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Menopause

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Anyone on here taking slynd?

5 replies

BigButtons · 03/06/2025 07:04

My gp wants to try me on this. I have been on HRT for over 6 years- combo of gel/ patches and utrogestan( which I hated) and then norithisterone which I can tolerate.
They are desperate to put me on a Conti regime- up until now I have stuck with sequi because I can’t tolerate more than 2 weeks of progesterone.
i have agreed to try but am really scared of upsetting my whole system.
thanks

OP posts:
JinglingSpringbells · 03/06/2025 07:12

You seem to be saying there are two issues- moving to continuous and changing the progesterone.

It is not mandatory that you change to continuous. It's a choice.
If your GP implies it's mandatory that is wrong.

(I've been on sequential for over 15 years through an excellent consultant gynaecologist. I do pay for annual private scans, so maybe that is an option you can consider?)

If you can't tolerate either of those other drugs, that is limiting. You could consider Femoston which is a tablet and similar to Utrogestan in terms of safety but if you're 60+ you can't have tablets.

Can you tolerate 10 days a month of any of the ones you've tried? 10 days is the minimum suggested for women who are intolerant.

BigButtons · 03/06/2025 07:19

Thanks @JinglingSpringbells yes- I can tolerate 2 weeks worth of norithisterone. I have taken the amount they said. I am on a100 patch. They told me that 6 nori day is enough. Now they are saying it isn’t and that I have been under protected. I have a scan booked in for the end of the month.
The gp told me that risk of cancer went up a lot for women on sequi once they were post menopausal. I did tell her if was entirely my choice. She said they would not prescribe for sequi- so I guess that means I have to take it as a Conti?

OP posts:
JinglingSpringbells · 03/06/2025 07:35

She said they would not prescribe for sequi- so I guess that means I have to take it as a Conti?

She means SHE won't prescribe it as sequi?
There are women in their 70s still on sequi (friend I know is, through an NHS GP.)

I know you say Noriday but that's a mini pill. The dose I believe is 3 pills a day for HRT. The BMS has a chart online on doses and types.

BUT you can get Norethisterone (not as a mini pill) in 1mgs and 5mgs doses. You'd need to check this but I think the 5mgs is for sequential use. (I was on that years ago for a while.)

The risk of sequential and endometrial cancer is small. It can be picked up early as hyperplasia and treated.

However, combined continuous raises the risk of breast cancer, so if your GP suggests you use continuous maybe ask her what she thinks of the BC risks with it.

Stick to your guns and maybe see a different GP?

BigButtons · 03/06/2025 08:04

Thanks again @JinglingSpringbells - we have a combined practice here. There is one menopause specialist gp and all other gps ask her for advice as they haven’t got a clue. The waiting list to see the specialist in person is huge, as you can imagine.We don’t really get to chose who we talk to and I doubt it would make a difference since all roads lead back to the specialist gp.
This specialist seems hopeful that slynd will be a good match for me. TBH I would like to be able to bleed each month as I feel it ‘clears me out’ so to speak.
Ig will be interesting to see what the scan results are. If my lining is normal then I see no reason to change my regime/ perhaps we could agree on my having a yearly scan to checks if it is not normal then yes- I will have to re think.
it’s all a bit scary tbh.

OP posts:
JinglingSpringbells · 03/06/2025 08:11

Can you afford to take this out of the NHS and see a private doctor?
It's such a nonsense that GPs behave like this when consultants who know far more are much more flexible to all types of ways of using HRT.

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