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[Rach1]

Hi all,
I am new here so I'm hoping I am posting in the right place! I am 41 and have just started on hrt after struggling for the last 2 years having had a cyst, ovary and tube removed. I also had my coil removed. The doctor started me on elleste conti and I was going along just fine and actually after only 3 weeks I felt great! Then a sudden nose dive 😞 Very heavy bleeding and upset stomach for 3 weeks continuous, tired to a point I couldn't keep my eyes open by 11 am. So back to the doctors I go. They have now put me on indivina 2/5 although not getting so many side effects,(do get bad I degestion with it so have been given omeprazole) I still have very heavy bleeding. My question is, is all this bleeding normal? (4 weeks continuos now) been on indivina for 10 days. I go away today and they have also given me notethisterone to take!! I haven't had a period in 6 years and am finding it very difficult to deal with and the whole menopause thing is soooo confusing!!! I'd appreciate anyone's advice on this.
Thankyou ☺️

[Hurdity]

Hi Rach1

 

So sorry your post got missed and especially as it's your first post!

I am wondering why you had your coil removed - because it sounds like it was controlling your bleeding to the extent that it stopped your natural periods? If you are able to as a result of your op, then I would ask to have another one ( I presume you mean Mirena?) because this is the best way to control bleeding, provided there is nothing wrong. and I presume your doc has checked. The problem with the coil is that because when it stops periods eventually in many, women it comes as a shock when it's removed and they return - which is what they would normally be doing in many women if you are peri-menopausal.

You have been given two different continuous combined HRT types which are for women who are post-menopausal and unless you know that you are ( and it sounds from the bleeding that you're not - as well as because your age - although you might have premature menopause?) - then you should be on a cyclical HRT.

I would ask for a coil if no medical reason why not and then you can have a patch or gel oestrogen and stop the omeprazole (which can affect vitamin and mineral absorption so I have read), if the digestive issues were just because of the HRT tabs.. Transdermal oestrogen is recommended for women who have digestive issues with oral oestrogen as you are doing. Even if you can't have a coil I would go for a patch or gel ( + separate progesterone) and the doc should know this.

Here is the info from this website:

https://www.menopausematters.co.uk/route.php

Indications for non-tablet route.

Individual preference.
Poor symptom control with tablet HRT.
Side effects such as nausea with tablet.
Bowel disorder which may affect absorption of tablet therapy.
History of migraine (when steadier hormone levels which may be achieved with a patch may be beneficial).
Lactose sensitivity (all tablet preparations of HRT contain lactose).
History of gallstones.
Current use of medications such as anti-epileptic medication which may interfere with the break-down of tablet HRT.
Variable blood pressure.
High triglyceride levels.
Risk factors including Body Mass Index greater than 30, family history or past history of deep vein thrombosis or pulmonary embolus, after full discussion and specialist advice when necessary.

Hope this helps and hope you enjoyed your holiday - really sorry this was missed

Hurdity x

[Rach1]

Hi hirdity, thanks for your reply 😁 I had the coil removed as I'd returned to having heavy bleeds and I'd had the coil for almost 5 years. After having coil  over I went 12 months without periods. I was getting menopausal symptoms which were increasingly worse so I kept going to the doctors and they wouldn't even entertain the idea I could be in menopause at my age, that is untill I got my new doctor (she's lovely), she ordered the blood tests and sure enough they came back with the results so she started me on elleste conti but I really struggled with that! So I've now been on indivina 2/5 for approaching 4 weeks. The omeprazole has sorted the indigestion and upset tummy I was having and taking the notethisterone whilst I was away has stopped the bleeds 😀 (I only took 2 a day instead of 3) I actually feel really quite good and have a lot more motivation and energy, however I'm now worrying as I'm sure they will not let me continue with notethisterone and the bleeds will return, which basically wipe me out! That are agony and so heavy at times I don't want to go anywhere for fear of flooding!! This is obviously counteracting with the positive effects I've been having. I originally had the coil fitted due to heavy painful irregular bleeds so as my doctor said I could well have started pre menopause back then at age 37. I had such a bad experience when they fitted it, it hurt so much I passed out so now I'm terrified of having another put in!! Petrified in fact!! I struggle to have a smear test without having a full on breakdown! (Ridiculous I know) !! The whole menopause thing is so confusing and my doctor said that they even find it a minefield. I have an appointment with her tomo so I'll see what she says I suppose.