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Author Topic: Bleeding on a conti regime  (Read 749 times)

jag2107

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Bleeding on a conti regime
« on: October 06, 2021, 07:06:53 AM »

Hi , I’ve been on utrogesten 100mg nightly and 2 pumps of oestrogel for 6 months now . All been ok the odd breakthrough very light  bleed, but this month started light bleed but increasing . I feel my meno symptoms are ok except still no sex drive , it’s just this breakthrough bleeding that’s getting me down . Any ideas what I should do ?
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Dotty

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Re: Bleeding on a conti regime
« Reply #1 on: October 06, 2021, 07:31:52 AM »

Hi we’re you 12 months without a period when you started the Hrt? x
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Hurdity

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Re: Bleeding on a conti regime
« Reply #2 on: October 06, 2021, 07:40:30 AM »

Hi Jag2107 - Looking at your past posts it is likely at your age (?58) you are post-menopausal and especially given you were 9 months without a period before. There are a few women who continue to be ovulating at this age but in the minority. Other reasons are problems with the womb lining eg fibroids and polyps. I note you had a polyp in the past. Has the recent bleeding been checked out? If all is otherwise well then the only other probable reason for the bleeding if it's not settled after 6-9 months of using the same regime, is that the balance between progesterone and oestrogen is not right, specifically that the progesterone dose is not high enough to protect the womb and stop it from thickening? Depernding on what the doc says you could take it vaginally at the same dose though most women do not want to do this continuously, or increase the dose, or try an increased dose on a cycical basis. You could also do this but with the 3 day break - which is designed to allow for a bleed if the womb lining has thickened.

Problem with utrogestan dosing is it is prescribed as one dose irrespective of the oestrogen dose, where in fact as far as I recall the trials were with low and medium doses of oestrogen (hopefully remembered correctly!). The progestogen dose required is dependent on the oestrogen dose so at higher oestrogen doses may not be sufficient. Do discuss with your specialist/GP.

Hurdity x
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jag2107

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Re: Bleeding on a conti regime
« Reply #3 on: October 06, 2021, 07:51:17 AM »

Hi thanks for your replies . I have had two lots of polyps removed since 2017 the last being March this year , along with a biopsy of the womb which was clear , this is when the consultant recommended I try this regime of utrogesten and oestrogel . I was on femeston conti before I had the polyps removed . Maybe a different progesterone would help ?
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Dotty

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Re: Bleeding on a conti regime
« Reply #4 on: October 06, 2021, 11:22:36 AM »

Hi I think Dr Newson recommends 200mg of utrogestan if bleeding is a problem or a different progesterone . x
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