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Menopause

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Original poster

Ultrogestan

80 replies

Workinghardeveryday · 02/03/2023 23:26

My first month of taking.

I am doing 14 days off, 14 days on.

On day 3 of taking.

Omg. Extremely tired, I mean seriously tired like wishing the day away to go to sleep.

Took tonight about an hour ago, don’t feel myself at all, feel drugged up. Tired but wired, giddy. Not right.

Normal or not? Will it settle? Help!

OP posts:
Moredarkchocolateplease · 03/03/2023 10:51

OP I take it literally as I am lying down. So last night I took it at 8pm and I was asleep 15 mins later. I couldn't take it and then be awake. I did it once when I woke up after an hour and I felt dizzy going to the bathroom.

But yes it makes me feel utterly exhausted and the next day too.

mrsnjw · 03/03/2023 14:09

You need to take it at night. It sort of acts like a sedative. It's the part of hrt that helps with sleep. Persevere for a bit longer.

Original poster
Workinghardeveryday · 03/03/2023 14:19

@Moredarkchocolateplease @mrsnjw

Thank you both.

I have read it can have a sedition effect but omg!

After I posted last night I got up shortly after to go to the loo. My legs were like jelly. Took me ages to get up from the loo I felt so dizzy. Was like being off my face on something, I was babbling and dp had to help me back to bed.

Woke up at 4am too and couldn’t get back to sleep.

Is all of this okay?

OP posts:
mrsnjw · 03/03/2023 14:20

That sounds extreme. Could call your gp. How much are you taking?

Elphame · 03/03/2023 14:24

I persevered for 3 months. Then I told my consultant that I was dreading the start of the next utrogestan fortnight as it was making me feel so bad.

I'm now on patches

ferneytorro · 03/03/2023 14:24

My mum used to let me have hr sleeping tablets (don't ask) and it's a bit similar to that I find although not every night- sometimes it affects me more than others, sometimes not at all. But obviously a common reaction which is why they say take it at night.

I look forward to those 14 days! Although i also find at the end of the 14 days I am getting up to wee more in the night - for me that's worth it though as better than the 2 periods a month and the rage which was making me hit my head against things.

Original poster
Workinghardeveryday · 03/03/2023 14:25

I take 200mg for 14 days then 14 days off.

This is my first month on hrt. Yesterday I was so groggy and tired all day, I couldn’t believe I woke up at 4am this morning!

OP posts:
siblingrevelryagain · 03/03/2023 14:25

If your doc is knowledgeable, maybe talk to them about taking a smaller dose but continuously; I take 100m Utrogestan every night, without a break, rather than 200m for a fortnight, as it was having the same effect on me

Original poster
Workinghardeveryday · 03/03/2023 14:26

Okay thanks, I will try and get an appointment to discuss it all

OP posts:
mrsnjw · 03/03/2023 14:51

I take 100g for 25 days and have 3 days break. Have a chat with gp x

soberfabulous · 03/03/2023 15:12

I take this every night and am still wide awake all night.

Findyourneutralspace · 03/03/2023 18:04

I’m due to start this tonight, first round. Insomnia has been one of the biggest issues for me, so I’m quite looking forward to it.

JinglingSpringbells · 03/03/2023 18:15

Workinghardeveryday · 02/03/2023 23:26

My first month of taking.

I am doing 14 days off, 14 days on.

On day 3 of taking.

Omg. Extremely tired, I mean seriously tired like wishing the day away to go to sleep.

Took tonight about an hour ago, don’t feel myself at all, feel drugged up. Tired but wired, giddy. Not right.

Normal or not? Will it settle? Help!

The side effect of dizziness is common. It is due to Utrogestan lowering blood pressure. It kicks in as little as 30 mins after taking it but does go away.

You do need to give your body time to get used to it.

I see some posters are suggesting 100mgs instead, daily.

That's for women who are post menopause with no periods.

If that is not you, it's not suitable.

SmartHome · 03/03/2023 18:22

They are actually advising continuous now for women starting still with periods.

OP ive some 5 months of 12 days of utrogestan and it has the same effect, so groggy and wiped out and I feel drugged all the enxt morning. I'm using it vaginally this month to avoid that while wiat for an appt. Doesn't affect me the same way vaginally.

JinglingSpringbells · 03/03/2023 21:51

SmartHome · 03/03/2023 18:22

They are actually advising continuous now for women starting still with periods.

