HRT and bleeding

[PrudenceDear]

It’s been a while since I’ve posted.

I’ve been on kliofem for about 3.5 years now and had only had a yearly period for about 4 years before then.

Recently I’ve had some bleeding. The first was like a period. I had some symptoms, cramps and dark discharge for a couple of days.
Then a few weeks later, similar but not to same extent. Since then I’ve had a couple for spotting episodes. No side effects.

Do I need to go and get this checked?

Anyone else on kliofem? I have bad anxiety and wonder if a different hrt may be better for me?

Yes you absolutely must call your GP and have a consultation.
If I read this right you hadn't had a period at all on kliofem for several yrs?

No, no period for years.

13 months or so before starting kliofem, which was about 3.5 years ago now.

And before that periods were about 1 every 11-12 months.

I’m 48, if that makes a difference

One important thing- is Kliofem- the one you use- a bleed-free type or a continuous type where there is no monthly bleed?

You need to see your DR and probably have an ultrasound scan.

However, it sounds like you had an early menopause- possible a premature menopause (before 40) if your periods were so few and far between for years.

In some women with this- called POI - premature ovarian insufficiency- the ovaries can 'come back to life' again at times and you can ovulate.

But get it checked.

Worth getting it checked.

I’m a happy HRT user, but had bleeding going on for ten months on continuous HRT. My daughter came home when lockdown lifted and insisted I had it checked even though I wasn’t that worried, so I went for an ultrasound, followed by D&C and hysteroscopy. A benign polyp was biopsied but they also found precancerous cells. The latter have probably nothing to do with the HRT as I obviously take progesterone as well as estrogen. I may have some genetic issue. I am a slim and fit 56-year-old with two children, so don’t fit the risk profile, and the consultant was very surprised. I will have a hysterectomy. Again, my case is unusual, I want to stress.

Still on HRT!

You absolutely must ring your gp.
Post menopausal bleeding even if on hrt should be referred to gynaecology on a two week wait referral.
Please ring them today

Thanks for your advice.

Yes kliofem is continuous. It’s interesting you mention ovaries can come back to life.
I used to get really bad ovulation pains, especially as my periods finished. I’ve had some similar pains in recent months although more a dull ache now.

I will ring my gp tomorrow