Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: Wenj27 on August 24, 2024, 07:28:17 PM
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Nope in my head 24/7 spotting when started hrt sent for scan 8mm lining ok so sent for endrometrial biopsy FAIL as cervix tight FML. Have to go for Hyteroscopy terrified thinking just asking for GA. Smear last year all clear CA 125 Blood test and all other bloods all ok. Gyno said he does think its to do with HRT. I keep thinking Big C never had issues till started hrt. Gyno did say cervix tighening is common in postmenopausal women. How do I stop this thinking process and do i just try this hyteroscopy thing ?? Thanks again for reading 54 years old xx
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I think you have already posted something similar :-\. Health Anxiety may become worse so that issues become overwhelming.
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Probably lol but now i have a date for hyeroscopy think its just a reassurance thing x
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Nothing about your situation screams cancer and indeed a lining under 11mm is extremely unlikely to be malignant.
They just have to err on the side of caution.
It may also give you some peace to know that endometrial cancer typically develops over many years, not months, presents with chronic irregular heavy bleeding not just spotting, and that women taking continuous combined hormone therapy are actually at a lower risk of endometrial cancer than untreated women.
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Thankyou bombshell i really appreciate yor reply i am an anxious mess. I have noticed today that when i went over my diary its been 3 weeks between and for about 5 days just spotting the gyno also said i have a tight cervix so not looking forward to the hyteroscopy. I just dnt get why they didnt adjust my hrt first as i have just started it but sent me down a bloody rabbit hole xx
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Bombsh3ll does this make any sense i have had spotting like 15 days apart on both occasions. I started yesterday again and i felt like i do when i had a period was anxious more than usual last week and moody friday and dozed on sunday like i used to do. Is it possible i dnt have enough progesterone to combat the estrogen. I am on femseven 50 and 100mg utrogesten. I get your not a doctor but obviously quite knowledgeable xx
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When you say "enough" progesterone for that amount of estrogen, that dose would usually be considered adequate for endometrial protection with a 50mcg patch.
This doesn't necessarily mean it is enough to prevent any spotting at all.
You may be a poor absorber and require a higher progesterone dose to keep you bleed free.
I assume you are taking it every night.
Medically the first option would be to increase your progesterone to 200mg every night.
Alternatively taking it vaginally can work as this bypasses the gut and delivers it preferentially to the uterus. This is off label in the UK but increasingly supported by specialists.
I have just realised something else, you are on femseven - a 7 day patch? That is a long time for a patch to last and whilst the manufacturers claim it delivers the same amount of estrogen over the whole week, in reality it may well be flagging after 5 or 6 days. Especially if it is starting to detach around the edges.
The drop in estrogen as your patch comes to the end of its life may also be a cause of spotting, and it may be worth just for a trial either changing it sooner or looking at a brand that is worn for less days.
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The femseven it gets changed twice a week.
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Also before these patches it was estradoil mx 50