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Author Topic: Breakthrough bleeding  (Read 1314 times)

teejanddeej

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Breakthrough bleeding
« on: March 24, 2022, 05:41:17 AM »

Hi ladies, I’m after some advice re post menopausal bleeding.
I’m 60 and had my last period in Nov 2016. I started hrt last April on gel and utrogestan having gone private as my gps wouldn’t prescribe. I was on 2 pumps of gel but after a blood test my levels were still low and after a consultation with my specialist I upped my dose to 3 pumps. My specialist also wrote a letter for me to give to my drs and they agreed to prescribe it for me but with a lot of accompanied doom and gloom about the risks etc. I also at this time swapped to patches as I found the gel a bit of a faff and I went on to Evorel 75. I found the patches much easier and seemed to be getting on okay with them. I used my first one on 7th Feb this year. I’ve also just started using vagifem and have used them every night for 8 nights as I was told to take continuously for 2 weeks then twice a week after.
Today I’ve had a bleed 😫 a sort of browny/pink discharge and accompanied by period pains and bloating. I’m gutted to have got this far (almost a year) and for it to happen now.
My question is: Could it be due to the change over to patches? And if so should I reduce the dose or just wait it out. Or is it due to the vagifem?
I know any bleeding after menopause should be checked by the gp but I know that if I get an appt they’ll tell me to stop taking it (and secretly be thinking we told you so!) and I don’t feel they’ll have the knowledge to give me the correct advice.
Has anyone else had a similar experience and if so should I go to the drs??
Sorry for the long post!
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Dotty

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Re: Breakthrough bleeding
« Reply #1 on: March 24, 2022, 06:52:46 AM »

Hi any change in hrt is seen as starting hrt anew so bleeding can happen in the first 3-6 months. The bleed is likely to be due to this. X
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teejanddeej

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Re: Breakthrough bleeding
« Reply #2 on: March 24, 2022, 07:15:34 AM »

Thanks Dotty, I thought it might be that but as I had had no problems after being on the gel for 9 months I was hoping my body was used to the hormone levels. Do you think I should carry on on the same dose or go back to gel? I’m a bit reluctant to as the patches are so much easier plus there’s all the problems with supplies of the gel at the moment.
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Coco62

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  • Posts: 7
Re: Breakthrough bleeding
« Reply #3 on: September 30, 2023, 07:28:08 PM »

Hi ladies, I’m after some advice re post menopausal bleeding.
I’m 60 and had my last period in Nov 2016. I started hrt last April on gel and utrogestan having gone private as my gps wouldn’t prescribe. I was on 2 pumps of gel but after a blood test my levels were still low and after a consultation with my specialist I upped my dose to 3 pumps. My specialist also wrote a letter for me to give to my drs and they agreed to prescribe it for me but with a lot of accompanied doom and gloom about the risks etc. I also at this time swapped to patches as I found the gel a bit of a faff and I went on to Evorel 75. I found the patches much easier and seemed to be getting on okay with them. I used my first one on 7th Feb this year. I’ve also just started using vagifem and have used them every night for 8 nights as I was told to take continuously for 2 weeks then twice a week after.
Today I’ve had a bleed 😫 a sort of browny/pink discharge and accompanied by period pains and bloating. I’m gutted to have got this far (almost a year) and for it to happen now.
My question is: Could it be due to the change over to patches? And if so should I reduce the dose or just wait it out. Or is it due to the vagifem?
I know any bleeding after menopause should be checked by the gp but I know that if I get an appt they’ll tell me to stop taking it (and secretly be thinking we told you so!) and I don’t feel they’ll have the knowledge to give me the correct advice.
Has anyone else had a similar experience and if so should I go to the drs??
Sorry for the long post!

I know the topics is quite old now, but I have similar problem in that everytime I add in Vagifem I get daily bleeding. I am post meno and take 100mg daily of Utogestan vaginally and 4 pumps of oestrogel? Does anyone have adivice or experience in tweaking my regime?
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Dotty

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Re: Breakthrough bleeding
« Reply #4 on: October 01, 2023, 06:21:36 AM »

Hi could you try a different treatment ? I use Blissel with 4 pumps of Oestrogel and Utrogestan.
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Coco62

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Re: Breakthrough bleeding
« Reply #5 on: October 01, 2023, 08:41:28 PM »

Thank you. I will have a look at that🙂
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