Hi 3isenough
Sorry to hear about the side effects of utrogestan. Unfortunately it does have a seadtive effect and also some of the sdie effects can actually be worse when taken orally as there are more metabolic by-roducts as it goes through the liver. However if you don't like taking it vaginally that is the only other way! I've never taken it orally for this reason and just put up with it. In your circumstances if yuou want to continue using it vaginally ( I presume youi have been given the 200 mg dose) you could ask your good doctor if she would prescribe the 200 mg utrogestan capsules which are used for fertility (this dose used to be packaged for hRT but no more) because these come with applicators so you might find this easier?).
Another alternative is the Mirena coil which has a high dose of progestogen delivered directly to the uterus. Initially there can be some side effects but as the coil has been there a while the dose declines gradually over the 4 years it is in place so these should settle. Also it has a testosterone based progestogen and I have read that some women have increased libido ( Not sure if there are any studies on this). Perhaps this is something you could explore with doc?
At a later stage if no improvement in libido you might like to consider asking for testosterone although this is off-licence and there are no products for women at present. Potentially you could ask to be referred to a menopause clinic if your GP feels unable to prescribe?
Hope this helps and you feel better soon
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Hurdity x