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[Sparkler]

Hi all,

This has been nagging at me for such a long time and it’s growing into a proper worry now. I hope you can help.

I am age 59 and on sequential hrt: evorel 50, with utrogestan for 12 days out of 28, plus vagifem. I feel good and all symptoms are massvely reduced, even if not entirely gone.

I don’t have ‘proper’ bleeds each month. Is this a problem? I do get a small amount of blood, very light, panty liner only, on days 9 to 11 of the utrogestan, but nothing apart from that.

My GP referred me for a scan, which I had a year ago, and came back with a lining of 6.9mm, so I was then referred for a hysteroscopy and biopsy which took place in May, and where the gynae said everything was good and healthy. I bled a lot after that procedure but then back to my new normal ever since.

I know they investigated and was mightily relieved, but what if the lining is building up? How can I be sure I am not at risk of endometrial cancer! At what stage should I have another scan?

I’m even contemplating changing progesterone, just to get a proper bleed, but could I simply have moved to menopause now and I’ll never really bleed again?

So many questions and worries. Please help if you can
Sparkler
Xx

[Sparkler]

Thanks Birdy
I was hoping someone would reassure me that a small bleed every month was good. I think you are right and I should have another scan at some point.
S

[sheila99]

Also on sequi and late peri. My bleeds are much lighter now so I think that's normal. I think I would worry too if I only used a panty liner though. Given you lining has been thickened I would have a scan. Are you using 200mg utro?

[Sparkler]

Yes 200mg orally for 12 days. I definitely absorb it because I fall asleep 20 mins after taking it, and I get faster chin hair growth for those days. I do wonder about bleeding on day 8 or 9 rather than after the Utro.

I had the hysteroscopy in May, so do you think I need a scan a year from then?

I’m not really clear on whether someone who was post meno would bleed regularly on sequi??

[sheila99]

I'd like to know that too. I'm late peri on a long cycle and was bleeding approx 50% of cycles. I posted but had no reply. The last 2 I have bled but I'll have a scan too if it continues. People do seem to bleed post meno on sequi but I don't know how much it matters if you don't.
  If it was me I would scan a year after the bleeding stopped but I don't know enough to advise. Maybe ask your gp? If only we had standard reactions it would be so much easier!

[Sparkler]

Thanks Sheila99

When I read the information on sequential hrt it says 85% of women have regular bleed, but it doesn’t say whether the other 15 % are a worry, or just ok. If it was such a risk I would have thought there would be warnings everywhere saying if you don’t bleed for 3 months then see your GP, as 15% not bleeding is way higher than % risk for other problems from hrt. It’s an area where there isn’t really any information.

I wish there was an ‘ask an expert’ section where a specialist could provide advice. The nagging worries are difficult to quash.

Sparkler