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Hi Ladies, has anyone else, who uses Utrogestan cyclically started bleeding whilst still using it. I have another 2 tablets to go, the bleed usually comes a few days after I stop but its started this morning. I seem to think I have had this happen to me previously as well, just checking that I should finish the Utrogestan nonetheless

Now and again I've had this but usually the bleed comes a couple of days afterwards. Also depends on my cycle lengths. If I've noticed this occurring I do a few shorter cycles (say 5 weeks rather than nearer 6). In recent years, every now and again - not annually, longer than this probably, but when I think about it - I take a course of a regular progestogen like norethisterone (in the past a couple of times), or more recently Provera - on the advice of my gynae specialist GP - to "strip" the lining as she put it, as the synthetic progestogens are more effective than Utrogestan in thinning the lining, especially if one is on unconventional regimes (ie in my case, longer cycles).

Hurdity x

I'm 64 and been on HRT for 10yrs, I use the evorel 50 patch and utrogestan 100 for 12 days roughly every 5 weeks cyclical vaginal regime and to be honest I'm getting fed up with it, I've lost quite a bit of weight and my bleeding has changed, darker brown and not such a crampy or painful bleed anymore but I have began bleeding on day 11 this month, I was wondering if I could cut a piece off the evorel 50 patch and carry on with the utrogestan regime reducing the patch over quite some month's. See how I am regarding menopause symptoms and hoping the bleed will not start until I have finished the full 12 days of utrogestan due to the lower oestrogen level. My GP isn't much help and I rarely go except for the yearly review which is with the nurse and she's clueless. My aim is to eventually stop HRT altogether.Any advice is welcome thank you

Hi Goosieloosie! We haven't "spoken" for a long time....

So why are you wanting to stop HRT - is it because you're fed up with the bleeds? I don't blame you!

You mention that you've lost quite a bit of weight and I wonder why you mention this? Is this deliberate weight loss? It shouldn't really affect you that much long term re HRT?

Have you consulted your doc or menopause specialist because if you are worried why you are bleeding earlier (as opposed to being fed up) - then it is legitimate to go to your GP to say your bleeding has changed and hopefully they may request a scan? Any such scan must be timed so it is performed immediately after the bleed to be indicative of anything.

Re rectal use of Utrogestan as sheila says there is no medical evidence as to its efficacy in protecting the endometrium, apart from anecdotal, even though specialists like Louise Newson suggest this in their online advice. It's fine for those that attend her private clinic or any setting where regular monitoring takes place - otherwise it's a shot in the dark as to dose.

Of course it stands to reason that a product which can be absorbed vaginally (after softening of the capsule membrane to release the contents), should be absorbed rectally - but the dosing is guesswork. Aside from the dosing issue there is the physical act of insertion. Products such as Cyclogest have been specifically designed to be insterted vaginally or rectally. If you've never seen them they are quite large, hard waxy capsules, with a slightly pointed end to facilitate insertion - and therefore are pretty easy to sue. Utogestan 100 mg are tiny round balls - and I couldn't imagine trying to insert these - though if women have achieved this successfully and maintained a thin endometrium then great.

All I would say here is that it doesn't appeal to me in the slightest!!!

Have you thought of trying to get hold of Nalvee so you can use Dydrogesterone? Eventually I am hoping to use this and minimise bladder side effects - which always occur when I take Utrogestan.

If you have a scan and all is well, then if your bleeds continue to be slight and only lasting  few days, have you considered lengthening your cycle even by a few days (after discussing with your doc) and seeing if your bleeds are still the same? At least the interval between utrogestan cycles would be slightly longer...

Hurdity x

I think it’s about perception.

When I read the original post I didn’t see it as him being abusive, rather just words he said in the throes of passion and her wanting him to enjoy himself whilst also being peeved at his insensitivity at times.

Then I read all the responses and could see it could be read in other ways, particularly if someone has been in an abusive relationship and it reminded them of specific situations.

The second post seemed to be to reassure us that she was not in any danger and that when she put her foot down he would comply. It didn’t sound as if he was forcing her in any way, just suggesting things she could say yes or no to.

The pressure to want to please can be tough but she just needs to be honest with him that it’s stressing her so much she has been contemplating separation. His response will then reveal next steps.

That's what I've been trying to point out I think. That what at first seems one thing might not be, as we can't ever know someone's personal life fully. She must have been distressed to be thinking of ending a marriage though. But replying angrily with insulting names about someone's husband may not have helped.

A GP would never prescribe dhea but a bottle of 100 is about £8-9 which is less than the English prescription charge,

It's known as the poor man's testosterone.

Obviously conversion varies between individuals so it is wise to check testosterone before and after.

If someone was a poor converter they may be better taking testosterone directly.

I'm feeling very much the hypochondriac today.

Taken my first ever blood pressure tablet at 7.25.  Now waiting for some horrendous side effects to kick in 😂.

I HATE taking medication 🙄.

I think it’s about perception.

When I read the original post I didn’t see it as him being abusive, rather just words he said in the throes of passion and her wanting him to enjoy himself whilst also being peeved at his insensitivity at times.

Then I read all the responses and could see it could be read in other ways, particularly if someone has been in an abusive relationship and it reminded them of specific situations.

The second post seemed to be to reassure us that she was not in any danger and that when she put her foot down he would comply. It didn’t sound as if he was forcing her in any way, just suggesting things she could say yes or no to.

The pressure to want to please can be tough but she just needs to be honest with him that it’s stressing her so much she has been contemplating separation. His response will then reveal next steps.

Quite right.
I think the written word can easily be miss or over interpreted.

dangermouse - that's how I read it.

Yule logs? 

R those items on your 'reduced' offers from the Companies?  The staff in our village shop will remind me if I forget something that I usually buy, at least that's face2face 

Sorry what is an HA insert ?

Stress will not be helping any pain. Both are coming from same part of the brain.

I find distraction can take your mind off any pain do you find that your organising and thoughts elsewhere can do this ?

Excercise in tight clothing will not help matters. Breathable underwear like cotton is better too.

Very stress filled week. Non stop activities. Too much. I got prescribed generic vagifemn. Waiting on delivery. Referred to ob gyn. I have been organizing home removing things we don't need. We are not hoarders. It is just the non stop go go go that has been very hard. What can you tell me about this? Too much activity makes pain worse? It takes me longer to do things because of the pain. I walk over 3000 steps daily. We have 2 dogs. I got HA inserts. That helps. Thank you.