Topic: Heavy bleeding and period like pain after 4 weeks of continuous combined HRT (Read 801 times)

HarvestMoon · « **on:** March 21, 2020, 01:12:44 PM »

Hiya, I'm looking for some advice/ reassurance really, as I've searched the internet etc and think what's happening may be "normal"...but I'm not sure..
I started on Estrogel and Utrogestan just over 4 weeks ago as a continuous no bleed regime. Initially started on 2 pumps of the gel at night and 1 capsule vaginally on alternate nights (with agreement from my GP). My sleep didn't improve and I was still waking up with hot sweats, so increased it to 3 pumps, 1 in the morning and 2 in the evening.
Last Sunday, I started light bleeding which has lasted all week. I'm still waking 2 to 3 times a night and today the bleeding has become heavy with period like cramps .. I'm considering increasing to 4 pumps as still waking 2 to 3 times
and with sweats.

Please could I have some advice? I'd appreciate any offered

Dotty · « **Reply #1 on:** March 21, 2020, 01:17:15 PM »

Hi were you period free before you started the HRT?

4 weeks is a short time to be on hrt and you should stay on the same dose for at least 4-6 weeks before increasing the dose.

Using the utrogestan every other night could be the cause of the bleeding.

The advice is that HRT can take up to 3 months to take full effect so it's early days for you yet .

Bleeding can be expected in the first 6 months of taking hrt. If you can give us a few more details about your age and where you are in menopause we will be able to give you some more advice. X

HarvestMoon · « **Reply #2 on:** March 21, 2020, 01:26:47 PM »

Dotty, sorry I should have said. I was just over 10 months period free when I started HRT and I'm 53 years old. I switched to every other night vaginally for the Utrogestan, as I'd read on Louise Newson's website that it was safe to do so and GP agreed. I turned into the bitch from hell taking it orally every day, but I'm now considering switching back ...
Thanks for replying

HarvestMoon · « **Reply #3 on:** March 21, 2020, 07:15:26 PM »

Hi Stella and thanks for the reply. I'm really struggling at the moment to find information online to help me, so appreciate your help.
I'm thinking of nightly vaginal Utrogestan and 3 pumps of Estrogel, one in the morning and two in the evening. I know that this is not the right place for medical advice, but in your experience, do you think that sounds reasonable?

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Author Topic: Heavy bleeding and period like pain after 4 weeks of continuous combined HRT (Read 801 times)

HarvestMoon

Heavy bleeding and period like pain after 4 weeks of continuous combined HRT

Dotty

Re: Heavy bleeding and period like pain after 4 weeks of continuous combined HRT

HarvestMoon

Re: Heavy bleeding and period like pain after 4 weeks of continuous combined HRT

HarvestMoon

Re: Heavy bleeding and period like pain after 4 weeks of continuous combined HRT