I am 4 years post-meno due to premature ovarian failure. I'm 43, and had been on a patch plus utrogestan or crinone for a few years, and was having unscheduled bleeds and adenomyosis cramps. My lining was very thin but wouldn't stabilize. A new doc then tried me on cyclical, patch always plus utrogestan (I'm in US so prometrium) 12 days every other month. That was much more predictable for almost a year. Other than hair loss I felt okay.
I started bleeding in January after a drop in my estradiol dose, and bled for 43 days straight (light to moderate) and my doc said I wasn't building a lining—just bleeding, needed a stronger dose of estrogen, and put me on Yaz to stop it. It stopped on the first day, but I'm on Day 4 of yaz and I feel horrible: interrupted sleep, so thirsty, low mood, fatigue. I halved the yaz today and put a patch on too to see if I could feel more normal. Not yet.
I get along with utrogestan ok, it even makes me feel good sometimes, but I cannot get control of my bleeding. I feel frustrated and sad, I've not had more than 3-4 months of predictable bleeding in 5 years. My hair has gotten very thin, which is why when my doc said he wanted to give me birth control to stop my bleeding, I went for Yaz. I fear hair loss on the Mirena.
Has anyone had trouble stabilizing their bleeding on utrogestan and the patch? What are my best options?