I've been doing some reading of others' experiences and it seems to be probably the progesterone causing this. Some women seem to get used to it after many weeks. Some switch to taking the progesterone vaginally.
Whilst I'm trumping away
![Grin ;D](https://www.menopausematters.co.uk/forum/Smileys/extended/grin.gif)
I don't TOTALLY mind and this is one symptom I'm prepared to give time to settle and see if it does. I work from home so can fart away to my heart's content
The waking at 4am thing (which might also be progesterone related) sucks more and isn't something I'm going to let go on for months. If it continues, in a few days I'm going to try taking the utrogestan vaginally and see if that helps. It's a good time to try this experiment as I'm also on Cerazette (which will help suppress endo) and only taking one utrogestan at the moment. (My next step is supposed to be trying to stop the Cerazette and take 2 utrogestan instead, and it will be harder to do the experiment then... )
But... if taking it vaginally does stop the 4am waking up, I can't really do that long-term because I want to take progesterone systemically to suppress endo (which is not all up my vagina/uterus
![Grin ;D](https://www.menopausematters.co.uk/forum/Smileys/extended/grin.gif)
) - so it might mean changing progesterones. But it will be useful info anyway, to figure out if it's the estrogen or progesterone causing the waking up at 4am thing. (It wasn't happening before HRT. Unless I got a night sweat, which I haven't had since starting HRT.)