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[Mogster71]

Good Morning... Happy Last Day of 2022

After 2.5 years on various sequi regimes, I saw a private meno specialist who recommended I move to continuous in September. My headaches (main symptom) had started to reappear on 4 pumps of gel and 200 x 12 utrogestan. I was also getting 2 bleeds a month, so I think my own cycle was still going on.

At the same time as moving to continuous, I moved back to a patch (100 Evorel) because I found the gel a bit of a faff. I felt really nauseous for about 6 weeks, I wasn't sure whether it was down to me previously not absorbing the full 100 in gel so it was an increase as such, or whether it was my body getting used to continuous progesterone. Headaches have fortunately gone in the main.

I expected some irregular bleeding for a few months, I've had a proper "period" 2 or 3 times although they are much shorter, so hopefully they will settle over time. Several bouts of spotting too. The utrogestan I usually take orally but a few times I have tried it vaginally and I don't think it agrees with me that way (makes me sore). The last time was a couple of days last week, I'm now having yet another bleed, and the period pain is horrid - as bad as when I was in normal menstrual mode, and not restricted to the first day like it used to be. Is this normal do you think? Can vaginal utrogestan cause this? Suffering again with VA too and feeling a bit sorry for myself. Of course it would happen on a bank holiday weekend where I can't ring and talk to anyone, so looking for a bit of reassurance from anyone that can relate. Been reading threads about VA and Ovestin (which I do have but wasn't sure if that was making me more sore). The joys eh?

[sheila99]

If you still have your own cycle conti hrt won't stop it. If you want to be bleed free in peri you could use a mirena. Using utro 25 days out of 28 can be useful in late peri as it allows a bleed if there's been a build up but perhaps it's too soon even for that.

[Mogster71]

Thanks Sheila..
I thought periods normally got further apart the closer you got to the end, but if it is my own cycle then it us having a field day!

I guess it's a trade off between erratic bleeds or going back to a sequential and suffering with headaches - unless there is another way. I dont currently use the 3 day break and take the Utro every day.

[VanillaLover]

Hi there, Happy New Year !

If you feel that the 100 patch is controlling the headaches better than the gel, could you not just stay on that and use the utrogestan in cyclical mode instead of continuous?

Sounds like you are not ready for continuous yet. I take cyclical too and I don’t get the bleeds when I am supposed to at all either !

[Ellie O]

Hi Try 25/3 regime. Your erratic bleeding my stop or become more regular.