I've been taking HRT for over a year now. Prior to that, my periods were regular on the contraceptive pill. I'm still in perimenopause.
For the last 10 months or so, I've been using Evorel 50 patches and utrogestan (it was 200mg for 14 days, now 100mg for 25 days).
The bleeding and cramps have never settled and are now worse than ever. It definitely happens on the days I don't take utrogestan but also on other days too when I am taking it. I've kept a diary and I am bleeding around 20-22 days per month and have pain almost every single day ranging from mild to so severe when I can barely move. The bleeding is bad on the worse pain days and can sometimes leak through towels and underwear. The GP gave me mefanamic acid up to 6 tablets per day but it's not stopping the pain anymore.
I've already had an internal exam at the hospital where they didn't find anything. Next week, I'm booked in for a scan and a hysteroscopy with gas and air.
Does anyone know what this could be? I've read that my womb lining may be too thick. If that is the case, what is the usual treatment for that? I've also read that this can continue even after a hysterectomy if ovaries aren't removed and even if that's the only treatment, there will likely be a long waiting list and I'd need to find something to manage the symptoms on the worst days.
I'm desperate to get this fixed as it's impacting on my daily life so much.
I'm having to work from home when it's bad and luckily I have an understanding boss with a menopause work policy in place.
The HRT has solved all other symptoms I had so I don't want to come off it. It's just the period side of things that is still causing problems.