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Author Topic: Sequential to continuous  (Read 718 times)

Butterfly16

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Sequential to continuous
« on: February 01, 2021, 03:09:19 PM »

Hi ladies :)

I was on continuous gel and utrogestan for 18 months, but had a couple of light bleeds. After speaking to a menopause specialist, she believed this was probably my ovaries kicking in as the bleeds coincided with pmt symptoms (am 40 and was diagnosed with premature ovarian insufficiency at 35, so was told this can sometimes happen). Due to this, I decided to try a sequential regime...3 months in and had no withdrawal bleeds (ironic really, as the only reason I switched to sequential was because I was bleeding!)The specialist said this was fine and nothing to worry about though.

I was going to try and switch back to continuous. Has anyone had any experience of doing this? Didn’t know if I just need to simply start taking 1x 100mg utrogestan everyday again. Just worried that my lining may have built up again as nothing has shed, so didn’t know whether to give it one last try on sequential. Am due to take my first of the 2x 100mg tonight, but I’m torn about what to do!

Incidentally, I’ve had a couple of hot flushes and don’t know if this is simply due to the ups and downs in hormones since starting sequential. I’m on 2 pumps of gel but have had some breast discomfort so didn’t really want to up this.

Any advice would be much appreciated, thank you very much!
xx
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Hurdity

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Re: Sequential to continuous
« Reply #1 on: February 03, 2021, 04:27:04 PM »

Hi Butterfly16 - you post got missed. They soon drop off the page.

Sounds like a good plan ie have one last go at sequential. The thing is if you ovulate sporadically you won't know that this is going to happen so you still might get the occasional bleed at the "wrong" time. If you are taking the correct amount of progesterone but not getting a withdrawal bleed this does indicate that the lining hasn't built up sufficiently. If it got too thick then it would come away after or during the progesterone course.

I presume you are taking it orally? Also 2 x 100 mg for 12 days per 28 day cycle? here is a slim chance you are not absorbing it but unless you have serious digestive problems I would have thought this unlikely?

Yes your flushes could be due to taking the hormones cyclically, and progesterone always affects my breasts. Increasing oestrogen does so as well.

Let us know what happens after this course has ended and hope all goes well.

Hurdity x
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