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[Trufflecat]

I am off to see my GP tomorrow to ask her to change my oestrogen patches to gel.  My experience over the last 9 months of progesterone (northisterone and now Utrogestan) suggests to me that I am progesterone intolerant (pmt is the reason I am using HRT as I don't have flushes etc...yet) I know prof Studd prescribes Utrogestan for 7 days a month and I think that would be worth trying. What are the risks of doing that, to my uterus, if I am on 75 to 100 of Oestrogen as a patch or gel too?

[Dancinggirl]

I agree with Stellajane - I doubt your GP would allow Studd's regime as it could cause erratic or problematic bleeding due to the thickening of the womb lining - you are also using a very high dose of oestrogen.  Regular scans are not usually available on the NHS.  DG x

[Niamh]

I see Studd and im prog intolerant so this is the regime im on. I haven't even asked my Gp as im certain she wouldn't give to me. Studd has not recommended a scan or even discussed this but said as I get a decent bleed each month and no other erratic bleeding problems it's doing its job. I may choose to go for a private scan in time though (im 41 snd peri and saw him for pmt) x

[Niamh]

Btw im on 2 pumps of gel Studd normally gives 3, I started on this but found it too much for me 2 has been great. I also use testosterone gel x

[Trufflecat]

Hi & thanks.  She wants me to use 200mg a day for 12 days & I am worried about what this might do!  Is 100mg per day for 12 days ever used?

I thought that the 50mg of Evorel that I was on was a low dose, so was going to ask to up it to 75 or 100mgs, one of the reasons for trying the gel, as it is more adjustable. What is a usual dose for someone in peri of oestrogen transdermally?

[Niamh]

Hi there I think with the ostrogel it's normally 3 for peri Studd started me on this but I found it too much over time so use 2. I think it's really trial and error and everyone is so different. I use 100 mg vaginally for 7 days and that's bad enough but better than my old pmt 😳😁 prog intolerance is so hard to manage. 200 mg would send me mad im sure! Yes the gel is brilliant and really adjustable you might find you absorb it better than the patch so 2 pumps might be enough....x

[Trufflecat]

Hi
Thanks, I will talk to the gp (clueless but nice) tomorrow.X

[Trufflecat]

By the way Niamh, does the prog send you mad immediately or does it take a few days?

[Niamh]

Well that depends the Mirena coil sent me mad immediately and my own progesterone was pretty horrific from ovulation until period arrived with the utro as im on such a low dose it tends to build so by day 4/5 so long as I use vaginally the one month I took it orally within 48 hours I felt dreadful and actually stopped for 2 days as felt it was no different to my old pmt so what was the point! The 100 mg us really ok but can be up and down for 7 days hth x

[Trufflecat]

Thanks.  That's useful for me to know but not so great for you!  x

[Niamh]

Ah honestly the utro x 100 for 7 days is fine be compared to how I was, Studd has changed my life! Good luck let us know how you get on x

[Kate50]

Hi Niamh
I went to see my GP for check up after going to see Studd and I can get all on prescription and she is going to organise an internal scan  apparently they are mobile and come to the surgery!

[Dancinggirl]

Kate50 - Wow, they are going to do the scan at the GP practise - that's amazing - maybe this is going to be rolled out to all practises - it should be - would save a lot of money and time!!! DG x

[Mary G]

Trufflecat, I would say the risks of you taking 7 x 100mg of Utrogestan are very low.  I've actually taken less than that and cheated loads of times yet my last uterine scan  reading was just 2mm despite the fact I'm on a 2 pumps of gel and have high oestrogen blood readings.

Obviously there is no guarantee you will be the same but if you are intolerant to progesterone then definitely give this regime a try.  It would be sensible to have a scan after a few months to check it's working OK and you can pay for it yourself.  It costs about £100 and you need to have it just after a period but if it makes your life bearable it's money well spent.

Professor Studd is the expert and there is no way he would sanction this regime if it was risky and he doesn't make scans a condition.  There is no question of me ever taking more than that dose. 

[Clovie]

Btw im on 2 pumps of gel Studd normally gives 3, I started on this but found it too much for me 2 has been great. I also use testosterone gel x

Hi Niamh
How could you tell 3 pumps was too much please?  What did you find the symptoms of too much were?

It's just that I've recently (3 weeks ago) changed from oral 2mg tablets to 3 pumps of gel and I feel good right now. 

I'm also prog intolerant, I'm on 200mg utrogestan for 12 days per month, but have used the utrogestan once every 3 months with the permission of my gynae specialist, as utrogestan still makes me low.

It's interesting and reassuring to read that Prof Studd thinks 100mg for 7 days is sufficient for prog intolerant women, and doesn't say regular scans are necessary.
Quality of life is sooooo important.