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Author Topic: continuous V cyclical hrt?  (Read 15410 times)

Peacegirl

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continuous V cyclical hrt?
« on: June 25, 2017, 02:26:40 PM »

Hi I know this has been widely discussed but my searches haven't found a thread dedicated specifically to it. Does anyone know if there is one?

I'm 57 and post meno currently following a continuous regime but I wondered if there was any benefit health-wise to using it cyclically and having a bleed. Is the bleed beneficial - sorry to be ignorant on this but I've seen some on here refer to 'a good clear out' :) I worry slightly about getting very occasional spotting (which is very clotty and unpleasant looking discharge).
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CLKD

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Re: continuous V cyclical hrt?
« Reply #1 on: June 25, 2017, 02:41:36 PM »

What is 'v' exactly  :-\
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Peacegirl

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Re: continuous V cyclical hrt?
« Reply #2 on: June 25, 2017, 03:39:00 PM »

What is 'v' exactly  :-\

Sorry 'versus' I should have used 'or' though really.
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Mbrown001

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Re: continuous V cyclical hrt?
« Reply #3 on: June 25, 2017, 03:45:32 PM »

Really  :-\.
Why would you want to have a bleed. Continuous progesterone means that the womb lining is kept thin so no need for a bleed. It's one of the few advantages of meno as far as I'm concerned.
I wouldn't go back to that for anything and I'm nearly 57.
I also found when I tried a cycle with Utrogestan that it gave me the worse cramp of my life. I had to wear pads which made me sore and I couldn't use a tampon as it was painful too. I'm on half of a continuous patch and that seems to work fine for me.

Have you had your bleeding checked out. Sorry if you have already said.


Mrs Brown

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CLKD

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Re: continuous V cyclical hrt?
« Reply #4 on: June 25, 2017, 03:50:29 PM »

Tnx for the explanation .........  ::)

What would suit you the best?
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Peacegirl

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Re: continuous V cyclical hrt?
« Reply #5 on: June 25, 2017, 04:06:02 PM »

Really  :-\.
Why would you want to have a bleed. Continuous progesterone means that the womb lining is kept thin so no need for a bleed. It's one of the few advantages of meno as far as I'm concerned.
I wouldn't go back to that for anything and I'm nearly 57.
I also found when I tried a cycle with Utrogestan that it gave me the worse cramp of my life. I had to wear pads which made me sore and I couldn't use a tampon as it was painful too. I'm on half of a continuous patch and that seems to work fine for me.

Have you had your bleeding checked out. Sorry if you have already said.


Mrs Brown

Hi thanks, perhaps I should get it checked, I'm probably nervous because although I'm using the Utro continuously, I'm only using it every other day (100mg) which is still more than some of the women under prof studd. I cant tolerate more without feeling really ill. Im about to switch to provera and wondered what was best.  I mean if I did have periods isn't that good because the lining is being cleared? I'm afraid I'm not that well-informed re how this works really.
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CLKD

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Re: continuous V cyclical hrt?
« Reply #6 on: June 25, 2017, 04:09:05 PM »

If your current regime 'works' why rock the boat  :-\
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Peacegirl

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Re: continuous V cyclical hrt?
« Reply #7 on: June 25, 2017, 04:17:24 PM »

If your current regime 'works' why rock the boat  :-\ ?

Because of the concerns I've mentioned.
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CLKD

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Re: continuous V cyclical hrt?
« Reply #8 on: June 25, 2017, 04:22:48 PM »

It is how this particular HRT is designed.  Maybe ask a Pharmacist in your area, most have private rooms for discussion.  They have access to medications across the UK and can if necessary, check with the manufacturer regarding your concerns.  Some ladies feel that a bleed means that internally everything is 'working normally' ........ clearing the womb as we are used to each month.  Others are glad to see the back of any bleeding.  Personal preference?
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Mbrown001

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Re: continuous V cyclical hrt?
« Reply #9 on: June 25, 2017, 05:13:26 PM »

The whole point of continuous progesterone is that the womb lining does not build up so there is no need for a "clear out" . Basically there is nothing there to clear.

When I switched from a sequi....had bleeds ....to a conti. ....no bleed. It took about six months to settle from bleeding to spotting to nothing.

If you haven't been on a conti prep for that long then it's perfectly normal to spot occasionally. However if you have been on a conti prep for a long while all spotting to be investigated.

Not sure if that's particularly clear.

Mrs Brown
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Cassie

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Re: continuous V cyclical hrt?
« Reply #10 on: June 25, 2017, 05:20:42 PM »

I am on a cyclical hrt with 100mg x 12 days and would hate to use it continously. The bleed doesnt bother me much its short and sweet. I am sure that you are getting blips because of your utrogestan being used only every 2nd day. But yes if you are on it continously, the lining stays thin, so there is essentially, nothing to be shed, that is the reasoning behind it, so its pretty much what floats your boat.... :-\
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Peacegirl

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Re: continuous V cyclical hrt?
« Reply #11 on: June 25, 2017, 05:48:39 PM »

The whole point of continuous progesterone is that the womb lining does not build up so there is no need for a "clear out" . Basically there is nothing there to clear.

When I switched from a sequi....had bleeds ....to a conti. ....no bleed. It took about six months to settle from bleeding to spotting to nothing.

If you haven't been on a conti prep for that long then it's perfectly normal to spot occasionally. However if you have been on a conti prep for a long while all spotting to be investigated.

Not sure if that's particularly clear.



Mrs Brown

Thanks that is clear and helps. I've been on continuous Over a year though only been on utrogestan 3 months. I did wonder if it's my alternate days use of utrogestan with the odd day when I forget 🙄. Also, only been doing estrogel for 3 months so I'm not sure my administration is as consistent as it could be I.e I've got very short legs and 2 pumps take a lot of rubbing in lol.
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Mbrown001

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Re: continuous V cyclical hrt?
« Reply #12 on: June 25, 2017, 07:07:54 PM »

I know that lots won't agree and that having a bleed suits those who are progesterone intolerant...but

If we were all going down the natural route then Mother Nature says...menopause and no more periods.

I know it's not as simple as that but as one who can tolerate progesterone on a continuous basis I don't miss having a period one little bit.

Different strokes...but for me at almost 57 it's the very last thing I want or need.


Mrs Brown
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Katia

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Re: continuous V cyclical hrt?
« Reply #13 on: June 25, 2017, 10:30:39 PM »

Peacegirl, don't you get a coil,e of days on a bleed on the 3 days off the Utrogestan on continual? I did. It came on the second day and lasted for 2 days.
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Peacegirl

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Re: continuous V cyclical hrt?
« Reply #14 on: June 26, 2017, 05:48:44 AM »

Peacegirl, don't you get a coil,e of days on a bleed on the 3 days off the Utrogestan on continual? I did. It came on the second day and lasted for 2 days.

Hi, well as I take it alternate days, I don't have 3 days off as such.

Mrs brown I agree, and I can tolerate progesterone just not utrogestan in the dosage it's prescribed. I'm going to try provera at full dose and see my gp about the spotting just in case. (Unfortunately I seem to have become a bit of a hypochondriac🙄 During meno). Interesting that my specialist was adamant that I must not take less progesterone but when I said I had, she didn't ask me any health-check questions in case I had endometriosis symptoms.
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