Hi Kiity
I am 43 and my doctor said the 50mcg wasn't strong enough for me at my age, so perhaps you do need more estrogen? At the time I was taking 200mg Utrogen for 12 days, but really hated the dip when I stopped, so decided to switch instead to Qlaira, which has more estogen, plus progesterone on a greater number of days than I did with the patch regime.
I would have loved to take 100mg continuously, like you do, but my GP would not let me as I still have periods.
![Angry >:(](https://www.menopausematters.co.uk/forum/Smileys/extended/angry.gif)
I know some people take it for 26 days and have a two day rest, but I think that's only available off licence? Regarding the tiredness - how to you take your Utrogestan? I took it vaginally which seems to have fewer side effects than if taken orally. Maybe you could try that, if you don't already? Alternatively, have you thought about a Mirena? (I see the logic with this method of progesterone, though have to confess I wasn't brave enough, especially as I've never given birth so it was likely to be harder to fit!).
Hope your review goes OK x