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Menopause

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I dont know if im doing this right

2 replies

Pudden79 · 08/09/2024 10:29

Hi everyone. Ive been on my HRT jurney for around 8 months i started off with the combined patches but my nurse took me off these as i was getting itching from them, ive now been put on Utrogestan progesterone 100mg and Sandrena estradiol 1.0mg gel. Ive been using the gel for the last 25 days with no problems but im yet to have a period so haven't taken any of the progesterone tablets, my nurse told me to take these from day 15 to 26 of my cylcle but as ive not had a period and currently 18 days late acording to my Flo tracker im worried im not taking this medication properly? Since starting my HRT jurney my periods have been messed up.

I think ill give her a call monday morning to see what she says but im just concerend im doing it all wrong.
Thanks for any advice before hand its really appreciated.

OP posts:
JinglingSpringbells · 08/09/2024 13:11

There's quite a bit to unpick here as you seem to have been advised to do some of this incorrectly by the nurse.

You've been advised to use a sequential (a cycle) form of HRT. This will give you a false period every 4 weeks. It's called a withdrawal bleed. It's not your own period. This happens when you stop the progesterone.

This type of HRT is estrogen every day and 200mgs of Utrogestan (that's 2 tablets, not 1) for 12 days a month.

As you've found out, it's hard to start the HRT cycle when your period is AWOL!

The way round this is to start the Utrogestan on the same day every month, regardless of when your period is due (and maybe won't turn up.)

As you've now been on gel for almost a month, it would be a good idea to start Utrogestan some time soon. So, if you choose to start it (for example) on the 11th Sept, you'd do 12 days, then repeat from the 11th October, etc.

Be prepared for a few hiccups along the way as it can take time to settle into a new pattern. You may have no 'withdrawal bleed' for a while, or have 2 periods in a month (your own and the HRT withdrawal bleed.)

Don't worry if this happens, just carry on and keep to the same dates (as above) and it will settle down.

Pudden79 · 08/09/2024 16:22

Thank you so much JinglingSpringbells
For your advice this makes sence, the only advice my nurse didnt give was when to start taking the tablet if no period happened. I will do as you have stated and will give myself a set day to start taking them.
Again Thank you so much.

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