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Author Topic: Advice please about bleeding  (Read 1209 times)

MW

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Advice please about bleeding
« on: July 25, 2022, 01:06:02 PM »

Hello,  I am 57 years old and was using tibolone for 8-9 years, my periods stopped at the age of 43.   I used tibolone without any problems for all this time, up to January 2022, however, I was starting to experience night sweats again.  As a consequence, because of the night sweats, My doctor changed my HRT from tibolone end of January, to lenzetto spray and utrogestan.  All was fine until end of May when I started with a backache and subsequent spotting.  I was fast-tracked with a scan (showing slight thickening), a hysteroscopy and biopsies, I am waiting for the results. 
My question is - I have been told, by the gynae, to stop taking the lenzetto spray/utrogestan until i receive my results, but as soon as I stop taking it or reduce it, I start to bleed with bad period pains.   
To me, it seems more sensible to start again on tibolone as I was virtually trouble free (aside from night sweats that now seem comparatively 'easy' after bleeding on and off since May).
 My GP doctor has now since advised me to increase the lenzetto spray (currently on 3 pumps, she advised 4 pumps each morning).
I am confused by the conflicting advise and do not understand why I was not switched from the spray/utrogestan back to tibolone whilst waiting for my results ( and could be as long as 4 weeks I am told), which I am fairly sure will be because of the change of HRT.
My question is - do I carry on with the 4 pumps of lenzetto/utrogestan or do I reduce/stop the HRT altogether and tolerate the bleeding/pains/backache for possibly 5 weeks plus until my issues are sorted?
Thank you.

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CLKD

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Re: Advice please about bleeding
« Reply #1 on: July 25, 2022, 02:08:22 PM »

Don't stop as the Gynea probably doesn't understand how HRT works.  Had it been necessary to stop prior to investigations, that's a different matter.

If you got on OK with Tibolone (thinking Swiss chocolate  ::) - Toberlone): could it be upped at all as if your ovaries are having a last hoorah, it may all settle if you keep to the same HRT.  I don't know why GPs keep changing women without going through the options on a regime that more or less works  ::)

Some find that keeping a mood/food/symptom diary of use.  Browse round.  make notes ;-)
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MW

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Re: Advice please about bleeding
« Reply #2 on: July 25, 2022, 02:30:58 PM »

Thank you for replying.
I think sometimes they change your prescription because of cost rather than suitability, I was told by a specialist menopause nurse that Tibolone is the "gold" version of HRT, how true that is, I don't know...
The gynae did tell me to stop using the HRT prior to the investigations, so maybe I'll start to try to reduce it, actually dreading it.
I totally agree with you though, it was nonsensical to change my prescription after being on Tibolone for 8/9 years.
Thank you again for the advice.
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CLKD

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Re: Advice please about bleeding
« Reply #3 on: July 25, 2022, 02:52:18 PM »

Don't do anything until the results are back.

In the meantime, decide which symptom you would like to ease first.  Also ask your GP to refer you to a dedicated menopause clinic - not a gynae!! - where there is more choice and variation in delivering HRT. 

Let us know how you get on.
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MW

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Re: Advice please about bleeding
« Reply #4 on: July 25, 2022, 04:41:19 PM »

Thank you, will do x
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