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Menopause

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Oestrogel (2pumps) and Utrogestan

53 replies

Katie000 · 17/11/2022 09:27

I’ve just been given HRT in form of Oestrogel (2 pumps) and Utrogestan 100mg tablets - I haven’t had a period for years but have read that I may start getting periods again which I’m not keen on.
Also read that my breast size may increase and start lactating - again not keen on this.
Has anyone had this and how quickly after starting this did they experience this?

OP posts:
JinglingXmasbells · 24/11/2022 13:01

Shinyandnew2022 · 23/11/2022 21:23

@JinglingXmasbells thanks so much
For the reply - I am possibly misunderstanding you but I thought I had to do sequential if I was having periods ? But then I guess Mirena isn't .if I took 1 tablet a day is it possible I would have reduced side effects and no bleed or would that
Still happen?
Gosh I feel like I went into this quite blind really as don't know all the options at all!
GP was pretty uninterested and said Mirena was the other option no mention of patches etc.
My nearest clinic would be Dr Newsom so possibly can try that in new year .
Thanks again and sorry to OP for hijack !

Sorry @Shinyandnew2022 it was me misunderstanding you! I thought you had been advised to use it for 25 days as you are post menopause (now.)

Yes, if you still have fairly regular periods, then you should be using a cyclical regime of 12 days per month.

As I said in another post, there is flexibility over 12 or 14 days. It's best to keep it low and work up to 14 days if 12 doesn't control the bleeding (heavy withdrawal bleeds.)

Also, don't get bogged down in the 28 days - many women use it per calendar month - 30 days. (That's much easier than counting12 days, then another 16 and starting all over again. )

If you take it daily (100mgs) you may be fine, but the risk is your own periods will appear as 100mgs may not be enough to control the growth of the lining even when used daily.

This is why there is guidance of 12 months, or more, with no natural period or aged over 54.

What your GP won't be able to suggest are subtle variations that some consultants do, with ongoing supervision. This can be fewer days ( 10 per month) or longer cycles (anything from 6-8 weeks.)

These are options for women who have side effects.

And yes, there is the Mirena but that's always going to be a trial (of 3 months) to see how it suits you. It is a much stronger progesterone than Utrogestan which is why it usually stops all bleeding.

There is also a 3-monthly cycle form of HRT called Tridestra, for women in peri, which is 14 days of progesterone every 12 weeks. It's not Utrogestan, but it's there as another option.

BOOTS52PollyPrissyPants · 29/11/2022 01:52

I was really anxious before I started hrt after trying to get it for years as doctor would not give it to me, had to go to the Well woman clinic/family planning and female doctors great. I did have breast pain for maybe a month or so as if something sharp was been stuck into my right side of breast but then it went, this is fairly common as your body gets used to the hormones. I am in peri menopause but am 53 still get periods but they have been changing. So am on utrogesterone 100x2 for 2 weeks on and 2 weeks off and just changed to the same Oestrogel 2 pumps which I am finding great compared to the Divigel (think you call it Sandrina or something in uk) which took ages to dry on my leg and seemed to stop working a few months ago as had few months of hell but feel so much better already on oestrogel and it dries so quick. Your body will take a while to adjust so stick with it and you will be fine in few months should really feel better. My doctor tried to get me to have mirena but wasn't for me as it suits some people but some people have awful time with it. You will be ok and takes time to get all the information as gp's do not seem to know themselves. I read up on most of the stuff myself and on forums which were great for support when at my lowest. My sleep still not great though. Wishing you well and try not to worry.

MrsFitz72 · 16/05/2023 07:07

Katie000 · 17/11/2022 11:58

Thank you JinglingXmasbells.
I thought my Doctor said no bleed but reading through, it seemed to suggest I may get breakthrough bleeding?

I would like to know how quickly after starting this regime will the bleeding happen and the breast size increase? I would just like to be prepared.

I am taking the same 100mg Utrogestan at night and 1-2pumps of oestrogel in the mornings, have been for just over a month now and have just had a very small breakthrough bleed as doctor advised, not noticed any breast increase (was not told this would happen) just slightly tender otherwise all good so far Smile

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