hello all
I have grade 4 endo (mostly asymptomatic) and have been on HRT for 3 years. I'm on 200 mcg estradot (two patches, changed twice a week); and I take 100 mg utrogestan for 12 days a month. I get a regular withdrawal bleed. But I hate progesterone like lots of women, it makes me fat, depressed, tired and ravenous, so for a couple of months last year I skipped it. This was per advice from the Newson Clinic, where I was told that to skip a couple of months was perfectly safe. They are the ones who put me on the 200 mcg dose of estradot, as I was having severe dysfunctional depression that was interfering with life. Anyway, I recently had an ultrasound to check my endometrial lining, as my GP, formerly a gynae consultant, and very nice, had kittens that I'd skipped two months of progesterone. The ultrasound found a slightly thickened lining and a new cyst on my left ovary to accompany my consistently cyst-y right ovary, so I was sent for an urgent hysteroscopy. The hysteroscopist, a nurse who said she was being trained to be a menopause specialist, was horrifed I was on 200 oestrogen, she said that was extremely high and she'd never ever encountered anyone on that amount. She also thought I was on too little progesterone, even though I pointed out I was taking the utrogestan vaginally so didn't need 200 a day (again, on medical advice from Newson clinic). The nurse was pushing me really hard to get a Mirena, which I don't want. I've spent years trying to get some stability and now I have some (as I now take ADs too, which are helpful), I don't want to mess with anything. She said at my age (52) I was probably post-menopausal by now and so I should consider going continuous not sequi.
I've never heard this before. Nor has any GP expressed any concern about my oestrogen or progesterone doses.
So, my question is: are any of you on 200? Has any medical person expressed concern that this is too high? Or that 100 taken vaginally is too low?
I'm really unwilling to mess with my regime for now, I need stability this year (got a book to write) and I don't want to f*ck with the progesterone either.
I'd be really interested in your views.
My womb was apparently fine, by the way!