@JaniieJones
Ask your gp about taking it on alternate nights. There is evidence that serum progesterone levels are higher in those taking it vaginally so alternate nights may be sufficient. Both the Newson clinic and other
sites recommend. I believe excess progesterone can cause painful breasts, although I'm far from an expert just anecdotally what I've heard from friends on hrt.
Ask for an USS in 6 months to check the lining isn't thickening if you do go for alternate nights.
It's highly unlikely a GP is qualified to give permission to use it that way simply as they don't have the training. They are not even supposed to agree to vaginal use, as it's off label (although many do of course.)
It's also important to remember that what Dr Newson suggests is primarily for her own private patients who can access scans quickly and 'routinely.' There is no way @JaniieJones that the NHS, stretched as it is, would give scans to women a) using HRT off licence and b) wanting a check up without symptoms .
There is no actual real agreement between consultants that alternate nights work. (Mine is more qualified that Dr Newson and he has not (yet!) advised me to reduce the dose, although I'm using it vaginally, but not daily.)
The evidence that this is safe is quite limited- one paper I think - so it's not been adopted by all drs as the way to go.
@Jan1234
As you have changed from one type of HRT to another, it's too early for you to know which hormone is the culprit! It may be that 2 pumps of estrogen is making your breasts sore - you could cut back to 1 pump to see.
The Utrogestan- were you taking it last thing at night? That's the way to do it as orally taken during the day, dizziness is listed as a known side effect.