I have been having similar. Post menopausal, 2 years on 2 pumps of oestrogel and 100mg utrogestan daily, all going great, felt so much better, then suddenly in May I started spotting. GP referred me for abdominal and transvaginal scan. I had to chase up the results and GP I spoke to wrote to hospital gynae for advice, which came back that they didn’t need to see me but to try reducing to 1 pump of gel. Within a few weeks my flushes and joint pains had come back with a vengeance so I upped back up to 2 pumps of gel, and the practice nurse said to up the utrogestan to 200mg each night. The only advantage I found with increasing the utrogestan was that I slept really well, but within a week had a period like bleed that lasted 12 days. I felt awful, I felt drugged, couldn’t wake myself up, really lethargic and miserable. When the nurse followed up with me the surgery did a referral to gynae under the 2 week pathway. I had a biopsy on 21st October now awaiting results, the consultant did a scan and said there was a slight thickening but nothing really worrying and he wasn’t expecting anything sinister to come back but discussed having a mirena coil fitted to see if that helped, so I had that done whilst still under the local anaesthetic from the biopsy. A week on and I’m now bleeding again but I know this can happen for a while until the coil settles.