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Menopause

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Taking Utrogestan earlier in the evening

5 replies

JoeCrackers · 02/05/2023 09:24

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
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https://www.mumsnet.com/talk/4797254-very-confused-about-when-to-start-progesterone/125868635/create-report

OP posts:
Rockonteur · 02/05/2023 09:34

Taking utrogestan as a pessary at bedtime has solved my dizziness/ sleeping problems. Found this out via menopause board - so helpful as always!

JinglingSpringbells · 02/05/2023 09:44

Oops! The instruction say take at bedtime for that very reason. It can cause dizziness and is also a sedative.

Like you I find it doesn't help me sleep, just the opposite even using it vaginally.

It also makes a lot of women want to wee afterwards at night- just one of the known downsides to it.

JoeCrackers · 02/05/2023 09:58

@Rockonteur it it just the same tablets you take orally that you use as a pessary or does it come in a different form?

i took part in a clinical trial when I was pregnant with my daughter of using progesterone pessaries at night and found them fine but they were different to the oral ones

@JinglingSpringbells great, so I can be up half the night peeing or be a drooling zombie by 9.30pm!!
it’s annoying cos I actually felt really good on the oestrogel alone, def feel worse since starting the tablets

OP posts:
Rockonteur · 02/05/2023 10:02

Yes same ones.

JinglingSpringbells · 02/05/2023 10:06

You can get 200mgs capsules for vaginal use (if your GP will prescribe those because they are actually off-label for HRT in the UK although all private drs will prescribe them and they are used this way in Europe.)

You can use 2 of the 100mgs oral capsules.

Someone from Ireland (so part of the EU) posted here last week to say that in Ireland the 100mgs come with the instructions of oral or vaginal use.

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