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Changing to continous progesterone

2 replies

Purpleavocado · 29/10/2023 13:59

Does anyone have any tips to make changing to continous HRT esaier? I'm 52 and have been on cyclical for 2 years and the GP suggested I go on continuous. I tried about a year ago, but had a 10 day bleed and gave up. Would you take 2 tablets for 12 days, pause for 5 days or so and then go to 1 a day?

OP posts:
JinglingSpringbells · 29/10/2023 14:11

Would you take 2 tablets for 12 days, pause for 5 days or so and then go to 1 a day?

Pretty much that!
You are supposed to complete a cycle, so 12 days, then wait for the withdrawal bleed, and once it's finished, start Utrogestan daily.

The fact you are 52 and have used sequential for 2 years doesn't mean continuous is right for you yet. You might be- but on the other hand, you might not be post menopausal, and your own cycle may break through when using a low dose of Utrogestan.

This explains is well.

https://www.menopausematters.co.uk/postmeno.php
POST MENOPAUSAL -
Continuous combined therapies.
"Period free" or continuous combined therapy can be used by women who are 54 + yrs, or more than one year since last period at any age. [This means a natural period, not a withdrawal bleed.]

The criteria should be fulfilled in order to offer such treatment to women who no longer have a continuing ovarian cycle, so that steady levels of both estrogen and progestogen can be achieved.

When there are steady levels of estrogen and progestogen from daily administration of both, the womb lining stays thin. Although some bleeding in the first 6 months of therapy is common, there should not be bleeding after that and the lining does not go through the stages of stimulation and then shedding as it does during a normal cycle and with sequential therapy. Start with low dose preparations and increase as necessary for symptom control.

BOOTS52PollyPrissyPants · 02/11/2023 00:02

I personally changed to continuous as was on hrt over a year and am 54 and sick of periods and the hormonal surge before period when I had to take the high does or utrogesterone and I am sensitive to progesterone so had me floored. The first 2 months bleed twice a month, bit of spotting but now over 2mths and no period so it is absolutely great I have to say. I take only 1 tab of utrogesterone nightly vaginally as less side effects and also with my 2 pumps of oestrogel, used to take more when on 2 weeks on/off of progesterone but doctor told me you have to have a balance of both hormones. I would recommend it to anyone as had heavy bleeds and was on the floor for the 2 weeks of utrogesterone, now with a smaller dose daily it is more balance as take all month so no mad surge of hormones if you get what am saying. Everyone is different though and sometimes when something is working you think great and then bam back to square one and have to get doses changed to suit what stage going through. But for me is great. Hope it helps somewhat.

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