Dancinggirl, I was prescribed continuous Utrogestan with 50mcg Evorel oestrogen patches. I'm 53. However, my feeling is that in my case continuous Utrogestan wipes out the oestrogen. I think this because my low oestrogen symptoms (itchy flaky skin, low mood, poor sleep and foggy brain) steadily worsen until I've laid off the Utrogestan for a few days. I get no bleeds when I take it continuously and haven't had any bleeding in the short breaks I've taken. I know we have to take progesterone to protect our uterine lining but I suspect the level of progesterone needed to do this job varies according to how much oestrogen a woman is taking - how can it not? - yet we're all given the same dose. For me, I think 100mg Utrogestan cancels out the beneficial effects of the oestrogen when taken continuously so I'm going to take it sequentially from now on and put up with any bleeds that might happen. Having said all this, in your position of feeling rotten when you have a bleed I would try the conti option and see if you can rid yourself of those pesky periods. Do you need to speak to your GP first? Hope this helps.