Hi Dandelion - I don;t think you need to contact DR Currie about this. I mean I wouldn;t have thought there is anything she can answer or advise beyond what she already has done.
The thing is you've had a scan showing a slightly thickened lining, and you've had a hysteroscopy which showed no medical issue you need to worry about so either the bleeding is because you are not yet post-menopause so this is your cycle coming through (the continuous progesterone) or if you are post-meno it just is not sufficient to completely protect the endometrium. Not sure you need another scan - depending on when you had it done?
In order to help stop the bleeding like you were advised - you would either have to reduce oestrogen - which brings a return of flushes, or increase progesterone. Have you gone down that route ( with your doc)? ie increase in prog? You could for example increase to 200 mg daily, or you could take your 100 mg vaginally (which is more effective in protecting the endometrium). The other alternative is to take 100 mg one day and 200 mg the next which would you approx a constant dose ( better if vaginally though).
The other alternative is take a course of a different progestogen (as well as keep taking the progesterone as normal as you like to do) for a couple of weeks eg norethisterone - and then get a good bleed to thin the lining and hopefully this would stop the bleeding for a while. Maybe do something like this every quarter or 6 months to keep the lining thin? Doc would need to be on board with this - and this might be a bit off the wall as an idea?
These are just my non-expert suggestions based on my understanding of what you've said and how the hormones work generally.
Hurdity x
Hi Hurdity - Thanks for your reply, now that the ward sister had given me correct information I wanted to know what Dr Currie's response would be to me being given wrong information by the GP she spoke to?
I had the scan in January this year and the hysteroscopy.
I'm 53 so I would have thought I would be post menopause. My sisters are 54 and 55 and they were post meno at 52.
As the micronised progesterone I am on (100mg vaginally and 100mg orally) is cross-tolerant to the valium I am on, any change in delivery of the micronised progesterone or change in progestin would disrupt my GABA receptors causing chaos making my mental health much much worse.
In August, my GP already reduced the oestrogen from 100mcg to 75mcg and I get bad night sweats, even this time of year, I had bad IBS when I was on less oestrogen, it cleared up as I went up in dose when I started my hrt originally.
I don't want the IBS back, it was terrible, watery stools, and all the complications that brings.
Increasing the progesterone is not an option as it would be like a valium increase, neither is taking it unevenly as it needs to be kept even, with it being cross tolerant to valium, as an unstable GABA agonist would cause havoc with my GABA receptors.
I feel really bad negating your suggestions, as you have kindly come on and made the effort to give me helpful advice.
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Topic: GP says uterine scans stopped as no loner reliable, Dr Currie hopes they are. (Read 2203 times)