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Author Topic: Sequential Utrogestan  (Read 484 times)

Mogster71

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Sequential Utrogestan
« on: February 19, 2023, 05:39:25 PM »


Can I ask what the minimum amount of days you can take sequential Utrogestan is please?
Bit of back story; in late September I moved from 4 pumps of gel + sequential U. I was having bleeding issues and my main symptom of headaches had started to come back a bit. I was finding the gel a bit of a faff and was unsure if I was absorbing it properly so I moved to a patch at the same time. Femseven kept falling off so the surgery gave me Evorel 100s which work fine.

I expected some sort of irregular bleeding or some spotting, but on 100mg a night orally I was bleeding every other week, and the nausea was daily. After 4 months on this I spoke to my GP and she suggested a Mirena (not keen) or trying back on sequential, which is what I have done. In the first couple of days (oestrogen only) the bleeding stopped, the nausea continued.

I had a suspicion I was absorbing the patch more efficiently than the gel and by cutting the corner off my last patch the nausea disappeared. Boom :)
However, the utrogestan is absolutely flooring me on sequential; my mood is horrible, edgy, and really low, my stomach is upset and I feel like a zombie when I take 2 at night. I find that vaginally it irritates me too much so I can't take it that way too often.

I will have done a week on the sequential tomorrow, have I taken enough to generate a bleed so I can return to continuous or would you do the full 2 weeks? Will switch to mornings if I have to see out the week. I'm hoping that by trimming the oestrogen a little bit that I don't have so much bleeding. I appreciate it may take some settling again.

Thank you for reading and hopefully someone has some advice please?


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Jillyboo

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Re: Sequential Utrogestan
« Reply #1 on: February 20, 2023, 06:46:46 PM »

Most of the articles I've read over the years recommend at least 10 days of progesterone.

Some years ago there was a menopause specialist in private practice who was prescribing Utrogestan for 7 days a month in severely progesterone intolerant patients (this would need to be accompanied by regular endometrial scanning).  I'm not sure whether this has now fallen out of favour.

Have you tried anything else?  Many women do better on tablets or combi patches.

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