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[Shamo]

Hi, apologies if this has been answered somewhere before, but struggling to find. I'm 49, perimenopausal,  various symptoms, anxiety, trouble sleeping and low mood being the worst ones..started on HRT ( oetrogel 2 pumps and progesterone 2 tabs 14 days a month)4 months ago, feeling a lot better up until this month, where I've had a rough couple of weeks on the progesterone part. Usually I feel quite good when I take it.

My question is, my periods were fairly regular still, but for the last 2 months no bleed. I understood that the progesterone would cause a bleed as the womb lining sheds each month. So, why have my periods stopped ? Apologies if this is a basic question !

Also, for info statred on testogel last week.

Thanks in advance!

[Shamo]

Meant to add I'm not pregnant, definitely not ! Could it be that my oestrogen levels are so low thar they don't meet the levels needed for progesterone to do its womb- lining-shedding job? Maybe I need more pumps, especially as I feel so bad over  last few weeks? My sleep jaz gone to pot again also.

[Helen1968]

Others may know better but my understanding is that hrt smooths symptoms etc but won’t make you have a period if your body isn’t producing any/enough of its own hormones any more. I haven’t had a period since September when I started taking continuous utrogeston - at review with menopause doctor in December she wasn’t worried about it and said I may or may not have any more periods depending on what my body is doing underneath the hrt. I found my periods last year very erratic - longer/shorter cycle, heavy/light/normal and they really didn’t tie in with sequential progesterone very much either. I had a break off about 3 months once (even while taking sequential utrogeston). I hope that helps a bit but of course talk to your doctor if you’re worried!

[Shamo]

Thank you Helen , really interesting . Unfortunately my doctors don't have a clue about anything peri related , hence why I'm on here ! So perhaps my periods would have started to stop!)over the last couple of months, hrt regardless.

[VictoryV]

Hi Shamo,
This happened to me too and when I researched it it’s really common and nothing to worry about. I missed two consecutive months in Sept and Oct, I’m the same age, in peri and on the same HRT.
I wouldn’t be without Testogel ☀️

[Helen1968]

My gp also not terribly knowledgable - I’ve been seeing private menopause specialist - cringingly expensive  but I was tired of going around in circles and not getting any answers!

[sheila99]

As you're using a sequi regime you would normally expect a bleed. If your lining hasn't built up enough you may not bleed. If your body is overriding the hrt you may bleed at a different time (my own cycle is always stronger than the hrt one). It may be you've felt rough because you're producing a spike in your own progesterone - this has happened to me, no bleed after utro but a very heavy one 2 weeks later. Missing some bleeds won't matter but if you're on a sequi regime and never bleed you should tell your doc.