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Menopause

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Has anyone done a progesterone challenge

7 replies

somewherebeyond · 08/05/2025 16:59

A menopause specialist I saw put me on a three month progesterone challenge to see where I was up to menopause wise. I’m 56 and had a sub total hysterectomy in 2013. I kept my ovaries and cervix. I haven’t had any bleeding after the challenge and I’m confused about what this means. I’ve tried googling it but the info is confusing and not really relevant to my situation of still having ovaries but no womb.

Does anyone have experience of this or advice as to what this result of no bleeding means.

OP posts:
greengreyblue · 08/05/2025 17:00

No idea. But at 56 so would think you’re post menopause. Are you having this for a reason/ other symptoms?

somewherebeyond · 08/05/2025 17:07

greengreyblue · 08/05/2025 17:00

No idea. But at 56 so would think you’re post menopause. Are you having this for a reason/ other symptoms?

I would have thought so too. I have chronic migraine and I think the idea is to try and establish whether they are hormone related.

OP posts:
JinglingSpringbells · 08/05/2025 17:30

Can you explain what the challenge was? I don't understand.
Are you on HRT? Why use progesterone for 3 months? Do you mean 3 cycles or daily for 3 months?

somewherebeyond · 08/05/2025 18:26

I’m on estrogel hrt. I had to take progesterone for two weeks on, two weeks off, for three months. I think the idea is to see whether I bleed after the third month. I’m just a bit puzzled as to what it’s all for. I did ask and the specialist nurse did explain but I was in the midst of a migraine so didn’t take it in. I just wondered whether anyone had experience of this.

OP posts:
AltitudeCheck · 08/05/2025 18:30

Were you having periods before the challenge? I'd be surprised if at 56 that was the case and I can think of no logical reason to introduce cyclical progesterone in your situation.

Chorusforpoormortals · 08/05/2025 18:36

Did they give you any indication of where you would "have a bleed" from considering you have no womb ???
It's all a bit strange op.

JinglingSpringbells · 08/05/2025 18:52

Surely your GP should refer you to a neurologist before assuming it's hormonal?

I can only think the reason was to see if you have any uterine tissue left in your cervix. That would be unusual but not unheard of. And at 56 the odd are you are post menopausal, after a hysterectomy (ovaries usually fail within 2 years.)

Even around 20% of women with a womb don't always bleed on sequential HRT.

Have you not had blood tests? Although they aren't super-reliable, for someone your age they'd probably show a high FSH = post menopausal.

Have you not had a scan to see if your ovaries are 'active' or if they have shrunk?

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