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Menopause

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Very confused about when to start progesterone

11 replies

raspberriesblueberries · 01/05/2023 20:35

Sorry - me again with another potentially daft question.
I was prescribed HRT 10 days ago. The GP recommended waiting until 1st month to take progesterone as then I could always take it on days 1 - 14 of the month. So I was already to start both oestrogen & progesterone tonight (having not touched the meds since I collects them from the pharmacy). But, having just read the medicine information pamphlet which came with both it and the oestrogen, I think I should be taking the progesterone on days 15 - 26 instead.
Essentially, my question is should I be starting both tonight or start with oestrogen and not take progesterone until day 15 onwards?

OP posts:
Chipswithketchup · 01/05/2023 20:43

I take progesterone on days 15-28. I’ve never heard of if it being taken on days 1-14 and my understanding is that it’s used as part of a HRT regime to counteract the thickening of the womb lining caused by the oestrogen component, so not sure why you’d need to take it straight away?

Battlecat98 · 01/05/2023 21:23

My understanding is that as long as you take it for the correct number of days (as prescribed) you can take it anytime. I believe it just enables us to remember. I take mine for 12 days on the 9th of every month as that is how I started my first cycle.

fetchacloth · 01/05/2023 21:40

It depends on your instructions in the pack but normally oestrogen is taken days 1 to 14 followed by progesterone days 15 to 28.
You should double check with your pharmacy though.

JinglingSpringbells · 01/05/2023 22:20

@raspberriesblueberries You can start on any day. My consultant suggests women choose an easy date to remember like the 1st of each month. You could choose any date. Just bear in mind that you will likely have a bleed 3 days after the last capsule which would be approx 15-16th of every month if you started on the 1st. If you want to avoid bleeds at a weekend, start at the best date to avoid that.

@fetchacloth Estrogen is taken every day and progesterone for 12 days. You don' t need wait till day 15 as some women aren't having regular cycles. The instructions in the pack are always the same- it's a leaflet.

@Chipswithketchup You still get a bleed starting on the 1st of the month, and then there are 2 weeks of estrogen only, then another 12 days of progesterone.

Wonford · 01/05/2023 22:24

I take 100mg of utrogestan for 25 days a month as prescribed by the gp. I take it on the 1st to the 25th.

JinglingSpringbells · 01/05/2023 22:30

Wonford · 01/05/2023 22:24

I take 100mg of utrogestan for 25 days a month as prescribed by the gp. I take it on the 1st to the 25th.

That's for women post menopause - different!

MoonlightMedicine · 01/05/2023 22:52

I take mine on day 1-14. My doctor said it was just to make it easy to remember.

JoeCrackers · 02/05/2023 09:21

I started oestrogel on the 8th April, one pump a day. Got on fine with it, was sleeping really well after a couple of day. Lack of sleep/ early waking was one of my biggest symptoms.
Started utrogestan on day 15 so have a couple more days left to take.

I got my period on the 28th which is around the time I would have expected it if I hadn’t started HRT. Is this normal? will I get another bleed when I finish the utrogestan? Should I have waited to start the gel so the stopping of the tablets coincided with my period naturally?

Also since starting the utrogestan my sleep has been disturbed. Keep waking during the night. I expected the opposite. Think I’m waking for the toilet. I work evenings so I’d been taking the tablets around 9.30 when I got home from work. Drinking water that late made me need the toilet in the night.

So last night I took them to work and took them about 7.30. I felt fine came home and was sat in the couch around 9.45 looking at videos on my phone with my daughter. Then I started to feel kind of dizzy and really sleepy like I had to get to bed immediately. I stood up and was just kind of swaying and dizzy, my daughter called my husband in and he sat me back down. I’ve never felt so tired in my life, I couldn’t keep my eyes open or hardly speak. Think he thought I was having a stroke at one point. Anyway I kind of roused my self and got into bed. It was only then I twigged about taking the utrogestan earlier.

do you think this might be the cause? Has anyone experience with taking it earlier in the evening. I’d had probably one if the worst migraines I’ve ever had earlier in the day and the triptans nasal spray I used for that can knock me out too. But I’d been into work since then and been fine so don’t really think it was that

JoeCrackers · 02/05/2023 09:22

Sorry meant to put that as a new thread.. don’t know how to remove!

Wonford · 02/05/2023 09:22

JinglingSpringbells · 01/05/2023 22:30

That's for women post menopause - different!

That's what I've always been prescribed from the first hot flushes but still the odd period.

JinglingSpringbells · 02/05/2023 09:46

Wonford · 02/05/2023 09:22

That's what I've always been prescribed from the first hot flushes but still the odd period.

It seems to be becoming the 'norm' for GPs to do this yet it's not how it's supposed to be done. It's not so bad for women having 2-3 periods a year but for other women it's not strong enough at that dose to control bleeding (usually) and they will still have periods on it.

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