Again I missed a utrogestan 100mg and began some brown spotting.I then started a bleed and decided to stop the utrogestan for week yo allow the bleed to settle, continuing with 2 pumps of oestrogel daily. The bleed is heavy with clots, have started taking tranxemic acid to stop it..been 4 days of heavy bleeding.I think its either to do with the missed utrogestan or perhaps still in perimenopause. My question really is how to manage my hrt now..shoukd i start continuous hrt after a weeks break or try a sequential regime for a while or perhaps look at an alternative hrt regime..please help..cant get an appt fork weeks with my GP..just need a direction to follow.Im 49 xxx