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[monalisa]

I am post menopause 64 and I am on everol conti patch and just recently added an extra 25 oestrogen patch.

I have also just recently started on vagifem pessaries having done the two week loading dose and now reduced to twice weekly.

I have just started spotting with a little blood along with a slight headache.

Is this a side effect of vagifem?
I don’t have any pain in my tummy.
Is it anything to do with the dose being reduced to twice a week?

Anyone experience this ? Any advice please 🙏

[CLKD]

I would consider it more likely that the upping of the oestrogen patch to be the culprit.

Is twice a week enough to keep VA symptoms comfortable.

[Jules]

I've had blood spotting once on vagifem after 4 months. I've recently had a small bleed again after 5 months of increasing the frequency. I'm not on any other HRT

[Joaniepat]

In your case, the spotting is more likely to be down to the extra patch rather than the Vagifem. Any change in your dosage of systemic HRT can take up to 3 months to settle down. Maybe you would be better off with a 75 mcg oestrogen only patch and a separate progesterone, as the combined patch only contains the right amount of progestogen for 50 mcg of E.
JP x