Too early to move from sequential to continuous

[Dogtales79]

Hello, my GP has told me that now I've been on the sequential utrogestan for three years I need to move to continous. I currently use the oestrogel every night then utrogestan 200mg (vaginally because I couldn't tolerate orally) nights 15 to 27. She said the guidance says to move to continous from 18 months of use now and this stops the risk of endrometrial hypoplasia. I'm 50 and get the break through bleeds religiously on day 28 but could these still be my period? It just feels a bit early to bring my cycles to an end (as much as I hate days 1 &2 as they're so heavy). Anyone else went to continous at 50? I've seen on another thread I should start continuous as soon as I've finished a breakthrough bleed and then carry on. Any shared experiences, side effects, benefits would be welcome.

My GP must have got the same memo as they also suggested I move to continuous (after 3 years on sequential - I’m 55, so surely menopausal). I’d be happy to not have periods tbh so here’s hoping it’s a straightforward transition 🤞

I got a mirena fitted after about 2 months on utrogestan as I just could not be arsed with dealing with pretend periods any more. I had very light bleeding/spotting for a few months but I’ve been fine for the last 3 years.
I’ve never heard that there was supposed to be a transition from one to the other.

The guidance says it's possible to swap after 1 -2 years on HRT and see if this works (ie natural periods don't break through.)

However, it's really a matter of choice.

I've been on sequential HRT for many years (over 15) through an excellent private consultant and I'm in my 60s. I've a friend in her 70s who's on sequential (through GP/NHS.)

Some women can't tolerate continuous as it means using progesterone daily.

The risk of endo cancer is very low on HRT which is why the guidance on scans for bleeding has been moved to 'within 6 weeks' rather than within 2 weeks, (for women post meno, not on HRT, who bleed.)

The greatest risk for endo cancer is being overweight (fat increases circulating estrogen). There is a slightly higher risk of breast cancer with combined continuous.

Maybe you should have a more in depth chat with your GP to discuss all?