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Menopause

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Stupidly forgot to take progesterone two nights running, now period starting!

3 replies

GlomOfNit · 05/05/2022 08:21

I'm a daft newbie at this stuff. I started on HRT about 7 weeks ago (Sandrena gel and Utrogestan pills) and was told to build the estrogen up gradually to 3 or 4 0.5 sachets a day. 2 progesterone pills per evening for the last 12 days of cycle (and as per suggestions on here, I opted to wait until the 1st of the month and then take for first 12 days). Apparently that handy way of remembering hasn't worked with my groggy brain, because on the 3rd this month I forgot to take my progesterone pills. Hmm I only remembered in the afternoon so decided to carry on until the evening and take them then, rather than have a double dose close together.

Unfortunately, I'm particularly brain-foggy at the moment, plus too much going on in my life, and forgot last night too. Grin FFS. So first thing this morning, when I realised, I took them immediately and will take tonight's dose as usual.

Problem is, during the day yesterday, I felt some mild period-y cramping, thought nothing of it - but this morning I'm bleeding. Confused Would this happen after taking only two days of progesterone and then not taking it? I know I'm still in the early days of my HRT so things are still settling down. My periods before HRT had become odd beasts anyway - aside from being very irregularly spaced out, I would typically spot or even bleed a few days before the cycle started properly (i.e. filled a mooncup), and then start a few days later. So I don't know if that's what's happening now.

Can I assume that if I now continue my progesterone without breaks for the rest of the 12 days, the bleeding will stop (and then I'll have the withdrawal bleed) or have I buggered things up?

(To avoid this happening again, I'm taking DH's advice and giving myself a prompt to take them, by making it impossible to do something else I ALWAYS do before going to sleep without being reminded to take them. I'm going to tape something to the light switch of my bedside lamp!)

OP posts:
GlomOfNit · 05/05/2022 08:28

I should add that for my first HRT cycle, I did actually start bleeding a couple of days before my 12 day progesterone part had stopped - I gather this is normal and to be expected when starting, as my natural cycle was still asserting itself.

OP posts:
JinglingHellsBells · 05/05/2022 08:46

Take the rest of the course whatever days are left. It won't stop the bleeding (doesn't work like that) and you may have a tiny bleed after Day 12, but probably not.

Bleeds can come early on utrogestan- ie before the 12th day. One way you might overcome this is to take the tablets with food. This means they are absorbed more (sometimes that increases any side effects but it also means your body gets more of it= later/ on time bleed.)

GlomOfNit · 15/05/2022 18:33

Well, it's now 10 days on and I'm still bleeding. Sad Not copious, not enough to really need my mooncup, but because I don't know if it'll start in earnest I'm using it anyway. It's red, slightly mucusy 'spotting' I suppose, and in all honesty not dissimilar to the spotting I'd sometimes get leading up to a period before I started HRT, or sometimes a period would take ages to stop spotting after the first few days of actual bleeding. So in a way it's normal for me, but annoying.

Should I go and see the GP? Given the misinformation I've had from them recently I'm not sure I trust them not to just take me off it (or try to)! And I have no confidence at all that I'd see someone who knew enough about the vagaries of women's health to know what might be going on.

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