great little pod cast. I have been on continuous HRT pill form for 22 years and I am now 72 and doing great. My doctor kept telling me I should stop but I think now has finally done his research and stopped arguing with me.

Thanks so much. This made me cry with gratitude. I never have the sense that my GP has the time to explain things properly and that increases my anxiety massively. I so appreciate your work here. ❤

Such an amazing video. Thank you so much. What is confusing to me is why some doctors suggest estrogen with progesterone during those 12 days or just progesterone alone. Could you possibly shed some light on that please?

Thanks so much I can't believe you are so persistent in your response. I went over a lot of your response had gotten a lot of info. Thank you again!

Hello. I've only just spotted this one. When I came to see you in early summer I was using bioidentical hormone cream. After speaking to you I determined to swap onto Oestrogel and Utrogestan. First I had a blood test - hormone levels of Oestrogen were just 44! Wasn't getting much help from the cream then. I also had a scan and had no issues at all with the uterus, lining of 2mm and blood test to accompany it was also perfectly normal. At first I got on well with Utrogestan vaginally every other night and 2 pumps of gel. But I felt I needed more gel. However, even on 2 pumps I started to bleed and it got very bad. I'd stand up and feel it running out. Horrible. I was told to increase to every night with the progesterone which I did. But once I did that I became very much more bloated, physical fatigue like never before, walking can be really hard now at times, sore breasts, itchy arms, swollen joints and all my motivation has gone again. My free T3 dropped yet my free T4 rose to 65% through the reference range. Plus I am now bleeding a lot. Everyday there will be something, then for a few days it will be like a period, then ease off. I'm using more sanitary ware than when I was a teenager. I don't understand why this has happened. I was so much happier on the gel with less progesterone and felt like I was coming back to life slowly. I haven't had a natural period in years. In the past I have had a Mirena, apart from the first few months I didn't really have any issues with it. I used a progesterone only mini pill before that (there were a few years break between the 2 methods). I know a lot of women have serious issues with progesterone, so I thought I'd put this here and hopefully you can share some thoughts so that other women who see it and suffer similar can have extra information.

Thank you so much for taking the time to give us ladies information about the menopause and HRT. I was put on antidepressants at the age of 46. I felt numb most of the time. I stopped taking the antidepressant medication at the age of 50. I struggled on with my symptoms until one day I felt that I was going mad in the head. My doctor said I can try the antidepressant medication for my symptoms, I said no thank you, I do not want to feel numb. I started the HRT patches in November 2019. I have been told to stop talking my HRT because I am bleeding. I will have an emergency ultrasound to see what is going on. In the meantime I feel very nervous about not having anything to support my menopausal symptoms. I have been told to go and see someone privately on the NHS. I am not sure how I do that. Thank you for being here, I feel a little better now after getting that off my chest.

Just wanted to say thank you for doing this video it’s come just at the right time for me. You explain things very clearly in what is a bit of a mind field.

Hello from Across The Pond! Your videos helped me decide to start HRT as i was having Insomnia and anxiety with low energy (my GP sent me to psychiatrist). The first night i took the micronized progesterone soft gel pill, i slept straight through the night! I'm on day 4 and sleeping great now, but waking up with hangover headache. I will try inserting vaginally instead - appreciate that tip!

Sorry Dr Renée I listened to your video you already answered my question about taking the tablets continuously and not having a break like it says on the label on my tablets, makes sense as it's supposed to be continuous hrt x

Wow! Very clear information in one video!!

You explained that very well. Thank you.

This Video is extremely helpful ! HRT saves women‘s Life Thanks for Sharing blessings 🌷🙏🏻

The best viideo on youtube

Hi Dr Renee I have a question that I need help with regarding Progesterone side effects.. Dose is 200mg orally on days 15-26. If switching to vaginally should the dose be reduced to 100mg or continue with the 200mg? Thanks

I’m ‘in between the worlds’ crazy predicament: have not bled for over 2 years but my body seems to still run a cycle ( low mood & cramping but no bleeding ) the problem is the cycle is WERKLY but not monthly ( yes, when measured by home fertility monitor my hormones rose & fall accordingly, including 1-2 spike of progesterone). To level up my incessant hot flashes and mood drops I went on lowest dose E patch and it helps tremendously. It’s supposed to be taken with 50 mg progesterone and here’s the issue: if I try to override my natural cycle taking progesterone on those follicular days feels very much against the flow, sickening in fact. Also, I’ve been taking herbal formulas to bring my cycle back as my TCM doctor believes I still have a good chance to conceive. So, I’m cycling progesterone with my body’s natural flow of energies 3-4 days a week when I feel premenstrual. Will this way still protect my uterus?

I got on hormones to help with insomnia and anxiety but I still have both. It’s been a struggle with sleep and it cause cortisol issues and that’s problem as well. Thanks

Hi Dr. Renne, I’ve stopped taking progesterone troches due to the fatigue and dizziness. I only took it for 5 days and 2 days after still feeling it. How long will it take to get out of my system? Or would it? 😓

I thought progesterone was for all women especially women who have anxiety and depression and can’t sleep well!! So many doctors tell different stories 😮

I went on to the Utrogestan, but found on 2 occasions when I had to get up to spend a penny about an hour after taking the tablets I felt drunk, dizzy with blurred vision and couldn't walk in a straight line. I told my doc and they immediately took me off of it. I am now back on the Ecvorel Sequi patches I had before to try them again. It's a shame the Utrogestan caused this. I wonder how many other people have experienced this.

