Hi elainewin
from me too!
I agree with Dancinggirl about the advice to keep going for a while longer until your body gets used to it. If nausea continues to be a problem then transdermal delivery methods (ie through the skin) are usually advised - which would mean either a patch or a gel - but the latter means you would have to take progesterone separately. Also the progestogen in the Climasgest (called norethisterone) sometimes has bad side effects in some women - the irritability and pms type symptoms so as Dancinggirl suggests Femoston would be a good one to go for if the nausea settles but the other symptoms continue.
I am sorry I can't help with the time of day as I've never taken tablet HRT but usually peak concentrations of hormones in the blood stream occur a few hours after taking it so if you took it at bedtime then this would occur while you were asleep and hopefully wouldn't wake you up!
Hopefully other members will be along to tell you what time of day they take their tablets! I agree - being sleep deprived is not good, especially if you have to work.
Re the withdrawal bleed - you should have been told by the doc that cyclical HRT ( where you have two different types of tablets) causes a withdrawal bleed - which isn't a proper period - but the progestogen in the second half of the pack changes the womb lining that's built up from the oestrogen tabs in the first part, and then when you change back again to a new pack, the lining comes away. You were given this type ( that causes a bleed) because you weren't post-menopausal when you started the HRT - you have to be 12 months without a period to count as post-menopause. At your age though, after a year or two you may well be able to go onto a no-bleed continuous combined HRT if you prefer.
Hope this helps
Hurdity x
