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Menopause

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Original poster

Utrogestan too high/low

4 replies

partypant · 04/10/2023 10:18

Hello, I am currently on 100mg oestrogen and 100 Utrogestan daily. Continuous regime. No bleeding for almost a year. I'm 56.

I think I need to increase my oestrogen. I have no symptoms of too much oestrogen but I do have increasing symptoms of low oestrogen. Joint pains mainly but also slight return of flushes, esp at night.

Typically over 100mg oestrogen means increasing Utrogestan to 200. That seems like such a leap to me. There are no 50 Utrogestan Sri allow for 150.

Can I take 100 Utrogestan and the extra 100 on alternate nights? Averaging 150 a day? Or does the half life mean I will not be stable and have fluctuations.

OP posts:
Original poster
partypant · 04/10/2023 12:19

Anyone?

OP posts:
JinglingSpringbells · 04/10/2023 12:26

That's a very high dose of estrogen.

It's probably not a good idea to go higher without trying other things first.
Are you doing all the lifestyle things to help with joint pain and flushes? Exercise? Diet (cutting out processed food as much as possible?) possibly taking fish oils for joints?

The BMS says there are very few women who need over 100mcg patch. (Assume you mean it's a patch and that's micrograms not grams.)

You should really use the same amount of Utrogestan every day or you might get fluctuations.

The other option maybe you could think about is sequential - 12 days of Utrogestan a month. There is no hard and fast rule about swapping to continuous after a year or age 56.

It might be that daily Utrogestan doesn't suit you and that 's why you feel you still have symptoms.

Original poster
partypant · 04/10/2023 16:23

JinglingSpringbells · 04/10/2023 12:26

That's a very high dose of estrogen.

It's probably not a good idea to go higher without trying other things first.
Are you doing all the lifestyle things to help with joint pain and flushes? Exercise? Diet (cutting out processed food as much as possible?) possibly taking fish oils for joints?

The BMS says there are very few women who need over 100mcg patch. (Assume you mean it's a patch and that's micrograms not grams.)

You should really use the same amount of Utrogestan every day or you might get fluctuations.

The other option maybe you could think about is sequential - 12 days of Utrogestan a month. There is no hard and fast rule about swapping to continuous after a year or age 56.

It might be that daily Utrogestan doesn't suit you and that 's why you feel you still have symptoms.

100 is not 'very' high. 300 is 'very' high. Typically the GP will prescribe up to 100 so it is at the top end of typical but in private practice it is common up to 150/200 and known to have been as high as 300 for some women. Some people just don't absorb well.

OP posts:
JinglingSpringbells · 04/10/2023 17:21

The BMS produced guidance on this quite recently which you seem to know because you mentioned that 100mcg patches/ 4 pumps of gel should be balanced with 200mgs utrogestan.
They define high as patches of 75 and 100mcgs.

This isn't to say that other doses are available privately.
They are - but again the BMS said that very few women need a higher dose.

What do you want to do?

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