200mg Utrogestan every day?

[Wantitalltogoaway]

I’ve been taking Sandrena gel with 200mg Utrogestan 12 days a month for a few years.

Recently my bleeds have started coming every 3 weeks, which is a pain partly as I don’t see my partner all that often and whenever he’s here I seem to be bleeding.

My GP suggested I take the Utrogestan for longer each month as that may settle the bleeds. This month I’ve already taken it for 11 days but I’ve just realised that the next time I see my partner I will be due to have my period YET AGAIN.

What would happen if I just continued with 200mg a night until then? Will I be able to delay the bleed?

I’m getting fed up of this 21-day cycle.

If you've been on a cyclical regime for a few years you should be switching to a continuous one anyway so taking the Progesterone every night.

How old are you?

I’m 44. Still regular periods. GP hasn’t mentioned moving to continuous at all.

Why would this need to happen?

If I did, would I take 200mg or 100mg?

I was switched to 100mg a day when I went continuous. You need to check with your GP before changing though.

NHS website says this:

Your doctor will usually recommended continuous combined HRT if you are post-menopause (you have not had a period for 1 year or more). It is not suitable if you have menopause symptoms but are still having periods (perimenopause), or within 12 months of your last period, because it may cause irregular bleeding.

If you've been on cyclical for more than 12-18 months I would usually try patients on a continuous regime.m and see what happens. At the moment you're having essentially a withdrawal bleed from the progesterone.
Another option that's recently come out in BMS guidance is increasing the progesterone to help with dysfunctional bleeding.
Obviously you need to discuss with whoever your prescriber is but there's a couple of different options for you.

That’s frustrating op.

Why does the move to continuous happen? What’s the benefit/ purpose?

@lovelydayss Op possibly isn' t having a withdrawal bleed on the HRT because it's coming a week-10 days early. Usually it starts a few days after the last progesterone.
It sounds more like her own cycle overriding the HRT. And using only 100mgs Utrogestan would possibly make it all worse.
She's only 44 and more likely to get spotting or her own periods breaking through.

@Wantitalltogoaway There is the easy option to use Utrogestan for 14 days (this is on the leaflet in the pack. This is for women who find they bleed early or heavily. Maybe try that first?

The other option is to increase it to 300mgs a day for the 12 days. This is in the BMS guidance as PP has said.

Maybe try 14 days first or try 300mgs x 12 days?

Or switch to a Mirena?

I barely bleed at all on my period now. I found that the utrogestan bleeding was as heavy as pre HRT periods.

I think this is the most sensible option tbh. I feel that it’s my own cycle overriding, as you say.

They’re not heavy and not really a problem apart from the frequency so I absolutely would not consider a Mirena.

I think I’ll try 14 days first.

I was on utrogestan 200 mg continuously I started bleeding too much and had hysteroscopy. I was advised by consultant to take 100 mg continuously or 200 mg for 14 days.

And did that work?

I don’t really understand why taking 200mg continuously would make you bleed too much? It’s so confusing.

I have stopped bleeding since decreasing. High dosages of utrogestan are mostly prescribed to young ladies going through menopause.