Everol Conti causing excessive bleeding.Please can someone advise what to try next?

[LikeaHurricane]

Hi everyone. I'm hoping there's someone with knowledge of similar issues who can help? I've tried Everol Conti for the last 3 months and during that time, I've had 4/5 week long bleeds (like a period, but not massively heavy) and some further spotting in between.
The current bleed I'm experiencing is only a couple of weeks since the last one!

I know some bleeding is classed as "normal"for the first 3/6 months, but I'm coming to the conclusion that it's probably not suitable for me. Mine feels excessive.

I've an appointment with my GP next week. I really want to keep trying with HRT as it has hugely improved my sleep and the night sweats I was experiencing. Unfortunately my low libido hasn't improved, (not surprising with the bleeds), but if I can get the correct "method", maybe that will too. I'll cross that bridge when I come to it.

I would prefer to stick with patches, purely for convenience, but think maybe an Estrogen only patch plus daily Utrogestan may be the way to go?.I'm 59 and definitely post menopausal, but I am late to HRT

Please help me if you can

It's unusual to have that amount of bleeding.You might ask about a scan or perhaps the Mirena coil might work better for you?
The progesterone in patches is stronger than Utrogestan, so it's unclear if that would work any better. It's just a case of trying it.

@JinglingSpringbells thank you for your reply.
I'll discuss the Mirena at my GP appointment. I'm going away on holiday soon, so I could really do to sort it out beforehand. The current regime I'm on is clearly not suitable

I had a lot of issues with bleeding and spotting with Evorel Conti. Switched to Evorel 50 (plain estrogen) patch with oral progesterone (Gepretix) and it all cleared up pretty swiftly. I guess the Norethisterone in the Conti wasn’t for me.

I reacted like this to Evorel, although mine was eastrogen only with separate progesterone pill. I upped the prohesterone, switched to Eastrogel , this all over a period of about a year but was still getting problems with bleeding (although nowhere near as badly as the initial period with Evorel where I was literally emptying a full mooncup every few hours and could hardly make it up the stairs). Like you I came late to the thing and started about 10 years after meno. What solved it for me was having a mirena coil and taking progesterone every other day. That seems to keep things on an even keel. I don’t have optimal levels of eastrogen because of the bleeding. It should be over 300 and it’s around 220, but it’s enough to prevent night sweats, brain fog and tendon issues so that’s good enough for me for now, although I may well end up having a hysterectomy anyway as have adenomysis. That means I no longer have to take progestins or worry about bleeding. Il haven’t rushed to do it because ultimately it’s surgery and there are risks

edited to add, I now use Sandrena which seems to work better for me than Esterogel. I think it might be because dose is more reliable. I always had trouble getting the pump to work with eastrobel.

@NattyKnitter116 thank you for replying. It really is a minefield of trial and error, isn't it? Looks like the mirena may be a good option.