I am new to HRT as have tried to ride this journey naturally, but after 6 months with no period I guess my hormone levels were low and I felt awful, so I’m now on oestrogen patches 25mg and Utrogestan 200mg for 12 days. The patches have been great but I’ve struggled with the Utrogestan as I feel so groggy and sick every morning, i decided to try it vaginally and definitely had none of the previous side effects. But this morning I got my bleed and can honestly say it has been the most painful and debilitating period I have ever had, it was off the scale and I had to cancel work as just couldn’t cope. Does anyone know if the bleed is worse by taking it vaginally? I’ll see what happens next month and will go back to taking orally, but I’m absolutely petrified of doing this again and will have to come off HRT all together if this continues.