Menopause Matters Forum
Menopause Discussion => Postmenopause => Topic started by: Tropical moments on March 12, 2025, 10:48:44 PM
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Hi, I use half an evorel conti patch twice a week (due to spottting 2 years ago when I started). Yesterday I put the patch on at 6am rather than my usual time of 10pm and today I have had spotting and cramping. Is this likely to be due to the change in timing or could it be that I need to increase the patch size?
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Change of timing. The body is very sensitive to alterations of replacement. Some find that keeping amood/food/symptom diary of use.
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If you replaced your patch earlier rather than later then your estrogen would not have dipped unless the previous patch had come off, so I don't think it can necessarily be attributed to that, however nor do I think you need to panic.
As it has been two years since you last bled, the usual advice would be to make a routine appointment with your GP, however in the setting of hormone therapy provided your cervical screening is up to date and you have no risk factors for endometrial cancer, I personally wouldn't rush to investigate a single episode of spotting.
Vaginal atrophy, which is extremely likely given you are only on 25mcg of estradiol, can also lead to spotting so it may be worth trying some vaginal estrogen if you are happy with your current systemic treatment.
However my approach regarding systemic hormone therapy would be to use a therapeutic dose of estrogen and then manage any bleeding by adjusting the progestogen, rather than reducing the estrogen in response to spotting, so really the question is do you feel well and adequately treated on your current treatment?
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So two weeks later I have more spotting, a little heavier and more dark red “bits” in the blood. I feel really worried and will be making a GP appointment on Monday 🤞 has anyone had anything similar? I have been on half a evorel conti patch for nearly 4 years - could it possibly be that I require more/less estrogen or progesterone?
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As expected I’ve been referred to 2WW this forum has helped so much and I knew what was going to happen so thanks to everyone who shares their experiences it really does ease your mind when going through the same thing ❤️
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Had the internal ultrasound- she said it all looked okay and GP will be in touch. Have to wait to have blood tests and do a swab now🤞🤞🤞
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So two weeks later I have more spotting, a little heavier and more dark red “bits” in the blood. I feel really worried and will be making a GP appointment on Monday 🤞 has anyone had anything similar? I have been on half a evorel conti patch for nearly 4 years - could it possibly be that I require more/less estrogen or progesterone?
I am on Ec 50 patches and after about 10 month began spotting when i went to the loo, after a while i told the nurse and she booked me a gp appointment, they referred me for a scan and them a hystospcopy as my lining was thickened. The hospital wrote and told the gp to alter my progetrone levels ( which they did not do ) so 15 m later i have just had the same spotting, scan, hysto and am waiting for the letter the hysto lady said she is pretty sure it is progestrone based again. MY gp WILL be doing something this time
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I had the hysteroscopy and they discovered I have a polyp which was recommended to be removed under GA as I was just about managing with gas and air.
I also have blood tests next week which will check my hormone levels so they will hopefully show if progesterone levels have also changed.
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Had my pre-op today and had my bloods done this morning - just checked my patient access app and all bloods normal, just tiny bit raised on 2 of the cholesterol checks. My operation is taking place next Thursday to have the polyp removed under GA.
Has anyone else had this done? What is the recovery like?
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Update
So I had the polyp removed and a biopsy of the womb lining - all came back clear.
4 weeks later I have spotting again!!
Could this be that I now need to look into changing my HRT li am on half a patch of evorel conti and have been for 4 years - I am also considering coming off HRT all together. Any ideas or similar situations anyone?
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I had a poly removed last November no bleeding or pain after
Had my pre-op today and had my bloods done this morning - just checked my patient access app and all bloods normal, just tiny bit raised on 2 of the cholesterol checks. My operation is taking place next Thursday to have the polyp removed under GA.
Has anyone else had this done? What is the recovery like?
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I am still bleeding on and off too
I’m on 50 Evorel patch and 100mg Utrogestan
Waiting for the consultant to speak to me about changing the progesterone type or dosage
Update
So I had the polyp removed and a biopsy of the womb lining - all came back clear.
4 weeks later I have spotting again!!
Could this be that I now need to look into changing my HRT li am on half a patch of evorel conti and have been for 4 years - I am also considering coming off HRT all together. Any ideas or similar situations anyone?
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Update
So I had the polyp removed and a biopsy of the womb lining - all came back clear.
4 weeks later I have spotting again!!
Could this be that I now need to look into changing my HRT li am on half a patch of evorel conti and have been for 4 years - I am also considering coming off HRT all together. Any ideas or similar situations anyone?
So I have increased my patch and two weeks later I am bleeding again! I’m guessing this is to be expected as I’ve increased the oestrogen and progesterone levels. Has anyone else experienced this - will it settle or should I ask to try a completely new HRT
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Try the mirena coil?
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Try the mirena coil?
What are people’s experiences with this? - I”ve alway been. hesitant
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I got regular spotting before the Mirena. I also didn't get on that well with the utrogestan. Mirena has been a game changer. Takes time to settle - about four months in my case - but since then, no bleeding/spotting, no drowsiness/low mood from utrogestan and its good for five years. I did have it installed under GA though - due to my propensity for vasovagal reaction. It was done at the same time as a hysteropscopy, but you can ussually get it done at GP surgery.