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Post by gekard on Aug 23, 2013 14:36:31 GMT
Hi Everyone  I'm now into my second month of HRT, which is Oestrogel - 1 pump daily and Utrogestan 100mg for 25 out of 28 day cycle. About a week after the break in Utrogestan I'm coming on my period which is lasting at least a week. It's not just a scanty period either, it's like a proper one, and I'm just wondering whether this is normal or whether my dosage needs to be tweaked. Up to starting HRT two months ago I hadn't had a period for a year (which was great). In other respects I'm happy with the HRT - no hot flushes, sleeping better etc. although I do seem to be ravenous most of the time which I can do without as I already have a slow metabolism due to having thyroid disease. Also some PMT symptoms have returned - feeling sad one minute and angry the next!! So just wondering if this regime is correct, as I've looked on Proff Studd's website and he seems to recommend only taking Utrogestan for 7 days of the cycle and not 25 days like I'm doing at the moment... so I'm a bit confused. Any help/advice greatly appreciated as I'm new to all this.  Thanks..... Gill |
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Post by jacksfullofaces on Aug 23, 2013 15:30:23 GMT
hi
I also have thyroid disease and it can affect your bleeding patterns. You need tgo give the Utrogestan three months at least to settle in your system. Progesterone can trigger an icrease in appetite and maybe you should try raising your oestrogel by an extra half measure during your PMS phase. I take Utrogestan daily - there are a number of different regimes. I still get my period and associated PMS and discovered by tweaking my dose at the latter part of my cyvle the PMS eased to the degree my husband noticed the improvement.
Best of luck
Jacks
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Post by gekard on Aug 23, 2013 16:04:33 GMT
Hi Jacks
Thank you for your prompt reply. So, I take it that bleeding is unavoidable whilst taking HRT? I thought that maybe I'd have a very light period for a couple of days but it's been six days now, although it is slowing down.
Is there a regime where I wouldn't have a bleed at all?
Thanks..... Gill
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Post by rusalka on Aug 23, 2013 16:19:00 GMT
Hi Gill,
as far I know if you want to avoid periods you have to take progesteron continuous,without a break. but I think this is recommended only for ladies who are already menopausal. How old are you? If you didn't have the period for siuch a long time it's probably not unusual to have a little longer bleed now. I didn't have the period for 6 months, but when I started with Estrogel and Utrogest, my period came back. Not only spotting, real bleeding. I actually don't mind, only my PMS is very severe, so my gyno put me now on Chlomadinon instead of Utrogest to prevent PMS. So I will see if this will help me. I also switched to patches recently, because I didn't resorb the Estrogel enough.
All the best for you!
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Post by gekard on Aug 23, 2013 16:38:49 GMT
Hi Rusalka I'm 50 and prior to starting the HRT I hadn't had a period for nearly a year - one of the only positive aspects of menopause!! I would be prepared to take Utrogestan every day if it's ok to do that, if it would mean no bleeding, although I think Jacks has said (above) that she takes it every day and still has a period, so not sure! If anyone else is on a regime where they don't have a bleed, it would be good to hear from you Rusalka.... are the patches you're using bio-identical? If not, how are you getting along with them? Thanks..... Gill |
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Post by jacksfullofaces on Aug 24, 2013 11:07:41 GMT
Hi Rusalka I'm 50 and prior to starting the HRT I hadn't had a period for nearly a year - one of the only positive aspects of menopause!! I would be prepared to take Utrogestan every day if it's ok to do that, if it would mean no bleeding, although I think Jacks has said (above) that she takes it every day and still has a period, so not sure! If anyone else is on a regime where they don't have a bleed, it would be good to hear from you Rusalka.... are the patches you're using bio-identical? If not, how are you getting along with them? Thanks..... Gill Hi Gill My specialist thought that a regime with progesterone daily was okay for peri menopause - although this is not generally accepted. But as I generaly feel good on it and I check my endometrial lining I'm sticking with it as the progesterone helps my sleep. Progestins are used continuusly in the pill and nobody raises an eyebrow in the medical world. I think because of the scare of unopposed estradiol - doctors tend to be over cautious at times. Anyway I always had to be the maverick lol Jacks xxx |
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Post by rusalka on Aug 24, 2013 15:46:54 GMT
Hi Gill my patches are bioidentical too. I'm on since wednesday, so I can't tell much yet. I can only say I felt immediately some relief, specially from my depressive moods! Since today I notice that I'm again more PMS-like ( I'm day 21), so I think I have to change it in the evening and not to wait till morning. I'm supposed to change them twice a week. Hi Rusalka I'm 50 and prior to starting the HRT I hadn't had a period for nearly a year - one of the only positive aspects of menopause!! I would be prepared to take Utrogestan every day if it's ok to do that, if it would mean no bleeding, although I think Jacks has said (above) that she takes it every day and still has a period, so not sure! If anyone else is on a regime where they don't have a bleed, it would be good to hear from you Rusalka.... are the patches you're using bio-identical? If not, how are you getting along with them? Thanks..... Gill Hi Gill My specialist thought that a regime with progesterone daily was okay for peri menopause - although this is not generally accepted. But as I generaly feel good on it and I check my endometrial lining I'm sticking with it as the progesterone helps my sleep. Progestins are used continuusly in the pill and nobody raises an eyebrow in the medical world. I think because of the scare of unopposed estradiol - doctors tend to be over cautious at times. Anyway I always had to be the maverick lol Jacks xxx |
