Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: cocopop100 on October 04, 2025, 02:47:59 PM
-
Hi meno friends! I’m 48 years old and quite new to HRT life. I started estrogel and utrogestan (100 mg vaginally in eve, continually) about five months ago. My last period was 10 months ago so I guess I’m almost classified as post-menopausal. The estrogel has helped with the hot flashes and sleep etc. but I generally feel incredibly sleepy / drowsy the whole time and have a theory that it’s the utrogestan. Has anyone experienced similar and found a progesterone alternative eg cyclogest less drowsy-making? Or I’ve also read on here that some people make a pin prick in the capsule and let some of the liquid out to reduce the dose. But is less than 100 mg safe / protective for the womb etc? V grateful for your advice! Thanks so much,
-
I have recently started taking micronised progesterone vaginal and feel very sleepy in the day. I'm on 100mcg patch and 100g progesterone although I did increase to two. I previously had a mirena in for three years and had it removed and then the new regime triggered a bleed which has stopped now but I do feel very very tired and my body is boiling. My estrogen is 206pmol so maybe that's too low. I'm fed up with it all. I hope you get some replies that feed in and help. Love this forum.
-
I get this too and it also disrupted my sleep, it seems to be a fairly common side effect. You could try taking it earlier, I found 10-11am was best but still far from perfect. I stayed on sequi (6 week cycle) when they wanted me on conti so I had more time off it. I don't get it with norethisterone (either oral or in evorel conti patches). I now use a mirena which is great. It isn't safe to use less unless you arrange your own scans to check there's no build up.
-
I was on 100mg Utrogestan daily taken vaginally and had the same fatigue. My GP has recently changed brands so I now have Zentiva and have noticed that I don't have any fatigue at all. On the downside, I am not sleeping as well as I did on the Utro so I suppose it's swings and roundabouts.
-
Lots of drowsiness over here on Cyclogest. It's better for me than Utrogestan which caused low mood as well as the drowsiness.
-
Hi, sorry you're feeling like this. If it helps...me too! I take 100mg Utrogestan orally and the fatigue is horrendous. I cannot get moving and my mood is seriously low. Setbacks I would normally brush off feel overwhelming. I spoke to doctor about it and she suggested moving to 200mg for half the month instead; I couldn't get out of bed. I am speaking to her again today about changing to something else. She previously suggested taking it vaginally to prevent it going through the liver but I see on here that others still get fatigue taking it that way. Wondering if asking to try Zetiva might help.