Hi Hurdity and AlphabettiSpaghetti
Sorry for the late reply.
I don't know if I have hyperplasia yet.
I started HRT at age 49 (I am now 52 and will turn 53 in July) and at the time, I was still having periods.
When I started I was using progesterone vaginally and that gave me a regular bleed each month. But my doctor convinced me to switch to oral progesterone to help with sleep.
So, From September 2018 to Until June 2019 I was taking 200 mg progesterone orally, for 14 days of the month. But bleeds were erratic. Some months I didn't get a bleed and then the bleed would come half way through the next progesterone course....or just before...it was all over the place.
It became impossible to chase, and I ever knew if or when I was going to get a bleed. To be fair I was on quite a high dose (equiv. 100mcg patch), but then I reduced to about 75-80mcg patch. I was experimenting with higher doses because sleep was suddenly getting worse. But then my doctor convinced me to try melatonin, which I started in January 2019, and that has helped enormously so I've only recently discovered I can now get along with much less estrogen.
The erratic bleeds could also have been be due to me getting closer to menopause as well (initially I was probably ovulating every month and then later on, possibly no so much).
Also, on oral progesterone, bleeds took longer to finish. When I used to take progesterone vaginally, bleed would be heavy for the first 3 days, lighter for 2 days and then stop by day 5. On oral progesterone, they're super light but last longer- -sometimes 14 days. It feels like the same amount of lining is shed, but over a longer period of time if that makes sense?
In June last year I decided to just take the progesterone every day, as I was turning 52 and I tolerate progesterone well, anyway all was fine until January this year, when I got some breakthrough bleeding. It's isn't heavy, just continual spotting. Like before, it feels like the lining was being shed but over a long period of time.
Spotting stopped for 2 weeks and then started up on 21st February. Spotting is super super light - a tiny spot 2 X a day. brownish blood.
I'm still taking the progesterone continuously, but have switched to vaginal, as I don't really trust oral progesterone any more, and I've reduced my estrogen to 50 mcg.
My doctor says I am still in peri (due to fsh levels) but really I have no idea.
I'm going to see my Doctor in April, I will have a scan and see what's going on. I want to switch back to vaginal progesterone and I think I'll go back to sequi.