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Post by Deleted on Aug 27, 2013 7:35:33 GMT
Hi Everyone I'm now into my second month of HRT, which is Oestrogel - 1 pump daily and Utrogestan 100mg for 25 out of 28 day cycle. About a week after the break in Utrogestan I'm coming on my period which is lasting at least a week. It's not just a scanty period either, it's like a proper one, and I'm just wondering whether this is normal or whether my dosage needs to be tweaked. Up to starting HRT two months ago I hadn't had a period for a year (which was great). In other respects I'm happy with the HRT - no hot flushes, sleeping better etc. although I do seem to be ravenous most of the time which I can do without as I already have a slow metabolism due to having thyroid disease. Also some PMT symptoms have returned - feeling sad one minute and angry the next!! So just wondering if this regime is correct, as I've looked on Proff Studd's website and he seems to recommend only taking Utrogestan for 7 days of the cycle and not 25 days like I'm doing at the moment... so I'm a bit confused. Any help/advice greatly appreciated as I'm new to all this. Thanks..... Gill I was also looking for a regime whereby I didn't have a bleed, as I have fibroids which are only really troublesome and painful during a period. I use Oestrogel (2-3 pumps daily) and Utrogestan 100 mg every other night. I use these vaginally although I know in the UK they are not prescribed that way. I have been doing this for probably about 18 months now (can't remember exactly - meno brain). So far it seems to suit me. Jaycee |
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Post by gekard on Aug 27, 2013 22:45:35 GMT
Hi Everyone Thanks for all the replies. I think I'm going to discuss trying a different regime with my GP (when he returns from holiday!). So, using more oestrogen and less progesterone would result in less bleeding? Or is everyone different? Jaycee - I might suggest your regime to my GP and see what he thinks. At the moment I'm taking the Utrogestan orally and was wondering if they are absorbed just as well vaginally? i.e. do they stay in place and dissolve properly - wouldn't want to be losing it down the loo  Thanks.... Gill |
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Post by rusalka on Aug 28, 2013 16:33:00 GMT
I just read from a pharamacist who is specialised on BHRT that orally only 10 % of the Utrogest would be absorbed, which is about 10 mg with one capsule, but if you take it vaginally the body is absorbing almost 90 %, which is almost 90 mg of Progesteron! This is a huge difference! The vaginal route is very safe, so what you notice in the morning in your panties is the shell of the capsule, not the Prog. ;-)
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Post by Deleted on Aug 29, 2013 7:15:46 GMT
They do dissolve really quickly and you don't notice much the next day as Rusulka says. The instruction leaflet in the pack says to take on an empty stomach at night, which was always difficult for me as the only time my stomach is empty is first thing in the morning.
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Post by jacksfullofaces on Aug 29, 2013 11:44:39 GMT
Hi Everyone Thanks for all the replies. I think I'm going to discuss trying a different regime with my GP (when he returns from holiday!). So, using more oestrogen and less progesterone would result in less bleeding? Or is everyone different? Jaycee - I might suggest your regime to my GP and see what he thinks. At the moment I'm taking the Utrogestan orally and was wondering if they are absorbed just as well vaginally? i.e. do they stay in place and dissolve properly - wouldn't want to be losing it down the loo Thanks.... Gill Gill Bleeding patterns vary according to the cause. IE if your endometrial lining dissolves due to low estradiol it can trigger spotting - heavy painful menstrual bleeding usually indicates low progesterone. Jacks |
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Post by gekard on Aug 29, 2013 19:11:52 GMT
Thanks Jacks Confusing to say the least! It looks like it's just going to be a case of trying different things to find out what works best. I've upped my estrogel to one and a half pumps daily, so I'll see if that affects the amount of blood loss at my next period. Gill x |
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Post by jacksfullofaces on Aug 29, 2013 20:29:56 GMT
Hi Everyone Thanks for all the replies. I think I'm going to discuss trying a different regime with my GP (when he returns from holiday!). So, using more oestrogen and less progesterone would result in less bleeding? Or is everyone different? Jaycee - I might suggest your regime to my GP and see what he thinks. At the moment I'm taking the Utrogestan orally and was wondering if they are absorbed just as well vaginally? i.e. do they stay in place and dissolve properly - wouldn't want to be losing it down the loo Thanks.... Gill Gill Bleeding patterns vary according to the cause. IE if your endometrial lining dissolves due to low estradiol it can trigger spotting - heavy painful menstrual bleeding usually indicates low progesterone. Jacks Gill ishing you luck it fixed my bleeding issues. Jacks xxx |
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