HRT feed womb lining?

[TheMaidofOrleans]

I know a lot of strangers won’t be able to tell me what to do or are not medical professionals but you lot may be able to give some insight..

Been on HRT for around 6/7 years and had some bleeding investigated and polys found and removed by hysteroscopy. I have had this procedure done twice and it is not that pleasant I will say.

However, recently i had some more bleeding and had a scan and luckily my womb lining was within normal limits.

I am aware there is a thought that HRT may feed the uterus as such hence, thickening the womb lining and so then bleeding may occur.

I am on 100 Everal patch and 100 progesterone at night, and anyone got any insight if it worth reducing my HRT to 50 Everal patch. I don’t want to stop HRT.

Plus, I have recently discovered I have high blood pressure and have started taking tables. My GP says that HRT can cause high blood pressure so just great!
Anyone got any experiences to share please

Has anyone suggested increasing your progesterone to see if that stops the bleeding? You are on quite a low dose of progesterone compared to the high amount of progesterone you are taking. Would be worth trying 200-300mg daily to see if that stops it. You can also consider using a mirena coil as that gives a more localised dose of progesterone.

I wouldn't lower the estrogen dose without supervision. Are you just under gp care, or are you seen by a gynaecologist?

I think your GP sounds a bit lacking in HRT education!

First, transdermal estrogen does not increase BP and may in fact lower it.
Your GP may be confusing this with the old synthetic types of estrogen that are in the Pill (not HRT.)

The BMS guidance now is when on a high dose of estrogen, the progesterone is increased to 200mgs a day.

You can reduce your estrogen if you'd rather. There is no risk in that and you may find you don't need 100mcg patch now.

Your GP ought to have had the updated guidance, and if not, it's all online on the BMS website.

TBH I'd see a different GP who is a bit more clued up, but if you keep getting spotting it's because the balance of estrogen: progesterone isn't right, so either estrogen is reduced or progesterone is increased. It's your choice, with discussion with a doctor as you may get symptoms - flushes etc if you reduce estrogen.

Thanks for posts.
I am under my GP and interesting enough GP (different GP then) increased my patch a few years ago as I had some bleeding and they thought my estrogen was not high - hence my break though bleeding. But I have more bleeding since. Maybe I should increase my progesterone and will have a look at BMS website