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Hello, New and possibly having a full period on uterogestan?

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Susie B:
Hello,
Thank you for the supportive advice I have read in the last month here before joining.  I am 53, but up until 4 months ago I had been having completely regular 28 day cycles with tempertaure changes, distinct PMT for a week before period and clear jelly like discharge mid month. Family history of late menopause - My sister has regular 28 day periods till 56 when she had to have a hysterectomy due to pre cancerous changes in womb lining. I have have had PCOS all my life, though slim and take metformin which gave me regular cycles. 2 miscarriages, no children :( and then at 52 had to have one ovary removed due to a very large 12 cm endometrioma ( didn't know I had endometriosis up until that point) . 

 4 months ago I started getting 7-8  days of dark brown spotting before my period, increasing in heaviness as the days go on till I got a bright red heavy period which lasted about 9 days. So about 16 days of some sort of bleeding and my 'cycle' extended to 6 weeks. The red heavy part of the last 4 periods has also been heavier than ever before, with so much blood!

I went to a private gynae and have had endometrial biopsies ( after last heavy bleed had stopped), they were fine. I also had a scan and the womb lining was thin at that particular time (though a bit thick on a mid cycle scan 6 months ago) and she saw only a 1 cm ovarian cycst which the doctor wasn't worried about, no polyps or fibroids. Gynae says my FSH is high and my ovaries are " packing up" . I was told to start Uterogestan continuously 100 mg per day to lessen/stop the bleeding and keep the lining thin. I have not been prescribed estrogen. I feel I am progesterone sensitive as I have alway had very bad PMT( tearful, angry etc ) in the week before my periods so after reading the very interesting posts from Hurdity and others I have been using it vaginally for the last 3 weeks, inserting as high as I can with an applicator at night. Sleep has been great so thats one positive.  For the first 2 weeks it seemed to stop the light brown discharge I was having but in the last 5 days the brown discharge got heavier, my hair became greasy and my blood sugar felt low, which is what would normally happen before a period. I doubled the dose of uterogestan , and have been on 200 per night for the last 2 nights. Last night I felt very hot and this morning I have very heavy red bleeding- It feels like a full period ?? Could my own hormones be pushing through ? I'm just not sure what to do - should I continue with the Uterogestan or Stop it completely for a few days and allow the heavy bleeding to happen?  Would this get rid of some of the blood or will it just keep coming....feeling very down about the constant bleeding ( brown or red)  does anyone else have similar experiences?   I  also have dense fibrocystic breasts, a personal history of breast cysts and mother and grandmother both had breast cancer in 70's. I've also got something called factor V lieden which means I am more likely to get blood clots ( though haven't had one so far, fingers crossed ) so favour a natural progesterone... Husband is being supportive but I'm feeling very down, and would appreciate any advice...

sheila99:
Utrogestan won't override your own hormones, I think the idea here is to prevent the lining building up so much so your periods aren't as heavy. If you want to be bleed free you might be better with a mirena or a bcp.

Susie B:
What is a bcp please?

sheila99:
Birth control pill. They're designed to override your own system whereas hrt works alongside it. How long have you been on utro for? If it's less than 3 months you might give it longer to see if it settles.

bombsh3ll:
I agree utrogestan either orally or vaginally is generally not strong enough to shut down your own cycle.

It would be a particularly progressive gynaecologist who would initiate a combined pill at 53 in the UK, however in the US they are used until 55.

The mirena IUS is a good option for perimenopausal bleeding.

The progestin only pill desogestrel can also be tried - in a lady over 50 with one ovary there's a good chance this will achieve suppression.

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