Post menopausal HRT and bleeding again

[Neversaygoodbye]

I've been on continuous HRT 2 pumps of gel and 100micrograms of utrogestan for 3 years. 53 and post menopausal. I had a 2-3 week period early summer last year which resulted in a scan and hysteroscopy, all fine and consultant diagnosed HRT induced bleeding. I'm now having another bleed which has been going on for over a week and I'm wondering what to do.

Has anyone else been through similar and stayed on HRT, how was the bleeding stopped? I can't keep having periods like this every few months. Thanks for any advice.

I'm on the same regime as you. I'm a bit older. I started getting postmenopausal bleeding recently after 18 months, and am due to have a hysteroscopy in a few weeks. The consultant thinks there's an imbalance in my HRT. If all is well, they are going to put a Mirena coil in to replace the Utrogestan. I hope it works. Until I get the coil, my Utrogestan dose has been increased by my consultant to 200mg per day and it seems to be helping.

I'm 52 and stopped HRT about a month ago as I can't face the bleeds anymore. The last one was excruciating. The hot flushes are back, but are preferable to me, than the bleeds, which were every two weeks.

Thanks @DramaAlpaca @Purpleavocado - I am going to give it till the end of the week & then contact my GP. I'm tempted to come off & see how my symptoms are. I really don't want the hassle of a coil fitting.

How often were your bleeds and were you on continuous or sequential hrt? I'm on continuous and have been for 6 months after 6 years f sequential but still having a monthly 3-4 day bleeds as normal. I think I may need to come off and try without but dreading the symptoms returning....

I was regular on the sequential - one a month. Heavy though, much heavier than the pill. Continuous was really heavy for 5 days, 10 days off, repeated 3 times so I gave up. Before I started HRT I was only having a period 3 or 4 times a year, and these heavy bleeds were really wearing me down. So far I'm preferring the hot flushes to the bleeds!

Yes, doesn't sound pleasant and can see why you stopped. There are other things that can help with the flushes. It's so rubbish trying to do what is right and best for you. I'll have to see what the Dr says but even on continuous it's normal monthly and same if not lighter, very strange 🙂

I had similar @Neversaygoodbye. Switched to Mirena in September from daily Utrogestan and apart from a month or so of spotting as it settled in, no bleeding since.

Coil was fitted under general whilst having hysteroscopy/polyp removal and smear (second hysteroscopy in as many years due to unexplained bleeding/thickened endometrium on ultrasound).

Can anyone advise on taking utrogestan vaginally please? I currently take 2 tablets orally on days 15 to 26.

This is happening to me. GP did some weird internal exam which and I'm not joking involved her balancing an angelpouse lamp on my foot. Declared all normal. But given it took her quite a while to find my womb I'm not totally convinced. I think what she meant was what she could see looked ok. Going to the hospital this week for a CT scan, I'm convinced it's my HRT and it needs tweaking but to be honest quite often I have to wait for the medication to come into the pharmacy so I'm not surprised it's all to pot. Even mini breaks can't help. I'm 58 by the way and completely exasperated by chasing medication.

@HRTadvicepls thanks, maybe its something I'll need to consider. Two weeks & just like that the bleeding stops. I've decided to keep monitoring for now & keep a record.