Hi Clovie, I've been a bit busy, but the 2009 recommendations came from the SMC, If you google HRT guidance Scotland , and look for micronised progesterone you will find it.
It says , and I'm quoting “ micronised progesterone was as effective as another progestogen in protecting the endometrium from hyper plastic changes associated with oestrogen treatment.
They add “ However, the manufacturers did not present a sufficiently robust economic analysis to gain acceptance by the SMCâ€
So it does sound as though that was a financial reason initially.
The second piece I found came from Tayside Formulary, Scotland NHS uk.
It says under, “ Non- Formularly items, that micronised progesterone is coloured amber, meaning that utrogestan “ maybe prescribed 2nd line under direction of Tayside menopause clinic as per local protocol.â€
That's all I've got, hope that helps, also my GP has prescribed both oestrogel and utrogestan for me, so it Isn't a Scottish policy!
I mean it doesn't seem to be a national, country wide practice