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
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
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?