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[PippaSM]

Hi everyone.
I finished my first cycle of sequential Utrogestan (with Sandrena gel) and have only just started my first withdrawal bleed, sixteen

days after finishing the Utrogestan.

This is quite a bit later than I was expecting, but I guess things need to settle for the first few months.

I switched to taking it vaginally, after a few days, due to hideous side effects on the first cycle.

Today, I am due to start the start my next cycle of Utrogestan.

My question is: is it ok to take it vaginally whilst bleeding?

I'm worried that the bleed will dilute / force out the capsule?

Does anyone have any thoughts?

My GP isn't available Thursdays and Friday.

Thank you!

X

[sheila99]

I would start the cycle again taking day 1 as the first day of your bleed. My own cycle is always stronger than the hrt one so expecting my body to fit into the hrt cycle just doesn't work.

[PippaSM]

Thanks, yes I was going to do that, but can I still take it vaginally, I wonder?

[Hurdity]

Tricky one this - taking vaginal utro while bleeding as it wasnt really designed with this in mind. I have done so but not when bleeding heavily. You can try it but as you say it might get washed out a bit. If you use tampons then that might help keep it up there to be absorbed into the uterus? I don't think there are any data on this so not sure what the meniopause specialists would recommend.

Hurdity x

[sheila99]

As you're bleeding there probably isn't much point in taking utrogeston? Assuming you're on sequi.

[PippaSM]

As you're bleeding there probably isn't much point in taking utrogeston? Assuming you're on sequi.

Hi there,
Yes I’m on sequential, 12 days out of every 28. My GP actually says the same thing and says it’s fine for me to wait until the bleed stops, before I start again. As it happens, I think it’s stopped already so will try it tomorrow.

[sheila99]

If you start again when your bleed stops the hrt will be working against your own cycle instead of with it. You take it in the latter part of the cycle because this is when you're producing progesterone yourself.

[PippaSM]

Hi Sheila, I’m on the Depo injection so don’t have periods / a cycle.

[sheila99]

Sorry, I assumed you did because you're on sequi hrt. Now I'm even more confused. As depo is is a progesterone injection is it normal to need utrogeston as well? If you use a mirena it has more progesterone in it than is required for hrt so isn't it the same with depo? And why sequi hrt rather than conti?

[PippaSM]

Theoretically yes, it does the same job, but it’s not licensed for that use (no research) so my GP still had to prescribe Utrogestan. Also, I’ll have to stop the Depo at age 50.
My GP was reluctant to prescribe as continuous until we knew how I reacted to it. As it turns out, pretty bloody awful, so right now the thought of taking it every day fills me with dread. 

[sheila99]

Maybe you have too much progesterone? I get fatigue with utrogeston. On cycles where I ovulate and produce my own progesterone I'm wiped out. On cycles where my body does nothing it'sbbarely noticeable til day 8 and even then it's so much better. It's the oestrogen that makes us feel better, the progesterone is a necessary evil.