unless you are on utrogestan continuously which tries to balance hormones so there is no bleed - you will get a bleed.
I am on a cycle at 57 because I cannot take progesterone continuously. My cycle is a bit different I use mine what is called "off licence" but for the purposes of your problem (which actually isn't a problem) I use it for 10-12 days 200mg. I get a bleed each month and expect to (I get one every 6 weeks for my cycle but I don't want to confuse you so ignore my 6 weeks).
It is a withdrawal bleed and it is designed to shed any build up of the lining of the womb. I can't work out why your consultant should think this is not normal on 10 days use? I get a proper bleed just like a period every month which lasts 4 days.
There is absolutely nothing to worry about Callmemam. It is working just as it should do and I wouldn't expect anything else.
There are 2 ways to take Utrogestan as per the NICE guidelines (1) 100mg continuously every night days 1-25 - break days 27/28/29 and start again
or (2) 200mg every night days 15-26 (12 days) none on the other days oestrogen only. I got given a leaflet on it showing the charts from the meno clinic.
I think she may have got a bit confused in her prescribing and mixed the 2 methods together because she is giving you 100mg
days 1-10 of the calandar month as in method 1 but thinks you shouldn't get a bleed as in method 2?
It's not the bleeding which has started recently which confuses me, it is why you had no bleeding when you first started the regime in 2018 based on 10 days only? Thinking out loud, it could be that your own body was producing enough oestrogen to balance out the utrogestan and now it has dropped, so the utrogestan is working as it should.
If you have not had a bleed for so long the periods will be painful and heavy for a while as there is quite a bit of womb lining to shed but these settle down to normal. You ask in your original post - is this normal - yep - quite what I would expect and it happens to me
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
If you want to PM I can send you the copy of the NICE guideline A5 flyer as an attachment - I have it saved - so you can take it with you on your next appointment. Consultant probably won't be very pleased but it might "un-confuse her"
![Wink ;)](https://www.menopausematters.co.uk/forum/Smileys/extended/wink.gif)
Also it will put your mind at rest. x