Menopause Matters Forum

Menopause Discussion => All things menopause => Topic started by: Beaker on August 06, 2017, 03:21:12 PM

Title: Why go on Sequential HRT? Why not start straight on Continuous Combined HRT?
Post by: Beaker on August 06, 2017, 03:21:12 PM
Forgive me if this topic has already been explained/discussed.  I did search the forum but couldn't see anything.

1. Given my history with mood swings and pre-menstrual tension, I recently had cause to wonder - why do women have to start on a sequential HRT when they start HRT before finishing their periods?  Why not go straight to the Continuous Combined HRT?

2. How do you know when your periods really finish if they are being falsely stimulated through taking sequential HRT?
Is it because people who suffer from mood swings are sometimes Progesterone-sensitive - and being on a prescribed period of progesterone each month is better than being on continuous Progesterone?

I would be very grateful for any answers to these questions.
Title: Re: Why go on Sequential HRT? Why not start straight on Continuous Combined HRT?
Post by: Beaker on August 06, 2017, 03:33:15 PM
Many thanks, Stellajane - this makes sense.
Title: Re: Why go on Sequential HRT? Why not start straight on Continuous Combined HRT?
Post by: Hurdity on August 06, 2017, 03:55:38 PM
Just to add - depending how old you are there are two types of CCP which are similar to HRT in terms of their oestrogen and would stabilise your hormones by suppressing ovulation. They are ZOELY and QLAIRA but don't seem to be prescribed over 50, Qlaira I think only has two tablet free days.

The other thing is if you are very late peri then you might be able to try a longer cycle as some of us do - to reduce the time on progesterone - but this should only be done under medical supervision to monitor the uterus.

Hurdity x
Title: Re: Why go on Sequential HRT? Why not start straight on Continuous Combined HRT?
Post by: Beaker on August 07, 2017, 07:01:25 PM
Ah yes, thanks Hurdity - I've heard of Qlaira.  I'm 50 so too late for me!

I started peri at age 47. 

On my current HRT my periods are down to one every 6-7 weeks and the period itself is very light.  I'm pleased with this but got to thinking that maybe I should ask to go on a no-period HRT altogether.  I will discuss with my consultant when I see her next.