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[lubylou]

Hurdity and Sara2

Thanks for replies, more good information for me to consider. Wouldn't it be nice of GPs were able to have the training to acquire even 50% of the combined knowledge and information I have got from this site and the ladies who post on it.
 
Somewhere I found a research article which said that “CEE is associated with higher levels of estrone (E1), which is the most carcinogenic form of estrogen” but I cannot find it now, do you have any idea what it is or where I might re-find it?! Of course it might be well out of date in terms of current thinking on CEEs.

It is clearly a specialism and given most GPs have to have a wide knowledge about many and varied medical and diagnostic matters, the health system cries out for an arrangement whereby each large GP practise and / or by geographical areas women can have easy access to a menopause specialist Dr or nurse. My guess is that to access this specialism expertise is either a postcode lottery or dependant on a person's having a large enough purse to find an expert and pay privately.

Lubylou 

[Spangles]

Morning ladies,
I am currently 5 days into my first period for 7 months, it is the first period I've had on the long cycle HRT.
It has totally floored me, horrendous pain which pain killers didn't move for around 9 hours, all in my back, legs and belly.
I've had to take time off work and it's left me feeling anxious and low, I'm hoping this is just the hormones and will pass.
I am reluctant to continue with the long cycle and I am now thinking of giving up completely on HRT.
I also take citalopram 30mg daily.
Does anyone have any suggestions and/or advice please?
Thanks
Shellb
xXx

[Sarah2]

First- just to say that I sympathise-  it's a horrible feeling.

I think your only option is to try a shorter cycle- so maybe 6 weeks next time?

How far into the cycle did you take the Norethisterone?

Definitions of cycle length eg. a 6-7 week cycle- to me this means taking the progestin at end of week 4, so a bleed on the 6th week. But it could also mean take the progestin at week 6 and bleed 2 weeks after that

Anyway- whatever you are doing, take the Norethisterone several week earlier.

you have to ask yourself if the benefits you are having are worth sticking with, or if by stopping HRT altogether you are throwing the baby out with the bath water.
Depends how much you feel you benefit from HRT and if it's worth trying to find cycle length that suits you.

[Hurdity]

Hi shellb

Sorry to hear about the heavy bleed - I think we did discuss this as a possibility elsewhere. 3 months is a long time for oestrogen to build up and it all must come away. Norethisterone is the most powerful progestogen so I imagine it is quite brutal in its effects! I only used it briefly for about 3 months when I first went onto HRT ( sequi patches) but it gave me bad migraines so I stopped.

I can't remember from your other posts what else you've tried and what the options are but I presume you've read this thread and seen what I am on (6-7 week cycle)? Provided there is nothing wrong with your womb lining ( fibroids, polyps etc) then the bleed after this length of time should not be too great and I think you are post-menopausal? If you are still peri then the amount of bleed may still be somewhat unpredictable but will reduce as you get closer to actual menopause and you hormone levels fall.

Hurdity x

[Spangles]

Hi ladies and thanks again for replying to me.
I do have fibroids which I don't think my doctor takes into account, I am still peri as far as I know.
I just want to get the whole thing sorted it's been up and down now for 2 years of trying different types of HRT.
I think I am going to visit the doctor again once thighs have settled as I just can't face her right now.
xXx