Utrogestan vaginally while bleeding?

[Gentleness]

This is my 5th cycle on HRT, currently on Evorel 75 and utrogestan cd15-26. Last cycle I took the tablets vaginally and it seemed a bit better. This cycle I started the doom plunge into misery around cd10 which is horrible. It was pretty severe and scary.

I got up earlier to come to bed and take the first utrogestan this evening and here I am, bleeding. Proper full, period style. I've had cramps as well as the doom, but it didn't occur to me it could be a period! Now what do I do? Insert the utrogestan into a bloodbath?!

No I don't think you should insert vaginally while bleeding as it won't be absorbed. Take orally until the bleeding stops even if the effects aren't pleasant. Maybe discuss the possibility of a mirena at some stage?

Thanks, I think you're right though last night I was so exhausted and didn't know what to do that I just used 1 of the tablets and hoped for the best. It's proper heavy and I have so much to do, I feel so hopeless about the next years being this awful.

I'll try ringing the clinic secretary who's good at getting messages to the consultant.

It's so heavy! This can't be right. I usually spot for a few days, then have light flow before the heavy gushing starts. Last night it started with a gush.

Ring your gp practice for an appointment or try 111 if none available. Good luck.

Thought I'd update for all the people like me who find threads through search and wonder how things turned out!

The secretary is great at getting things done. She got a message back to me that the consultant was pretty sure it is HRT related bleeding, likely from too high a dose of estrogen, and recommends I go back to Evorel 50 until the next appointment in about 3 weeks.

It is really heavy still, but thankfully my mood is not so devastated. I'm still mildly horrified that such a heavy bleed could just show up, though with hindsight the mood swing and cramping (thought it must have been something I ate) were a warning sign. That's a lot of build up of uterine lining given I only finished spotting after the last period 7 days before.

I don't much like being female right now.

That sounds difficult though I'm glad that the secretary was efficient. I was about to post something similar, so good to hear that it's likely HRT related.

@Gentleness Whereabouts in peri are you? If you are still producing your own estrogen (so not yet post meno), adding more as HRT can really make bleeding heavier. However, it could actually be your own cycle breaking through if you have/had irregular periods when starting HRT.

A lot of women on cyclical HRT find the bleeds different to usual- they can be heavier or lighter.

Utrogestan doesn't suit everyone and although it's become very popular, and is safer for long term use, there are other types of progesterone that may suit you better.

The other option as you have been told is to reduce the estrogen dose, or some women take Utrogestan for 14 days per cycle.

Have you had meno issues as you refer to the consultant and the clinic?
Is your HRT being managed by someone other than your GP for some reason?

Thanks@JinglingHellsBells for the advice. I'm still very much in peri - my cycles had gone down to 21-22 days pre-HRT, but forcing them back to 28 days didn't seem to cause much of a problem till now.

I'm seeing a consultant at a menopause clinic (NHS) so hopefully she will have lots of other options I can try, although she does keep mentioning the mirena coil. It took over 2 years to get referred and then an appointment, but because I've had polycystic ovaries and multiple miscarriages, a history of depression (including pnd x3) and other issues (e.g. all the symptoms of thyroid problems but the blood work doesn't indicate it's an issue), I really wanted to know I was seeing someone who knew their stuff. Lost a lot of confidence in the GPs for specialist stuff...