Cyclical hrt - prempak c

[cassgate]

Hi, anyone know what happens if you don't have a withdrawal bleed on this type of hrt. I have now been on it for nearly 5 weeks. It's day 6 of my second pack and I was expecting to have had some type of bleed by now but nothing not even spotting. How long can I leave it before going back to gp. Other than no sign of withdrawal bleed it has worked wonders, no more night sweats and sleeping better. Not pregnant. Thanks.

Don't worry. I think the stats are something like 15% or more of women don't have a bleed (ever) on cyclical HRT. My dr always asks me if I've had a bleed when I see him for check ups and tells me not all women do.
You may well do as you use HRT longer. After only 5 weeks of oestrogen it's likely you don't have enough build up of the lining to come away. Not sure when you are due for a review- 3 months or 6 months? - but just keep track and mention it then.