coil as progesterone add on better than tablets?

[BirdsofPrey1]

posted in menopause but no replies.

I started HRT less than a month ago. Gel and Utrogestan for the 2nd part of my cycle.

I started the Utrogestan a few days ago and I don't think I have know tiredness like that before.

Is this a common side effect? Will the coil be better and make me less of a zombie? I don't think I can do this another cycle. Help.

When do you take it? I take it before bed and it sends me to sleep, which is a plus for me. But I haven't tried a coil so don't know how it compares.

8 pm. I sleep better on it but the tiredness doesn't appear to wear off at all..

I originally got my mirena because of heavy bleeding but kept having them for the progesterone part of HRT so I cant help as I've never taken tablets. I've other friends who have had the mirena for the progesterone part.

I think having mirena is a marmite situation- you either love it or hate it and I love mine. I had spotting and low level period pain (the pain you can forget when you're doing something) for 6weeks after insertion but nothing since. Not sure that helps or not, sorry.

I do need the progesterone as part of my HRT. Not bothered if tablet of coil. But the tablets (Utrogestan) make me incredibly sleepy. all day long. So I wondered if the coil which works on a lower dose and locally would be a better option.

How long do you take the tablets for? I didn't do well with them so my doctor changed my schedule. I now take a lower dose but for more days and no longer have issues.

However, I think I may have needed to go through a few cycles first to make sure it wasn't just a temporary impact.

When I started HRT I had regular check ups for the first six months and then two monthly once my prescription was "settled" before I moved to a standard repeat prescription as it's quite normal to need to tinker with the prescription to get it right for you.

I think since you've only taken it for a few days your body might adapt. I would personally try this month and one more and then try something else if it doesn't improve. Unless it's unbearable.

I need progesterone as part of my HRT.
I refused a coil so I've got Evorel conti patches.
I was very tired and nauseous for the first 2 months presumably because it was getting into my system but I'm fine now

I had some bad side effects on Utrogestan taken orally. I quite liked the sleepy part but it gave me horrendous breat pains and PMS. My nurse said it could be used vaginally and I have been doing it this month. I feel so much better. I slept better before but all other symptoms dissapeared.

Utrogestan cured menopausal insomnia, I love it! I now have a Mirena (since January) due to hyperplasia (it was sold to me as 'better'). I now don't sleep more than 3 or 4 hours at a time, am constantly tired and haven't stopped bleeding yet. Safe to say I'm not a fan of the Mirena, and it will be removed next month! I need to sleep to feel well and cope with my life!

Yep happened to me only a. Few weeks ago. I was told that my coil keeps the progesterone locally and there were other symptoms I was having potentially due to not enough progesterone - principally anxiety, exhaustion which has run throughout my time on hrt and unreliable sleep I was told to trial oral progesterone - same prescription as you - for a month and I would 'know if I got on with it. I felt great for the first two days and took it at night - it was lovely dropping off at night and I felt like anxiety was very much quelled in the morning. However by day 3 I could hardly move in the day time - so much so I assumed I was unwell. I spent about 5 days on the sofa thinking covid or something. Once I stopped taking it I was no longer as exhausted so I haven't gone back. Sounds like we had a similar experience. I still do wonder if I had covid or something, but nothing was showing in the tests and short of realising I didn't smell very well for a day or two, I didn't have any other covid symptoms. I'm not sure whether to try it again just in case.

Thanks all. I will stick to it for a little while but if no improvement, I may switch to the coil. It's not tiredness or fatigue but I am like a zombie. It's a while different level of having no energy

Would be great if you cd update on this. Zombie is how I felt. I'm in two minds about trying again so I'd be interested to know if it improves for you. Hope it gets better.

@BirdsofPrey1 did you carry on with it and if so did things improve? I'm thinking of restarting it, to give it one last try.

it got better in the 2nd week of my Utrogestan. I am currently in my gel-only phase. Decided to give it a bit more time but if it starts again when I take it, I will make an appointment. Not sure if it takes maybe a bit longer for things to settle.