Hello ladies,
I'm a bit confused about my HRT regime. To cut a long story as short as possible, I started out last June on continuous 100mcg Estradot patches and 1 x 100mg Utrogestan tablets for 21 out of 28 days (days 8-28). I thought I would feel as rough as anything at first but other than a bit of tiredness I felt absolutely great.
On the fourth cycle, along with my consultant's (Dr Nick Panay, lovely man) advice, I cut down to just 10 days on Utrogestan (same 100mg dose) because I was getting a bleed every two weeks and wanted a bit more energy. This sorted that problem, but after a month on this dose I frankly lost my mind: crushing anxiety and constant panic attacks, despite being previously stable on 40mg fluoxetine. Not knowing what else to do I went back to my original dose of 21 days of Utrogestan, and after 4/5 months of relentless anxiety I found I no longer needed to take lorazepam and felt grounded again and back to myself (so there is light at the end of the tunnel).
I then saw Dr Panay again in the late summer after being stable for a while. I was still getting two bleeds a month so I asked him about that and he suggested doubling my dose of Utrogestan (200mg each day for 21 days out of 28) and to give it about 4 months.
I started this dosage in early August but it didn't stop the bleeding after 4 cycles. I had a few additional physical symptoms at times, such as nausea which I hadn't really had an issue with before. I was willing to give it a bit longer but over the past 2 weeks my anxiety has gotten out of control again - it's like I've become possessed!
I'm worried because I was functioning well over the last four months. Last time I was ill I believe it was because I had too much estrogen compared to progesterone, and the panic took over after just a month on that dose. This time I thought I was OK as I didn't seem to get any adverse effects from doubling the progesterone at first, and now it almost seems to have crept up on me. I always felt more calm during the progesterone days, but could it be that the progesterone has built up and maybe I have a bit too much? I'm definitely not functioning at the moment
![Cry :'(](https://www.menopausematters.co.uk/forum/Smileys/extended/cry.gif)
Has anyone else experienced anything like this?
Hugs to everyone suffering and sorry for the long post!
XXXXX