Does anyone take 4 pumps oestrogel AND 200mg utrogestan continuously?

[2anddone]

Hi
As the thread title suggests does anyone take 4 pumps oestrogel AND 200mg utrogestan continuously daily?
I am currently on 4 pumps oestrogel and 100mg utrogestan daily and I am having a period type bleed which lasts at least a week and then have 10-14 days off before bleeding again!
Wondering whether increasing my amount of utrogestan to 200mg might help!
Thanks for any advice

I do 4 pumps a day but two weeks on and off the utrogestan but my period is all over the place from missing one to two a month. I was going to ask the Dr about taking the utrogestan all the time!

Me. Initially was only on 2 pumps but felt I needed more so do 2 each side.

@2anddone The 200mgs a day is actually guidance from the British Menopause Society for women on a high dose of estrogen.

They published guidance around 2 years ago (I've left links to it here a few times) - it's progesterone doses in HRT - and it says that for women using a high dose, and especially if they are having bleeds when it's supposedly a no-bleed regime, use 200mgs a day for continuous and consider 300mgs a day on the sequential cycle (12 days a month.)

Thanks @JinglingSpringbells I did find that when I googled but wanted to hear it from someone irl!
Have just taken 200mg tonight in hope it stops my bleeding!

Yes. I do 4 pumps in a morning, with testosterone. And at night I do another 4, with 200mg of progesterone. Same brands as you mentioned. All month long. No stopping.

It's minimised my bleeding. If I miss a dose by a few hours it starts up. I hate it. But what I am doing now relatively keeps the flooding and clots and all the other horrific symptoms at bay.

Thanks @ChristmasLightsLover typically I have just got a new partner recently at the same time as trying to work out the correct dosage of the HRT and the bleeding started (was on mini pill before so never had a period but taken off that to go onto HRT)
Could really do with getting it under control!!

I do 4 pumps in the morning and was taking tablets as well.

But have been given a mirina coil instead

@Needanewnamebeingwatched I have been offered a mirena coil but some of my friends have had real issues with it finding it painful and bleeding so currently trying to avoid it!

@2anddone are you post menopausal as if not it could also be your own periods breaking through? X

@ChristmasLightsLover I get a lot of clots and flooding too did you notice a real difference upping the pumps and staying on the progesterone?

I'm new to the coil, and getting a bit more irregular bleeding, but going to give it a few months to bed in..

I'm not I am peri menopausal but I was under the impression from my dr that the continuous utrogestan would stop periods and I might only have light spotting...I have now been bleeding like a proper period now for a week

Hi no it dosent stop periods and if you start on it to early your own periods break through and cause irregular bleeding which it sounds like your experiencing x

@Christine0708 thank you so much I have contacted my dr and asked for them to call me back to talk through options! Definitely can't cope with irregular bleeding all the time!

Your dr doesn't sound trained in hrt prescribing.

For a start you are not at the right stage for continuous HRT (aged 54+ or no periods for a year, and POSSIBLY worth trying it after a year on hrt.)

From your first post I assumed you were post meno - which is what daily progesterone is for.

You need to go onto cyclical and with 4 pumps a day the advice is to try 300mgs per day for 14 days a month.

You could try 200mgs for 14 days but if you still bleed at odd times (and not just the monthly withdrawal bleed) then it's not enough.

@Dawn1331 It has improved. Less bleeding and less clots. The experience still leaves me in pain and unhappy: just less pain and less unhappy than I was!

Having a battery of blood tests shortly to see if I am absorbing everything and going from there.

8 pumps a dad is a high does.. do you have annual mammograms?