Decreased evorel now bleeding holiday in 6 days!

[DixiePeach]

Since changing to continuous Utrogestan I’ve had spotting every day. I was on 75 patch but it was agreed i would go down to 50 to see if it balances with the 100mg Utrogestan. Started lower patches at weekend now bleeding is worse. Has this happened to anyone else and how long might this get on for?

id rather spot! I’m going away in less than a week would I be better to go back to 75 temporarily or stick it out and hopefully my body will adjust by next week?

How long have you been on daily Utrogestan?
Your GP should have told you that spotting is likely for up to 6 months.

If the bleeding is worse, is this likely to be your own period?

You have to be 54 or older, or no natural period for 12 months before changing to continuous. www.menopausematters.co.uk/postmeno.php

I’ve been on continuous Utrogestan for 4 months. I’m 52 and consultant thought that I was forcing periods taking sequential so said go on continuous.

i upped to 75 patch to help with a symptom but it didn’t help so that’s why I’m reducing down to 50.

A consultant thought you were 'forcing' a period? Are they a gynaecologist?

Sequential doesn't force a period - it's a withdrawal bleed. Maybe they just explained it badly.

You're likely not post menopause. There's no logical reason why less estrogen = heavier bleeds.

If you'd not had 12 months prior to HRT with no period, you're not post meno.

Yes hospital gynaecologist said at 52 he would have expected my periods to have ceased. Yes I think he did mean withdrawal bleed but worded it differently.

it’s so difficult everyone I speak to seems to be getting different advice. It doesn’t fill me with confidence.

Yes hospital gynaecologist said at 52 he would have expected my periods to have ceased.

But do you know when your periods stopped?
How long ago was your last one before you went onto HRT?

Mine hadn't stopped at 52. Some women go on to 55 -56.

it’s so difficult everyone I speak to seems to be getting different advice. It doesn’t fill me with confidence.

Unfortunately, not all gynaecologists are specialists in menopause.

Were you referred for your HRT?

The guidance is quite simple- see the link above from an NHS consultant gynaecologist. It says that by age 54, 80% of women are post meno. So 20% aren't. And at 52, more than 20% aren't.

That means if you /they start on continuous too soon there is likely to be bleeding, even if the dose of estrogen is low because your own hormones are still following a cycle.

If there is any doubt at all that your periods have not stopped for 12 months, the medical guidance is to use sequential, which you can use for as long as you want anyway.

There is no rule about changing to continuous - ever. It's personal choice.

Thanks so much for this information. I’ve just googled consultant he’s a miscarriage specialist! I had assumed he was an Hrt specialist. I’ve contacted my doctors surgery and have asked them to contact me. Thanks again for taking the time to reply.