Heavy period age 53 on HRT?

[Planningatripsoon]

Should I be concerned? I’ve been on continuous HRT for around 6 months. 75mg patch plus 100mg uterogestan per day. I’ve had the odd light period here and there. This weekend I’ve had quite a heavy period which has wiped me out.

Is this a concern? Thanks.

See your GP to discuss the dose.
It's recommended now that women on a higher dose of gel ( 3 or 4 pumps) consider using 200mgs Utrogestan daily. This is the new guidance by the BMS.

The other question though is were you post menopausal when you started continuous HRT? If not, your own cycle will often break through. Continuous is for women aged 54 + or any age with no period for a year. https://www.menopausematters.co.uk/postmeno.php

(There are exceptions to this for some women but it's the standard guidance.)

Thanks. It’s not the gel but the 75mg patch I’m on. I started HRT aged 50 on the 2 weeks on/2 weeks off uterogestan regime. The nurse moved me across to the continual about 6 months ago as I’m nearly 54. I think I’ll call for a consultation again. Thanks 🙏

Ok, well the same applies to that dose patch- it's the equivalent of 3 pumps of gel (there are patches of 25 and 50mcgs.)
You probably just need the Utrogestan increasing.

6 months into the continuous sort is just within 'normal' as some spotting can occur for 6 months, but if it's a full-on bleed it sounds more like you need more progesterone OR you've had a final (?) last cycle of your own.

Thanks. 🤩 I’ll get onto the doctors next week. Maybe they should have waited before switching me. The nurse was quite airy with a “you’re not really having periods, it’s just progesterone caused and you’re 53.5 so we’ll switch you now”

Hope you get on okay. Likely to be nothing to worry about. I guess you may be offered the option of going back to sequential, more progesterone OR they may suggest a scan.