Continous HRT when still having periods plus clot totm question

[yetanotherusername44]

My GP insists that I needed to change to continuous HRT because I'd taken combined for 2-3 years but I still have periods and thought continuous was not for that stage.

I've been on continuous (Kliovance) for 4 months and am having spotting with clots and sort of stringy dark bits, but not a proper full flow period. This month I've had this for about 9 days now. Is that normal??

I was told by the GP to wait and see in another couple of months if the bleeding stopped but I'm not sure if she took in the clots point.

You need to give it 6 months.

If you're under 54 and not gone for 12 months without your own period, you should be on sequential.

GPs keep ignoring this advice and it's giving women problems.

https://www.menopausematters.co.uk/postmeno.php

POST MENOPAUSAL -
Continuous combined therapies.
"Period free" or continuous combined therapy can be used by women who are 54 + yrs, or more than one year since last period at any age. The criteria should be fulfilled in order to offer such treatment to women who no longer have a continuing ovarian cycle, so that steady levels of both estrogen and progestogen can be achieved. When there are steady levels of estrogen and progestogen from daily administration of both, the womb lining stays thin. Although some bleeding in the first 6 months of therapy is common, there should not be bleeding after that and the lining does not go through the stages of stimulation and then shedding as it does during a normal cycle and with sequential therapy.

Written by a consultant gynaecologist.

There is a 'guide' that women under 54 but who have had a long gap since their last periods (not yet 12 months) can TRY continuous but if they bleed a lot, it's not for them.

Thank you, that's really helpful. I'm 50. Been on sequential and was having periods but they started going a bit haywire.

I’ve no idea what my hrt is other than Femoston but I’ve had a bleed today (not my period as that was 2 weeks ago) should I be concerned??