Menopause Matters Forum

Menopause Discussion => All things menopause => Topic started by: puddlesmum on January 06, 2019, 02:20:33 PM

Title: No period for nearly 3 months
Post by: puddlesmum on January 06, 2019, 02:20:33 PM

OK thought it was just playing about the first month but now it's been 3 months since I had a period.

I'm on BHRT (3 pumps daily and smidge Testim Gel) with 7 pills Utrogesten. Prof Studds regime. All was well up until 3 months ago when the periods just stopped. I'm still getting the PMS but no period. Is the peri finally coming to an end? Or should I contact the Prof and find out what's going on?

Title: Re: No period for nearly 3 months
Post by: Hurdity on January 06, 2019, 05:52:41 PM

I would have thought you should bleed on that regime - if you are absorbing the gel - even if you are post-menopausal. It is not usually lack of bleeding that is a problem but unscheduled bleeding. One unlikely possibility though is that 7 days of progesterone is insufficient for the secretory transformation of your womb lining so that it sheds when progesterone is stopped ( after the 7 days) and you don't want it to get too thick - but that doesn't explain why you got bleeds before and then they stopped (and depends how long you were on this regime with a bleed?).

Are you taking the progesterone vaginally or orally and what dose of utrogestan? The licensed dose for cyclical HRT is 12 days x 200 mg. If you are only taking say 100 mg orally - if I were you I would increase the progesterone to 200 mg and take it for say 12 days next month or perhaps 10 days vaginally and see if you get a bleed?

Progesterone withdrawal (ie a couple of days after stopping it) usually causes pms symptoms unrelated to any bleeding.

Also a proportion of women do not bleed on sequential HRT but perhpas more unusual with far less than the licensed dose of prog?

However if you have been on this regime for some time then it may well be that your womb lining is not building up - but increasing the progesterone for one month should tell you I would have thought?

Again - if you are concerned - do consult the prof but one month of trialling an increased dose costs you nothing!

Hurdity x

Title: Re: No period for nearly 3 months
Post by: puddlesmum on January 06, 2019, 08:11:41 PM

I'll drop him a message tomorrow.

I'm taking the Utro orally as it gives me horrendous cramp if I take it vaginally. I've had horrendous bleeds though, really heavy and bleeding through everything for around 11 days, but now although all the symptoms are there, there's nothing, not even a breakthrough.

I'll ask him tomorrow as it's unusual for me.