Utrogestan question

[Vintageroses]

I’ve been on hrt for 10 months and I’m getting a period that’s not in sync with taking the utrogestan. Usually before I start the 12 days of taking it or a couple of days in. Does this mean I’m not having enough progesterone and my own periods are breaking through ?

This is the same for me. I asked a GP about it recently and she didn't really respond, which i found reassuring since it didn't raise any immediate concerns. I'll be interested to hear what others here think.

This is exactly my experience too.

I gave up after asking my GP surgery 3 times and not getting an answer.

I figure it’s still preferable to all the symptoms pre-HRT.

My menopause specialist said it's just that my own cycle is stronger than the HRT cycle. HRT is relatively small mouts of hormones, not like the pill.
I guess you're younger/earlier in peri?

She said it was nothing to worry about.

In my case my periods had almost tailed off before starting HRT, but now they are back to being proper periods again, I guess from the estrogen.

Good to know it’s nothing to worry about @101trees. I’m 50 and my pe

Good to know it’s nothing to worry about @101trees. I’m 50 and my periods are showing no signs of tailing off. They are more frequent. Anything from 2.5 weeks to 5 weeks apart.

My periods were also getting a little closer together. For basically my entire adult life they were 28 days on the dot. Then they started to come every 21-24 days, then more like 32 days.

I was on cyclical utrogestan for 6-months and it bore no relation to when my cycle showed up.

The actual period got lighter and lighter, but the symptoms around it were worse and all over the month.

It's a very long story, related to migraines, but I'm now on continuous utrogestan, double the normal dose of 200mg a day. The stable dose of both hormones has improved the symptoms back to my predictable PMS, and I'm back to my previously heavy periods, 28 days apart. Its like HRT just reset it back to pre-peri times.

But it shocks me that even on double the dose of continuous HRT, my period just keeps on showing up. Both my GP and menopause specialist said its nothing to worry about though, I just have a strong cycle still.

@Vintageroses So are you getting 2 periods a month? One that is natural and one that is the withdrawal bleed?

Have you tried resetting the HRT cycle around your own cycle?
Obviously the first month will be very different but it's worth trying.

So, naturally, with no HRT, you should start to produce progesterone mid-cycle (around days 12-15 after the first day of your natural period)

Can you try starting Utrogestan on that day? That's around 14 days after Day 1 . ( Day 1 is the first day you start bleeding.)

Then what you should do is stick to that date every month.
So if your starting date for Utrogestan was 24th December, you'd take the next Utrogestan 24th January etc.

It happened to me too. I was keen to switch to continuous progesterone, and because my periods bore no relation to my cycle, the GP said it was fine. I find continuous progesterone easier to manage.
my experience isn’t that it was a strong cycle, as about a year later I have a light period every 3 months or so.

@101trees long history of hormone and migraine problems here too. In my case I was diagnosed with silent migraine but the weird and not so wonderful symptoms are lasting 10-14 days every month. Has continuous progesterone helped with your migraine ?
@JinglingSpringbells i
dont seem to be having a withdrawal bleed. It’s either well before the progesterone or just after I start it. Seems like two separate cycles going on, my own and the Hrt. What you suggest sounds like it could be something to try.
@user789543678885432111 so, I could ask to stay on the utragestan every day then ? Even while I still have periods ?

so, I could ask to stay on the utragestan every day then ? Even while I still have periods ?

It's not medically advised as a norm because the amount of progesterone very day is 100mgs and not enough to control the womb lining if you are still having periods regularly.

It's licensed for women over 54 or anyone who has not had a period for 12 months.

Some GPs do offer it to women but it's not without its problems for some.

Try taking Utrogestan between 12 or 14 days after the first day of your next period and see if that sets a new cycle.

This is an issue. You see, if there is any bleeding after 6 months on continuous progesterone, it's supposed to be investigated.
The fact you're having periods every 3 months would normally be counted as needing a scan to check the womb lining.
Your GP should be aware of this but at the same time they shouldn't have put you on continuous unless there was a really good reason for it. Irregular periods aren't a reason.

@JinglingSpringbells so continuous should stop my periods altogether but isn’t foolproof and if I got done bleeding it would then warrant a scan ? Am I understanding this correctly?
what about the mirena coil ? Would that work the same as continuous utragestan ?

tbh I’m not keen on the irrregular bleeding but if it’s nothing worrying then I’m happy to try taking the pills in sync with my own cycle but the migraines and headaches before, during and for a week after every period ate a problem and I’d happily take progesterone every day if it got rid.

Sorry for the typos 😩

This is a link to medical info which explains it.
Note that it's under HRT Post Menopause options.https://www.menopausematters.co.uk/postmeno.php

Patients should be advised to expect some bleeding in the first few months of treatment, but should have settled by six months. Any bleeding persisting beyond 6 months of continuous combined therapy, or bleeding occurring at a later date, should be investigated.