it now. I saw a thread which had a link with a cycle that mimics our natural one, where the estrogen increases and decreases too but I can't for e life of me find it now.
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on July 06, 2017, 12:46:38 PM
I find every other day almost worse with the constant change in hormones. My body prefers steady. I also found my hair went bad that way. Im finding the fluid has settled. The digestive changes are still there. I'm not wanting to sleep 24/7 but now I'm up typing this at 3am. My mood is also lower and much flatter. This is my main concern with it now. I saw a thread which had a link with a cycle that mimics our natural one, where the estrogen increases and decreases too but I can't for e life of me find it now.

Im day two of 5mg of provera (and two pumps of estrogel) daily - well day three as I'm up to my old tricks of alternating as I see some are on a lower dose than me anyway and I feel like there's still lots of utrogestan in my system. If all is well I will up it to daily. So far, so good. The trouble is, I've been feelin 'virusy' ill for over 3 weeks but today I managed to cycle a mile and a half to the allotment and do two hours there and cycle home so I am feeling better. Whether this illness was utrogestan side effects or not will be evident soon I reckon. Fingers x'd the hair loss stops now!  I think my depression was utrogestan related though as I'd be feeling flat at times when I never normally would. I'll let you know how the provera works out in case it might be an option for you. I did find the utrogestan was for me the worst of all progesterones for digestive problems.
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on July 07, 2017, 09:03:47 PM
Peacegirl, I am feeling flat too and like I'm not bothered about anything.  It's the Utrogestan. I have an appointment in a couple of weeks. So I'll see how you get on. I do like Utrogestan for the libido though.  It's better than it was on the pill.  I find taking the Utrogestan every other day even worse as my body prefers consistent.  The reviews for provera as the depra provera injection aren't great.  Peacegirl did you not find your hair better when taking the Utrogestan than just the gel?  I did, but I'm still losing more than on femodene.

Shortie, yes!!!!  That's the one. It seemed like an interesting concept.
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on July 07, 2017, 09:07:08 PM
The Wiley protocol uses progesterone cream. I hate to admit I've wondered about taking the Utrogestan orally one day and putting It into a cream the alternate day. That way I'd still be getting some, but it may have less side effects. Has anyone tried it?
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on July 08, 2017, 11:05:07 AM
Katia- I've tried it. If you search online there's actually a prog site that recommends mixing it with vit e oil which I did. It's definitely absorbed, but I ended up in the same place after 4/5 days - foggy, depressed, constipated, bloated, full of water, snappy- basically unable to function.

I'm currently using 2 pumps of gel and 1/5 Femoston which I take at night as it makes me sleepy. I'm going to use it sequi and see how it goes. I've got a scan due in August so I'll see if it's working. So far, so good. The dydrogesterone is the best prog I've ever used and if this works, I'll ask the doc for 1/10 and use it sequi.

I'd really love to use Utro but have tried and failed so many times. The dydrogesterone doesn't cause WR, bloating or depression with me. It'd be great if it was available separately.

Sx
Hi Shortie I found the femoston 1/5 best but wasn't enough oestrogen.  Has your GP agreed to you topping up with estrogel or is this your own 'experiment' Sorry if you've already posted all this -it' hard to keep track of everyone with a foggy head!  Really good to hear that's working out for you. I don't know if I'd 'get away with this' as my 'specialist' will likely say my scans are pointless.  Basically I'm trying to ditch my specialist, particularly as she's just written a really negative letter where she says we're running out of options and tells me off yet again for using utrogestan alternate days. (Part of the reason for this was it was 4 months till me next appointment and they have no phone would you believe  :o )
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on July 08, 2017, 11:52:23 AM
Peacegirl, I am feeling flat too and like I'm not bothered about anything.  It's the Utrogestan. I have an appointment in a couple of weeks. So I'll see how you get on. I do like Utrogestan for the libido though.  It's better than it was on the pill.  I find taking the Utrogestan every other day even worse as my body prefers consistent.  The reviews for provera as the depra provera injection aren't great.  Peacegirl did you not find your hair better when taking the Utrogestan than just the gel?  I did, but I'm still losing more than on femodene.

Shortie, yes!!!!  That's the one. It seemed like an interesting concept.

Hi Katia, well I'm glad your hair's better - even if the rest is rubbish :).  I'm afraid my hair loss is quite extreme and is building just like it did with the norethisterone in evorel conti, so I'm not noticing any difference from on off days. I've stopped now and am desperate for my hair to stop falling out!  I understand that hair loss is rare with utrogestan so I'm wondering if my body just finds the high does a bit toxic and hair loss is a reaction to that. I was fairly recently tested for just about everything so reasonably sure the hair loss isn't due to anything else.
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on July 09, 2017, 09:47:04 AM
Hi Peacegirl - it's my 'experiment' as I know it wouldn't be sanctioned and I'm getting a scan early August. I must say, this is day 7, I did 4 days 2/10 using tabs only but became aggressive and very tired and flat with very foggy head. I then changed to 1/2 pumps gel morning  and 1/5 tabs at night. When the prog reduced I started a bleed but am continuing with 10 days prog if I can. I'm struggling today, bad, hot sleep past 2 nights and sore back now. Mood is ok but not brilliant. Very little bloating or WR though. I really can't stand prog after 4 days but I need a good bleed so I'm doing what I have to. I may go back to Norethisterone for the next cycle but that makes me quite aggressive and blue too. Never thought I'd get to this point but I'm seriously considering hysto. Just don't want this crap at this stage of my life and I know from recent reduction in E that I still need SOME E floating around. Really fed-up today, ears screaming too!

