"It's become very obvious to me that prog in any form just doesn't suit me"
Oh Rivadan, sounds like you're at the same stage as me. Sorry to hear that the Utro doesn't suit.
Utro use 100 or 200 oral or vag, sequi or conti also turns me into a zombie - literally I can't get out of bed. Plus other awful side effects, including migraine.
Been through the spectrum of progesterones (synthetic and natural) HRTs. Even if I start off feeling 'sort of bearable' on a particular prog, within a few months the continued, cumulative effect sets in and I can't tolerate it any longer. So I try another, ditto. Each time, it's back to square one.
Utro is supposedly less androgenic but by day 5, I still experienced tingling scalp (telegon effluvium) and shedding.
At each visit to the meno clinic prog intolerance is discussed in depth. Now the only suggested 'way forward' is a hyster in order to be able to take estro only - but I'm struggling to accept this drastic step.
Sorry not to be more encouraging - just sharing experience to relate, for information purposes.
There is also the option, suggested by meno clinic, of Utro 100 vag, alternate nights, conti, no break, could be worth a try.
Can only imagine Utro + anti-histamine combo would be total knock-out. Have taken anti-h in the past (pre-meno) and even the non-drowsy ones pack a punch.
Please let us know what you decide as your next step after a few months off. Are you able to get a meno clinic referral for some specialist advice?
Night_Owl
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