Menopause Discussion > Postmenopause

Cyclogest 400.g pessary versus utrogestan 200mg any experiences or thoughts

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Nellf:
Any one had experience of these.  I had been on cyclogest 200mg which caused bleeding.  My menopause specialist suggested upping them to 400mg.  She also gave me utrogestan 200mg which I have been using and feel OK on.  Had to pay £127 for the prescription though.my Gp say they can't prescribe the 200mg as it is unlicensed.  So going to have to go back on the cyclogest as its the only thing my Gp will prescribe.  Very confused.  Any advice would be really appreciated

Mary G:
Nellf, Cyclogest is coming up on here a lot lately and I have some on standby so I'm going to give it a try.  From what I have read, it is supposed to be better tolerated than Utrogestan and has a positive effect on mood.  I don't get on with Utrogestan at all but I'm happy with progesterone gel.

Could it be that Cyclogest works better than Utrogestan and that is why you had the bleed?

I can't understand why you can't have the 200mg dose of Utrogestan because it's exactly the same formula as the 100mg capsule only it's a higher dose.  Both can be used vaginally or orally.

How many boxes did you get for £127?  It's sounds like a lot of money but I'm guessing part of that was the doctor's fee.

You could ask for 100mg Utrogestan and use two capsules.

pastie supper:
The 200mg Utrogestan is licensed for fertility treatments and no longer licensed for menopause.
So a doctor would need to be able to prescribe off label to prescribe it for menopause. If you filled out one of those online forms to get it at a virtual doctor's appointment then they would only prescribe what is licensed for your condition, menopause.

It's entirely stupid. The 100mg capsules are licensed for menopause and everyone's dose is 200mg if taken sequentially, but the 200mg capsules aren't licensed for menopause.
The pharmacists stock both sizes because the 200s are for fertility, but no reason for us not to use them as well.
Your GP might prescribe the 200mg Utrogestan if you explain the reason is just political and not medical!

Penguin:

--- Quote from: Nellf on October 25, 2023, 11:27:31 AM ---Any one had experience of these.  I had been on cyclogest 200mg which caused bleeding.  My menopause specialist suggested upping them to 400mg.  She also gave me utrogestan 200mg which I have been using and feel OK on.  Had to pay £127 for the prescription though.my Gp say they can't prescribe the 200mg as it is unlicensed.  So going to have to go back on the cyclogest as its the only thing my Gp will prescribe.  Very confused.  Any advice would be really appreciated

--- End quote ---

The 100mg utrogestan are definitely licensed for menopause,  you just take two of them. So they might not prescribe the single 200mg tablet (stupid reason I know), but there is no need to go back on the cyclogest.  Ask your GP for the 100mg tabs x

Nellf:
Thanks all.  I have loads of the 109mg capsules but I can't tolerate then orally.  My gp is happy to prescribe them but not the 200mg.  My menopause specialist has advised me the the 100mg capsules are not for vaginal use.  The 127 pounds was for a 3 month supply.  Private prescription from my specialist.  Over and above the consultation fee.  Back on the cyclogest as my Gp will prescribe that.127 pounds every quarter is not really affordable for me.  So confused about the usage of utrogestan.  Also the cyclogest pessaries are so messy, even inserting them in the evening.   

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