Hi all, I'm 52 and after being fobbed off with antidepressants for about six years, I have been on HRT for over a year now, using Oestrogen and Utrogestan on a cycle, gradually increased gel to 4 pumps a day and 200mg of Utro for 12 nights. I've been muddling along, hoping and praying to feel like myself again. The gel helps my main symptoms but I'm still exhausted and have an empty brain most of the time.
Saw a new GP who agreed since I was 1 year in, that we could change me to continuous cycle and this would stop my monthly periods (they have remained pretty heavy and usually last about a week, sometimes they'd start on day 9 of starting Utro not the 12th day if that's relevant) She also recommended I try an Evorel patch for convenience so I'm now using a 50 and topping up with gel.
I was on for 10 days, 14-24th March, then last Sunday I came on again and am still bleeding now! Due to go on holiday on Sunday and feeling really demoralised that instead of bleeding less, I am now going to have to find the loo every couple of hours on holiday.
Any tips on how I can reduce this before I go away? I descended into a menopause google hole where I think I read if bleeding more than once a month the BMS says I could increase my Utro to 2 tablets a night - but surely Utro's role is to activate womb lining shedding, so wont that make it worse? Can I take tranexamic acid alongside HRT or is it not recommended?
When I told the Dr I was now bleeding more not less, she said it 'should settle down'. I am already taking iron as my ferritin serum is low, although I cant take the full dose as it does a number on my digestion.