Looking for help/advice

[OnyourbarksGSG]

Hey all, I was recently on patches. Two weeks of oestrogen and then prog patches until I started a withdrawal bleed. Worked great for 4 years then suddenly all the symptoms come back. The gp/PA has swapped me to these little sachets of oestrogen and told me to use them daily for 14 days and then take the two little white progesterone balls for 15 days. I had a follow up appointment today and mentioned that I’d got a bleed quite early, on day 10 of the prog and I was looking forward to starting the oestrogen again. Then she hummed and aaahed and said I should be taking the oestrogen daily every single day and the prog on top from day 15.

im so bloody confused. She ( the physician assistant) had to google this in front of me and I am more than capable of doing that myself but I’m getting very conflicting results.

what is your hrt regime if you are on gel and the white progesterone balls? I’m 45 and is really helping but I don’t want to get it wrong

The little white balls are Utrogestan (or a brand called Gepritix.)
The gel is Sandrena?

You use estrogen every day and progesterone for 12 or 14 days a month.
15 days is too long. Read the leaflet in the pack- it says 12.
You can do 14 days if you bleed heavily on 12 days (because progesterone helps keep the womb lining thin.)

The patches you had gave you the same - its called' sequential' or 'cyclical' HRT.
The first lot of patches are estrogen only, the 2nd lot are estrogen +progesterone (not the same sort as micronised progesterone.)

I'm not sure what a PA is- are these the 'not quite doctors' who are halfway trained?

Yes, the physicians assistant. Apparently she did a 2 year course at uni to qualify and it’s not the first time she has given me drastically contradictory advice. She’s a lovely woman and has been very helpful with some things gs, taking much more time to deal with things that the gp has brushed off but sitting watching somebody googling to make sure about the drugs they have prescribed made me feel a bit weird and uneasy. Initially I asked her If I could just increase the patches by cutting them in half so increasing by 50% but she was like 🤷🏼‍♀️ I’ve no idea and didn’t want me to risk it.

I’ll check the brand when I go upstairs in a bit . But thank you. I’ve really struggled ever since I had to have hormone blockers to treat fibroids as they have pushed me into early menopause so I’m keen to get it right.