I started last week to use utrogesten vaginally after I’d been using it orally 100 mg for 8 months with 2 pumps of oestrogel on skin. However I then had cramping and bleeding, (clear mucus with blood for a week) I had been ok for months so it seemed strange. I wondered if being coeliac I’d not been digesting it properly. However I’m now getting bad cramping every morning as I wake up, it does ease a bit during the day. I was told utrogesten is the only safer body identical form of progesterone. Are the combo patches body identical? I’m thinking maybe I need to change? I’m 12 years post meno! I’ve been given hrt due to recent osteoporosis diagnosis. It does help me sleep better! Plus no hot flushes! GP doesn’t seem to know much! I’ve changed to one pump of oestrogel too last week.