Hi confusedaboutHRT
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
First - it depends where you are on your menopause journey as to whether you take Utrogestan cyclically or continuously. Continuously is for post-menopausal women who have been without a natural period for 12 months though this would be different for those who don't have periods but not post-meno ie on Mirena or POP or hysterectomy.
Continuously includes the days 1-25 which is the licensed post-meno dose (to allow a bleed in those whose womb lining has built up) though many women are prescribed it every day.
Cyclically the licensed dose is 200 mg utrogestan orally for 12 days per 28 day cycle although there are often minor variations and tweaks of this and many women take it vaginally. Cyclical regimes are for peri-menopasual women and post-meno by choice ( those who dont like taking progesterone).
Yes your doc is right alternate day vaginal use is off-licence and should not be taken like this without medical supervision and in any case would only be recommended for low to medium oestrogen doses and in post-menopausal women.
You don't have to stop oestrogen at all despite what your doc says but if you are still very much early peri-meno and having your own periods then you maybe will have to adjust your utrogestan cycle as you are suggesting ( even though you're not necessarily peri).
There is no problem wih going without progesterone for that short a time - after all the cycle itself is 28 days and the "normal" gap is 16 days without prog. Not at all dangerous!
It is only in off-licence regimes that regular scans are recommended - and at least until you know how your womb lining behaves on that regime.
Do tell us where you are in menopause and we can advise further and...
Hope this helps
Hurdity x