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[Linda]

Hi everyone I’ve been on hrt for many years. After 5 years I tried to come off it but the hot flushes were horrendous so tried alternative remedies.
They didn’t work so I went back on hrt, after 2 years on it I suddenly started spotting. Doctor sent me for a scan and a internal examination.
Everything was fine and was told it could have been the hrt. So yet again I tried to come off it but the hot flushes were awful again.
I stayed on the same hrt and have now been on for over 2 years and suddenly started this week with spotting and now bleeding.
Has anyone else experienced this and if so what have you done?
Thanks, Linda.

[Hurdity]

Hi Linda

 

Tell us a bit more about yourself eg your age and whether you are post-menopause, eg whether your periods returned after stopping HRT, and what type of HRT you are on.

If all was well after bleeding and spotting, and your investigation, then you should be able to continue with HRT but as you are bleeding again after two years, then you should consult your GP again.

It sounds like you are on continuous combined HRT - ie "no-bleed" HRT. Depending on the preparation, following investigation and if all is well, the recommendation is to increase the dose of progestogen if the oestrogen and progestogen are not balanced, and your endometrium is not over thin. Alternatively some women, like me and others, choose to stay on sequential HRT even into our 60s and 70's so that the withdrawal bleed is predictable (and also cos some of us hate progesotgens!) but I realise that may be unplatable after years of no-bleeding...

Hurdity x

[Linda]

Hi Hurdity,
Thanks for your reply.
I’m 61 and I’m on Kliofem 2mg/1 mg which is a continuous hrt.
I actually started taking this hrt in March 2020 then after 2 years I had the spotting.
Went through the scan etc and everything was normal.
That’s when the gynaecologist suggested trying to come off the hrt. For a couple of months I felt fine, no bleeding but then all the symptoms returned.
As I already had the same hrt at home I started on them again and was absolutely fine apart from the other day when the spotting started and now a bleed.
Perhaps I do need to look at another hrt.
Thanks, Linda x

[shrosphirelass]

I have always had on and off bleeding with conti HRT. I am 62. All investigations over the years have been clear.

The menopause clinic said that my options were to reduce my oestrogen (was on evorel conti at the time) or to have Provera. The hospital gynaes and the woman's health specialist at my GPs said I needed a Mirena if I wanted to continue with HRT. I couldn't have cyclic as Hurdity suggests due to fluctuations triggering migraine.

I was so fed up with all the bleeding and the cramps / headaches that seemed to accompany it that I finally agreed. It will be 6 weeks tomorrow since I had the Mirena fitted and the bleeding has finally stopped (fingers crossed).

[che]

Hi, i started hrt conti everol just over 1 year ago, no spotting but after 7/8 months i began to spot, i had checks and was told it was fine, hospital  suggested  pessaries, but gp said i am on a combination patch. Over easter i bleed a lot like a period, pains, and clumsy before it as well. The gp told me people can have false periods on hrt and to remove the patch and replace the next one as normal. But he also said  i am just prolonging having menopause syntoms as when i come off hrt i will get them all then. I replied i thought new advice was for bone and brain health to keep on hrt long term, he was no impress with that idea.