Sx
Thanks for sharing and sorry you're having a hard day  -  I can totally relate. Hope your day picks up - I made the big mistake of driving alcohol last night so I feel double-rubbish - my own fault of course! x
Title: Re: Changing from utrogestan to provera advice please
Post by: Mary G on July 09, 2017, 03:05:38 PM
shortie, agreed, please see my post on your new thread!
Title: Re: Changing from utrogestan to provera advice please
Post by: Optimist on July 09, 2017, 05:57:15 PM
Hi shortie, sorry you're having such s rinbish time. I was equally aggressive on the tablet form of norethisterone but on the patches calm but felt alive (if you get that). Having some other problems with it bad back, constipation etc but worth a try if you haven't already? X
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on July 09, 2017, 06:55:53 PM
Shortie, sorry you're having such a horrid time. Would it help to take prog every three days?  It might stop it building as much and over the month you'd still get more than prof studd recds with 7 days.  I find I still get the same side effects using it vaginally. At the minute I'm doing 2 Utrogestan and a day off, but it's still a depressant.

Peacegirl, my hair is worse with just the estrogen (I think). For seems to come out of the hormones are not balanced or change. It was best on Femodene, the progestegen is gestodene, which is in the pipeline, I believe, for HRT.  I had no problems with it so I wish it would hurry up.  :)
Title: Re: Changing from utrogestan to provera advice please
Post by: Hurdity on July 10, 2017, 05:13:04 PM
The Wiley protocol uses progesterone cream. I hate to admit I've wondered about taking the Utrogestan orally one day and putting It into a cream the alternate day. That way I'd still be getting some, but it may have less side effects. Has anyone tried it?

Really this is not recommended. I don't know about the Wiley Protocol (re HRT) but any regime that is using any form of progesterone cream for endometrial protection is not endorsed either by the FDA in the US nor the NHS in UK, so not advisable to experiment in this way!

Hurdity x
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on July 12, 2017, 06:41:56 PM
Shortie,

Any way to squeeze half of it out and then take the rest the following day?

The Wiley protocol doesn't seem to give any ndicwtion of how much to take, just that it mirrors a natural cycle. I don't think it's cream
Title: Re: Changing from utrogestan to provera advice please
Post by: Peacegirl on July 13, 2017, 09:39:41 AM
Shortie,

Any way to squeeze half of it out and then take the rest the following day?

The Wiley protocol doesn't seem to give any ndicwtion of how much to take, just that it mirrors a natural cycle. I don't think it's cream

I've tried that too Katia but got in a pickle as it's obviously not accurate. I've even tried to freeze them and then cut in half but the oil doesn't freeze only the shell. I've exhausted every possible option and now given up. I started on evorel sequi a few days ago as I was gone on them some years ago but the E wasn't enough so this time round I'm topping up with half to 1 pump of gel as necessary. I really don't care if it's not licensed, I need prog and I can't take the licensed dose without getting ill so I'll take it in an appropriate dose for me. So far, so good. Feel a bit sedated but nothing like the utro. Thanks for all your suggestions and I hope you're finding some balance with your prog.

Sx

I have to admire your (and all other women's) ingenuity! Yet all we really want to do is have reasonable quality of life. I mean we're not asking for perfect are we? Just to be able to do what an average person our age can do. Seriously it's like having a chronic illness rather than being a so-called 'stage of life'.  I feel like I've turned into a junkie as I too have been thinking ahead to worst case scenario where I have to go back to the femoston (where the progesterone didn't hurt me) and then get hold of some illicit estrogel to top up the 'e' :o  Anyway I'm not there yet - still trialling Provera - can't remember if you said you'd tried Provera? (I used femoston topped up with quarter of an evorel patch and that was great. I can tell when too much 'e' as I get awful insomnia.
Title: Re: Changing from utrogestan to provera advice please
Post by: Hurdity on July 13, 2017, 01:37:34 PM
We need dydrogesterone back on the market in the UK as a separate progestogen!!!!!!

I wonder if the top gynaes are putting pressure on big pharma to bring it back to this country since research also seems to be showing (according to the BMS last week) that it is the least risky re breast cancer of all the synthetic progestogens so there is a moral obligation there.

Despite my nil-by-mouth approach to HRT if dydrogesterone was available I would be tempted to use this in place of the utrogestan to avoid the two weeks of excess fatigue every 2 months.

Hurdity x
Title: Re: Changing from utrogestan to provera advice please
Post by: Katia on July 14, 2017, 01:38:33 PM
I have an appointment with the consultant next week.  I will ask if it is in the pipeline.  I read Gestodene is and also the progestegen that's in Yasmin.  I can't remember the name.  They are both 3rd generation ones.  It didn't say whether they would be stand alone though.  I'm not doing too badly on utrogestan this week.  Last week it gave me terrible insomnia, this week I'm struggling to get up and could sleep for England.  It seems inconsistent which may be my own hormones.  I'm going to have a 3 day break, then go back on it for a few days and see before seeing the consultant again.  The temptation to go back on Femodene is still there.