OP ive some 5 months of 12 days of utrogestan and it has the same effect, so groggy and wiped out and I feel drugged all the enxt morning. I'm using it vaginally this month to avoid that while wiat for an appt. Doesn't affect me the same way vaginally.

Who is? Can you say where you have read this?

Some GPs seem to be, but are they misunderstanding?

The reason for not using continuous too soon is it's likely to trigger spotting and bleeding and then women are being sent for scans etc that may not be necessary.

Mumskisail · 04/03/2023 02:35

It's been really interesting to hear how different women react do differently to Utrogestan / progesterone.

I still have periods and take 100mg a day continuously.

They started me on 14 days on, 14 days off but i was almost suicidal in the break. I managed 3 days off but was so desperate that I popped a Utrogestan and felt better fast, so I did my own research and agreed the continuous regime with my doctor.

But I don't think my experience is typical. From age 11 until taking the pill and now progesterone, I used to suffer with acute dysmenorrhea (horrendous period pain symptoms, although bleeding was light or normal). I had lots of tests throughout my life but the cause was unexplained.

So I learned that if I don't take Utrogestan every day I get really, really nauseous, with vomiting and pain, and I feel very emotional.

Would be interested to know if there are any others who suffer on the days they don't take Utrogestan

WarriorN · 04/03/2023 05:49

I used mine vaginally with gp's approval and it was fine.

I gradually either built up a tolerance though or now need it as I now take x2 continuously and am fine.

Some women I think find it gets better but I didn't have enough energy in the first place to be more fatigued.

Vaginally is off licence but can be used, exactly the same dose.

WarriorN · 04/03/2023 05:52

I do still have periods but struggle a lot with the ups and downs. They were dwindling on hrt and Gp agreed to continuous as it had been a year.

I've also found it helped my joints somehow

Couldn't cope with it at first!

Taking with food doubles effectiveness which is why they say to avoid food to reduce dizziness. Some women do take with food though in order to double the effectiveness as helps them sleep . If that makes sense!

WarriorN · 04/03/2023 05:54

I Take x2 as on 125 patches. More oestrogen = the need for more progesterone.

Its very important to get the level of progesterone right to keep womb lining thin

ItBeFivePotatoesHigh · 04/03/2023 07:22

SmartHome · 03/03/2023 18:22

They are actually advising continuous now for women starting still with periods.

OP ive some 5 months of 12 days of utrogestan and it has the same effect, so groggy and wiped out and I feel drugged all the enxt morning. I'm using it vaginally this month to avoid that while wiat for an appt. Doesn't affect me the same way vaginally.

Where is advising continuous for perimenopause?

My menopause specialist is from the Newson clinic, and she's not advised this, so I'd be really interested to read the source.

PelicanWings · 04/03/2023 07:30

ItBeFivePotatoesHigh · 04/03/2023 07:22

Where is advising continuous for perimenopause?

My menopause specialist is from the Newson clinic, and she's not advised this, so I'd be really interested to read the source.

Show quote history

Not the poster you responded to but my menopause consultant ( not from the Newson clinic) advised taking 1 tablet of utrogestan every single day.

I'm still having periods but she said to take the utrogestan continuously as my mood swings were savage and by doing this it would even them out. She said it was perfectly fine for women in peri to take it this way.

Goosebarnacle · 04/03/2023 07:33

WarriorN · 04/03/2023 05:54

I Take x2 as on 125 patches. More oestrogen = the need for more progesterone.

Its very important to get the level of progesterone right to keep womb lining thin

Is this true? I thought the progestogen dose was standard, 100mg daily for post menopausal, 200g for 14 days if peri?
There is no way to up your progestogen dose if you only use combined patches? I

I would love to be able to take 100mg utrogestan daily, I couldn't cope with the 14 days as the comedown on the days after day 15 was awful. So I'm stuck with combined patches. I'm 53 and still have periods.

Moredarkchocolateplease · 04/03/2023 07:46

@Goosebarnacle what do you mean about the comedown?

Do you mean you feel super groggy? I am thinking of trialling it vaginally next month (GP said this was fine when I asked her) to stop the exhaustion that builds up over the 12 days.

And keep my fingers crossed that it still works to reduce the bloating and sore breasts that I get from the oestrogen build up.

WarriorN · 04/03/2023 07:47

To clarify; I'm on estradot 125 and taking 200 Utrogestan daily (25/28)