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[Miljea]

I was put on Estradot 50 patches, and Utrogestan 100. After a year I got some spotting. GP told me to stop HRT for 6 weeks to see if the bleeding stopped; in the meantime I had a gynae appointment where a TV U/S revealed a small fibroid but a thin uterine wall.

This was a March 18.

I suspect the bleeding was due to insufficient progesterone uptake from the tabs. Anyway, the gynae gave me a Mirena then and there, which was fine. But I could absolutely not get a GP appointment to discuss whether I should just resume my Estradot tabs, but not the Utrogestan.

So I've let it go with no HRT since March 18. It wasn't great at first but did settle to 2 hot flushes a day; however, now, 9 months later, I am a hot, sweaty mess, my sleep is rubbish and I think I need to resume my HRT. No spotting whatsoever in the meantime.

My question is, with a Mirena, can I just stick the patches on?

Or do I HAVE to go back to the GP, bearing in mind it might take me 3-4 months to get a routine appointment with her- and that she will just say- Um, yes?

[Tinkerbell]

Yes the Mirena will provide the progesterone needed to protect the womb if you use Estradot patches.

[sheila99]

Yes, it's safe to start the patches again, but perhaps book the gp appointment anyway so she knows you're back on it.

[Tinkerbell]

Our surgery offer telephone appointments they are normally more of those.

[Miljea]

Thanks everyone!