Hello Ladies,
I wanted to see if anyone had any experience of switching from continuous to sequential HRT? I'm 40 and was diagnosed with POI at 35, started HRT 18 months ago (2x gel and 1x 100mg every night as it had been 2 years since my last period). The first 6 months I had a bleed approximately every 3 weeks, but this settled and I had 7 months with nothing at all. In May, I began feeling like I had PMT symptoms - tender breasts, restless legs, bloated, tearful/irritable etc. A week later, I started bleeding, it was fairly light and lasted for 5 days, felt like a 'period'. Interestingly, the day before I started, my mood was really low and as soon as I started the bleed, it felt like a weight had been lifted and much calmer/happier!
I spoke to the private menopause specialist who had originally prescribed my HRT. She wasn't worried about the bleeding due to me experiencing the PMT symptoms and suggested it could have been my ovaries waking up and my own hormones kicking in (apparently in POI this can happen every now and again) and told me to monitor it. Well every month since, I've had PMT for about a week..and last month I had another period. I knew I was going to, as once again I had all the tell-tale signs. Once again, it wasn't just spotting or random bleeding, but followed the exact pattern that my periods used to.
My question is, do you think it would be worth me switching to 2x gel and 200mg for 2 weeks to on a sequential regime? I just feel if I'm still getting some sort of low level ovarian function and this is going to happen would I be best just to switch to this so I know where I am. I seem to have been okay on the continuous utrogestan mood wise, but have sometimes felt a bit flat. I don't know how I'd be taking 200mg. I know taking it continuously is meant to stop any fluctuations, but that doesn't seem to be happening. It sounds strange, but for the last few months there has been at least a week where I've felt like I've had a bit more oomph, not sure if this is to do with fluctuating hormone levels, but don't understand enough to know which hormones or why! Had enough of it all now to be honest
![Sad :(](https://www.menopausematters.co.uk/forum/Smileys/extended/sad.gif)
Any help greatly appreciated
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
xx