How much progesterone do you take?

[AlleyRose]

My patch has been increased from 25 to 50 to 75 but I still only take 100mg of progesterone every night (I'm post menopausal).

Does this sound about right?

The progesterone is to prevent build up of womb lining (cancer risk) You'll know if it isn't enough as you'll have spotting.
If you havnt had any spotting that dose is fine.

If in doubt have a chat with GP.

Hi. I was on everol conti 50 but due to it not working anymore(spotting stomach ache bad mood swings) my Dr changed my HRT to Everol 75 plus Gepretix progesterone 100mg. At the minute this is working thank goodness.

I am on 100s and take 2 x progesterone every night.

I'm on 200mg every night for 15 nights, then off them for 15 nights, and back on again. Initially I was taking 100mg every night for 28 nights, with 3 nights off, but the doctor said she'd made a mistake with the instructions and so now I'm doing what I do. But! I am just bleeding constantly, not much, but enough to need to wear a liner at all times. I'm also still having the night sweats that prompted me to try HRT in the first place, so I do need to go back and speak to my doctor.

The BMS guidance which was published about 18 months ago was to reset advice for GPs, based on some women on high doses of estrogen experiencing some erratic bleeding or in some cases, hyperplasia. The report was produced partly as a result of Dr Newson's clinics prescribing high and unlicensed doses of estrogen.

The guidance is that for high levels of estrogen, 'consider' 200mgs Utrogestan as part of a continuous combined regime.

'High' is 4 pumps of gel or a 100mcg patch.

Higher (but not 'high) is 75mcgs patch or 3 pumps of gel.

None of this is mandatory but as GPs aren't usually as knowledgeable as specialists, they tend to stick to 'guidance' without taking into account individual side effects and responses.

You'd usually know if you needed more progesterone as you'd have spotting or very heavy withdrawal bleeds. These tend to be a sign that adjustments need making.

Your GP should be balancing any side effects from the dose of Utrogestan, with keeping the endometrium thickness within the guidelines (either on sequential or continuous.)

It's not a one-size fits all. Your GP should be having a conversation with you about how you find Utrogestan (any side effects etc) and any bleeding that is erratic or heavy.

Thanks so much for all the replies.

I'm guessing I'm ok as I'm post meno and been on HRT 75 since end of November with no bleeding.

I'm having a bit of a tough time at the moment as out of nowhere, my breasts have become very painful and my urinary tract area feels sore and irritated too. I thought breast pain was due to high oestrogen but apparently it can be caused by a drop too. As can urinary problems.

When does it all end? Feeling so fed up.