I had this both times I was on Evorel Conti. The progesterone is a different type to some other progesterones. I did have investigations the first time and found I had an intra-uterine polyp, which I had removed. But the bleeds continued. So I switched to Everton Sequi, so I knew when the bleeds were due. After a break, went back on Conti aged 57, and started bleeding again, so I’ve now switched to Evorel 50 and oral Utrogestan 100mg.
The Utrogestan is apparently licensed for use on a 25/28 regime, meaning you have a break from it on day 26-28 and start again on Day 1 of the next 28 day cycle. However, for me that was causing a bleed. When I went for my last review, the nurse agreed that the break could be instigating a bleed, and was at great pains to point out that despite it not being licensed for continuous use, most ladies she knows take it continuously. (Hint, hint). So that what I’m doing now, since the start of Feb, and the bleeds really are becoming less heavy, shorter and less frequent.
Bleeding on HRT is common. It may need investigating, but often there’s no real cause, and just something we have to put up with. For me, it’s worth a little inconvenience to get my life back.
