Vaginal utrogestan?

[theodora1972]

I've been looking at the menopause matters website and found references to utrogestan being taken vaginally. The same tablets, apparently. The suggestion was that this is encouraged in other countries but not the U.K. I wondered if anyone had tried it- and if so, what the practicalities were? Does it (sorry) leak? Do you do it overnight? Like a tampon? Same dosage?

I've done it both ways and sometimes I split the ways during the time I use it.
In France, vaginally is the norm I was told.
What I have found is:
I don't feel slightly queasy in the mornings using it vag.
I don't seem to get the hung-over feeling using it that way.

Yes it leaks. I wear knickers in bed for those nights and sometimes a panty liner but I guess everyone is different. There isn't a load of leakage.

Yes you need to do it overnight really or it might just make its way out due to gravity. I guess you could try daytime and see how it goes.

Yes push it up like a tampon, as far as you can reach. I find this tricky because the capsules are small and they seem to have a mind of their own as you're trying to insert.

Dosage is whatever you already do- so that's 200mgs on a cycle or 100mgs daily if continuous. Obviously if you use them continuously it's would play havoc with any sex life because I assume they don't like to compete with anything else in there :)

Thanks so much, you answered all the questions I was too bashful to ask!

I echo queenofnight words, i was on Utrogestan for one year, vaginally first for 8 months, got fed up as the next morning the lining of the tablet ended up in my knickers, and also bits of it during the day came out, but no bad symptoms at all. So i Took it orally and preferred it with no bad side effects either.

. It's not the 'wet' and you could sleep with no knickers, BUT some of it doesn't get absorbed and it's def 'there' the next day. I know also that some women use it as a suppository (so my dr told me) so if you feel brave

I have only ever used it vaginally. Yes there is some leakage overnight but not that bad - I just wear nix when using utro as I wear panti-liners by day so need to allow some air into this region!

Reserach shows that much more is abosrbed vaginally than the same dose used orally - for obvious reasons - most of the oral dose is lost first to digestion and then is metabolised by the liver. Vaginally it goes to uterus and to some extent is thought to be "held" there for longer than with oral dose which is delivered to uterus via the bloodstream.

The metabolic by products from vaginal use are much fewer than with oral intake and it is these byproducts eg pregnanolone which are responsible for many of the adverse side effects.

I always feel more tired when on the utrogestan phase, and sometimes get a migraine but generally can cope.

Some women are prescribed the 200 mg vaginal capsules which are designed for fertility treatment and sometimes these come with an applicator. As QuuenoftheNights says - the 100 mg tiny capsules are quite tricky to get hold of and push up - the 200 mg ones were much easier!

A suppository! Aargh! Thanks again.