Nickyp - I have had bleeding after stopping HRT - I think this can be quite usual. As the bleeding has stopped, I wouldn't worry - maybe check with GP if uncertain.
Its worth taking this break from HRT to see how you feel - re-assess whether you want or need to go back on HRT.
BTW ‘systemic' means using the full HRT that is absorbed throughout the body (which you have been using), as apposed to the local oestrogen treatment (which is very low dose) for urogenital atrophy that many women need either on it's own or alongside systemic HRT.
As you did OK on a continuous HRt then the Mirena with separate oestrogen could be a good, longer term, option for you.
Here is the info from this site about the Mirena:
Mirena is a levonorgestrel (type of progestogen) releasing system which sits inside the womb, gradually releasing the progestogen into the womb. It is licensed in the UK and Ireland as a contraceptive agent, for treatment of heavy periods and, from August 2004, also for the progestogen component of HRT. It can be used in both the perimenopause and postmenopause and it is particularly useful for:
Persistent progestogenic side effects from systemic HRT despite changes in type and route of progestogen.
When contraception is required along with HRT in the perimenopause.
When withdrawal bleeds on sequential HRT are heavy, after investigation if indicated. (see WHEN TO BE REFERRED )
With Mirena in place, systemic estrogen alone can be taken as the Mirena provides adequate protection of the womb lining and the estrogen dose and route can be tailored to meet the individual's needs.
Progestogenic absorption throughout the body is minimal so reducing progestogenic side effects. The effect of Mirena on the womb lining can significantly reduce bleeding and when used as part of an HRT regimen, in time, 30 to 60% of women have no bleeding at all. Although Mirena used for contraception is licensed for 5 years, the license for use for the progestogen part of HRT is currently 4 years.
Price: £88.00
Hope this helps DG x