When in cycle to start hrt

[WashableVelvet]

Hello! Just picked up first hrt prescription and wondering when to start each part of it. I’m currently on day 17 of my cycle. The dr said that medically it didn’t matter whether the progrstigen aligned with my natural cycle, but I’m wondering whether it helps minimise breakthrough bleeding if I align it. Should I::
a) start on the oestrogen plus progestogen now, as then I’ll have finished the P in time for my usual period
b) take just the O now and start the P in a fortnight (would this mean I get two periods, or does the O suppress my natural period
c) take just the O now and start the P on CD15 of next month?

Hopeful bump

What HRT did you get? So your are taking progesterone cyclical then?

c)

You can go longer than a couple of weeks on estrogen only.

Many specialists start women on only estrogen for 3 months to get the dose right, then start cyclical progestogen after that.

If you don't want to do this, then a)

The withdrawal bleed usually starts 3-4 days after the last dose of progestogen.

I was told to start with the oestrogen on Day 1 of my period (cue much irritation and waiting as the bloody things had got quite erratic) and then the progesterone on Day 14 counted from Day 1.

I started two weeks ago a week before my period started. Dr said it didn't matter as my cycle is irregular now. So c) start your 2 weeks of oestrogen now and so on

Thanks so much everyone!