Hi Pauline b
Strictly speaking if you lower the progesterone levels when taking HRT then a bleed could be triggered - but only if the lining has built up sufficiently to shed. It depends where you are in menopause too. If you were not post-menopause when you started continuous combined HRT then your own cycle could break through causing the bleeding - ie a proper period.
Also some bleeding is also expected in the first 6 months of any continuous combined HRT but any bleeding beyond this point or any very heavy or worrying bleeding must be referred to the doctor, Covid-19 pandemic or not!
If you are definitely post-meno, then the fact that you have had two episdoes of what you say is significant bleeding only after forgetting one tablet, then this implies that the lining is building up while you are on that regime.
It could well mean that the 100 mg oral Utrogestan is just not sufficient to protect the womb lining from the medium/high dose of oestrogen from the 75 mcg patch.
As Traceylr says keep an eye on it and don't hesitate to consult your doctor if it you have more episdoes of significant bleeding especially now you are past the 6 month mark and if you are post-meno.
Hurdity x
