I'm 3 years post meno and have opted not to have conti hrt as constant progesterone doesn't suit me plus the potential increased health risks of taking it continuously.
So Ive made the informed choice to move to sequential despite having to endure bleed! I've tried Provera and Utrogestan and they work but my personal preference is Evorel as all I have to worry about is a patch to change. For the past 3 months I've used about 2/3 of a patch (I don't need a full 50 mcg of oestrogen) and so far I seem to fall in the 20% who don't get a bleed yipee!
I am however noticing a pattern on two counts:
I feel fine initially with the progesterone and oestrogen part (actually really good) but towards the tail end can feel irritable. It's manageable however about 8/10 days after using the oestrogen only part (ie stopping the combined bit) I feel just dreadful - it suddenly comes on - irrational, agitated,short tempered, can't smile, can't seem to think clearly. And I look it as well! It passes after a couple of days. I had this at exactly the same time in the last 4 week cycle. It seems so strange this long after stopping the combined bit.
The other thing is half way through the combined bit I get kind of uncomfortable tummy and a bit lower back I suppose like period pains. This continues for about 8/10 days after stopping the combined part. Is it the Norethisterone 'eating away' at the lining?
Can anyone relate to this? Does anyone else manage not to get a bleed but gets the same feelings? It's all manageable, although those 2/3 days of feelings above are a bit of a challenge for those around me!
Thank you
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