Menopause Matters Forum

Menopause Discussion => Postmenopause => Topic started by: Noodles29 on December 29, 2022, 11:24:03 PM

Title: Advice on how much bleeding to expect with HRT
Post by: Noodles29 on December 29, 2022, 11:24:03 PM

Hi everyone.

So I started HRT just over a year ago.  I’m 55 and I’d stopped my periods for 18 months before I started HRT treatment.

As I’m not great with progesterone I only took progesterone (vaginally) for 11 days a month alongside Oestrogel.  My doctor told me to expect a vague bleed once a month but nothing major.  I unfortunately ended up having the worst periods of my life - very heavy bleeding and clotting with terrible cramps.  I had to take iron supplements as the bleeding was so heavy. My periods have always been bad but this was a whole new level. 

I went back to the docs and he suggested a hysteroscopy and biopsy which I had in November.  Since then I’ve changed to daily progesterone (100) and I’ve had another bleed that started just before Christmas.

I was really hoping the daily progesterone intake would stop all bleeding but I was wrong.  This is another really heavy painful debilitating period.  Is this a one off bleed - one month post hysteroscopy or will I now have to endure monthly bleeds as long as I take HRT?  I would stop HRT but I have early signs of osteoporosis and I’ve been advised to stay on it.

Is a hysterectomy my only way out of this.  So worried and confused as I’m post menopausal and this shouldn’t be happening surely?

Any help and feedback would be amazing thanks 🙏🏻

Title: Re: Advice on how much bleeding to expect with HRT
Post by: CLKD on December 30, 2022, 10:24:13 AM

Morning.  There are other ways of counteracting osteoporosis.  MayB drop in2 the UK Osteoporosis Website and ask there for alternatives? 

Many find that progesterone upsets the system.  As a sufferer of debilitating painful periods for many years you have my sympthaty.  U could put the product name into the search box to see if threads pop up, make notes ;-).

Hysterectomy can be a life saver, it can also come with its own problems.  'hystersisters' web-site rings a bell  :-\.  Hopefully someone will be along with advice, the person I would look to is on holiday this week  ::)

Was there a particular symptom that encourage you to try HRT? 

Title: Re: Advice on how much bleeding to expect with HRT
Post by: sheila99 on December 30, 2022, 11:05:02 AM

Bleeding in the first 3-6 months of a new conti regime can be expected so I would give it more time to see if it settles. If it doesn't you could increase to 200mg daily or try a different progestin, the synthetic ones can be better than utro and a mirena will stop the bleeding for most people.