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[Honeybean]

Hi

I'm sure I'm being quite daft, but I can't work out how to take my a Utrogestan.

I have been taking it since October on a really low dose everyday. I have now been moved to taking Utrogestan on days 15-26. It was fine the first month as I counted day 1 as the first day of my period and took Utrogestan on days 15-26. I was expecting a period after day 26 when I stopped taking a Utrogestan. However I did not have a period after day 26. I had a tiny bit of spotting during days 15-26 but I (stupidly) didn't record when! I am confused now. When is day 1 so that I can start working out when my next day15 is? Is day 1 actually day 27?

Is it normal to not have a bleed when you change regime?

Sorry to sound so dim but it was a lot simpler when I was taking everyday!!

Thanks x

[Dotty]

Hi the easiest thing to do is to start the Utrogestan on the same date every month x

[Hurdity]

As Dotty says that is the best way if you are late peri or post-menopause - so easy to remember! If you are early peri and your own cycle comes into play then try to tie it in with that but realistically most women start HRT when well into peri so their own cycle won't be that regular.

When I was on a 28 day HRT cycle I used to do mine 4 weekly only so that the withdrawal always came on the same day of the week ie at the weekend - cos I often used to get a migraine and didn't have to go to work. That was also easy to remember for the same reason - ie I started on the same day of the week each time.

Hurdity x

[Honeybean]

Hi the easiest thing to do is to start the Utrogestan on the same date every month x

Thanks Dotty for advice. So I could just make it simple and take it on the first day of every month? x

[Honeybean]

As Dotty says that is the best way if you are late peri or post-menopause - so easy to remember! If you are early peri and your own cycle comes into play then try to tie it in with that but realistically most women start HRT when well into peri so their own cycle won't be that regular.

When I was on a 28 day HRT cycle I used to do mine 4 weekly only so that the withdrawal always came on the same day of the week ie at the weekend - cos I often used to get a migraine and didn't have to go to work. That was also easy to remember for the same reason - ie I started on the same day of the week each time.

Hurdity x

Thanks Hurdity. I've been peri for probably 8 years. My periods were like clockwork every 28 days but in the last 5 years they've been all over the shop. Probably have one every 3 or 4 months so cycle very unpredictable.

Would just taking Utrogestan on first day of every month work? I guess that's not really a 4 week cycle. For simplicity it would work for me!!

Thanks x

[NightNurse]

Hi Honeybean,

I start to take mine on the 1st of the month.  This way I can remember - well most months, I remember!  Then I take two capsules (200mg) for 12 days and the withdrawal bleed starts fairly predictably mid-month, each month.  I've been doing this for over a year and I'm really happy with the regularity of the bleeding, and no spotting or bleeding in between.

I'm beginning to wonder whether I should change to daily dosing as I will be 56 years old next month and likely post-menopausal.  However, that's a whole other question.

[Dotty]

Honeybean....yes that's the easiest way of doing it. If you are still having a cycle then the hope is that your natural cycle will fit in with the utrogetsan, but it could take  a few months to settle down.  x

NightNurse...its up to you whether you continue with a cycle or go continuous.  I use utrogestan continuously, but it depends how you react to progesterone and whether you are happy to bleed. x

[Honeybean]

Thanks Dotty and Nightnurse. I shall start the first of the month regime. Makes sense to me and will be simpler to remember!

Thanks x

[NightNurse]

Thanks for the info Dotty.

I quite like the effect of uterogestan because I think it helps me sleep better. This is listed as an undesirable side effect but one that I rather appreciate.  If I reduced to 100mg daily I wonder if I would get the same effect.  I guess I won't know until I try.

The monthly bleeding doesn't trouble me.  I did read something about the lower risk of endometrial cancer in post-menopausal women who took progesterone/progestogen continuously compared to cyclically so that's why I'm thinking of changing.

[Sparkler]

Hi Honeybean

I started HRT in March 2019, first on evorel 25 plus 200 mg utrogestan for 12 days each month then 3 months later up to evorel 50. My bleeding has only settled into the expected pattern in the last couple of months, and before then I kept spotting mid-utrogestan days, with no proper period at the expected time.

It has settled though, so I hope it will for you, too.

Donna

[Honeybean]

Hi Honeybean

I started HRT in March 2019, first on evorel 25 plus 200 mg utrogestan for 12 days each month then 3 months later up to evorel 50. My bleeding has only settled into the expected pattern in the last couple of months, and before then I kept spotting mid-utrogestan days, with no proper period at the expected time.

It has settled though, so I hope it will for you, too.

Donna

Thanks Donna. I am glad to hear that everything did finally settle for you. It gives me hope that it might settle for me too at some point!! x