Print

Please login or register.
1 Hour 1 Day 1 Week 1 Month Forever
Login with username, password and session length

[florriepeck]

I’m currently on a 2 week course of Provera to control near constant bleeding. I’m on Evorel 150 and usually on Utrogestan. I’ve had ultrasound which shows that womb lining is normal.I’ve had no bleeding while on the Provera but my GP won’t prescribe long term and I’m to resume utrogestan after two weeks and try it vaginally. He says a Mirena coil is the only other option for my progesterone part of HRT.

[Flossieteacake]

There are other types of progesterone. I would ask to be referred to a menopause clinic as they will be able to find you one that suits you.

[Nas]

Interesting as I’ve also had lots of bleeding on evorel patches. I’m on 75, but the 100 utrogestan doesn’t control my  bleeding at all.

I’ve been advised to have a Mirena  ( which I will trial ) but am now thinking about other types of progesterone, such a provera and norethisterone?

If provera suits you and you don’t bleed on it, then why can’t the GP just continue prescribing? I THINK it’s down to how utrogestan is marketed e.g body identical, yams, safe, gentle etc. Whereas the others are perceived to be more ‘ industrial strength’ and thus potentially more harmful long term? In sure that isn’t the case, else they wouldn’t be available, would they?

[florriepeck]

Yes I think utrogestan and Mirena are held up to be the ideal. I’ll try the utrogestan vaginally then I suppose I would try the Mirena. I’m just so fed up of the inconvenience of months of frequent bleeding and it being stopped by this current course of Provera feels wonderful!

[Nas]

Florrie, I would be persistent with the provera. You know it works!
I have agreed to a Mirena, but actually I want to try provera and / or norethisterone first I think .

[Floradora]

I’m not sure why your GP won’t prescribe you Provera long term. If it suits you and actually controls your bleeding then you should be on it. Utrogesten, while being a more natural progesterone, is known for not always being the best at controlling bleeding for those ladies who have bleeding problems. I was on Provera for years to control persistent heavy bleeding from endometriosis. It was totally effective and was the only thing that actually worked at a manageable dose. X

[Nas]

Agree with you Flora..
Why must it all so difficult?
A proven tried and tested drug which works, yet the GP won’t prescribe.

Grrhh..

[florriepeck]

My GP for HRT is a private, highly regarded menopause specialist, so I feel that I should follow advice, but I'm frustrated to have to keep trying new ways to stop bleeding, ie vaginal utrogestan/ Mirena coil, when I've found that Provera works.
My current two week course dose is 10mg three times a day; maybe long term users have a lower dose?

[Floradora]

Hi Florriepeck. I took 10mg twice  day for about 5 years and then 5mg twice a day for a further 3 or 4 years. This was under a gynae for endometriosis though -however when I first started HRT I was on patches and daily Provera 10mg per day. Obviously you will have to be guided by what your specialist suggests but Provera is certainly proven to be exceptionally good at controlling bleeding. I hope you find a workable solution x

[florriepeck]

Thank you

[sheila99]

A mirena is usually the most effective way to stop bleeding if it's something you would consider. Did you ask why he didn't want you on provera?

[kdee69]

I've just gone back onto Provera after a dreadful experience with Utrogestan (migraine related). I LOVE provera (and by love, I mean I don't notice I'm on it).
Why on earth won't the doctor prescribe it. Ridiculous

[VictoryV]

I questioned my GP about Provera long term and she did what she usually does and speaks to a gynaecologist. The answer was that they are happier prescribing long term progestins pre menopause because it damages bones but the body repairs bone density pre-menopause and doesn’t as we age.
She also said the same applies to the mini pill and the contraception injection.

[sheila99]

Is it the same thing? There's Depo-provera that's a contraceptive injection that can damage bones. Is the provera for hrt the same thing? It's a pill rather injection so perhaps it just has a similar name?

[VictoryV]

No, I asked exactly that! It was in relation to all non-bio identical progestin.