It is my understanding that If you are using progestrone vaginally, it doesn't reach your uterus, and that where you need it . That is why you have to take it orally so it goes thru your system.

I am now on antidepressant tablets because I can't cope with the the menopausal symptoms that I am having. My ultrasound scan came back not sure what the result means. Waiting for a letter to see a specialist in this field. After I have seen the specialist, I will go private to see if I can go back on HRT. Thank you for all your help.

Great video and very informative. I have been prescribed Oestrogel pump and 100mg Utrogestan. I am post menaporsal and have been for 4 years. I have been braving it out for the whole time. Today I decided this fake smile I have been carrying for so long needs to be a real one. The doctor was fantastic and I feel life can change for the better. My Question, how long before I notice a difference. Many Thanks

I wish I could get my Elleste Duet. Sooo simple to take. One pill every day is the simplest way forward. Thank you for explaining the way to take this system correctly. Two pharmacists were unable to advise me. The practice Nurse told me to take Utrogestan for 25 days.... but no further instructions. Thank you for explaining things.

I’m new with progestrone and estrogen tablets with no instruction whatsoever! My endo was described 30 estro. By itself…! Then I had to practically plead for the progestrone because it was dangerous taking just the estro. He then prescribed 12 prog. per 30 estro. From what I understand by doing my own research, you’re only supposed to take about 21 days of the estrogen and 12 of the progesterone simultaneously and then stop the estro for one week. Then start all over again, ongoing. Even the pharmacist did not know what to tell me and I couldn’t get ahold of the endocrinologist who prescribed this. I am 54 , full menopause, and had almost no estrogen in my body and the symptoms were outrageous. I am on lowest and feel a little better but still don t know if I’m taking it right. It seems like 30 was too many estrogen because I’ve read that the estrogen is only to be taken for 3 weeks with one week break. Am I hearing right that I can use oral progestrone vaginally?

Hi. I've been on ustrogen for over a year and have recently been suffering with really bad acid reflux which has sent me spiral into a very dark place. I was give a anti acid tablet to take but on investigation found out that it can limit vitamin intake. I'm very thin already and don't want to loose anymore weight. I'm 57, no periods, suffering with anxiety all the time. Is the ustrogen the cause of the acid reflux and if so what can I do? Im also using 3 pump of ostegel. Any advice would be greatly appreciated. 🤗

I am 58 and stopped periods for 3-4 years. 2 months ago I started bio identical HRT. 2 pumps of estradiol cream and 1 x progesterone 120 mg per day for 5 days , stop for 2. I had a period! Ugh! A light one, but it freaked me out a bit. I waited a week to start taking HRT again. I have reduced to 1 pump of the cream as I’m a bit afraid 2 may be too much? The progesterone is a capsule 💊 I don’t see how it would work taking it vaginally?

I have recently been prescribed Evorel 50 and Utrogestan capsules, unfortunately, my pharmacist can only provide me with the Evoral patches until receiving a new batch of Utrogestan, can I take the Evorel without the Utrogestan and if so how long can I safely do this for .

Has progesterone something to do with histamine? Can you suffer allergy like symptoms when taking progesterone?

Hi Dr Renee, so glad to have discovered you💗. I haven't bled for 11 years. Went on HRT 8 months ago. Patches. Had slight improvement of symptoms. . Then 2 months ago GP increased dosage to Everol 75 patches and also introduced Utrogestan 100( I take orally). 4 days ago I had a bleed and cramping, not spot but enough to be a shock!. Do you think this is normal?. 💕🇬🇧

I couldn’t tolerate DAILY uterogestan (100mg), continuously, even when taken vaginally due to it still causing low mood - so went to ‘alternate’ day dosing, vaginally (with a low dose SSRI added in) and I’m managing with that. On average though, it means I take 100mg P 3 days/week, which is 12 days/ month - IS THIS ENOUGH PROTECTION FOR MY POST-MENO WOMB? I’m reluctant to take provera/MPA as it’s synthetic P.s. I’m using 2 pumps oestrogel daily

You do know that women under 40 still can have these issues correct? I came to your channel for help, I had a Total Hysterectomy Oopherectomy and much more ...and have been having to use BHRT for 3 years now and I’m 38 this year. Thanks for excluding anyone under 40. Absolutely ridiculous and good this tells me you don’t know as much as you think or you wouldn’t exclude certain age groups. Thanks

Thankyou you are brilliant , you explained more than my doctor , I’m on continuous hrt and I keep bleeding but it’s because I haven’t gone through the menapause , and my xtra hormones floating around xxxxx thankyou x

Thank you for this clarifying video. However, I have some doubts that I will take to the nurse appointment next week, and I hope she will be able to answer this. I would like to post it here anyway. I was not reallly asked about my last period, it was a year ago, nov 22, but I had a brown spotting in March that cannot count as a period, it didn't last long either. So I believe that I should have been given a continuous regimen but instead they gave me evorel 50 sequi and I am on it since last October. My 3 months were completed last week and I never had a bleed. I took two tests privately, on at the end of month 2 and another at the end of month 3, and found out that the progesteron levels were below 0.9, even lower than before starting HRT, estrogen instead went from 44 before taking HRT to 250, therefore I am concern that I am not absorbing the progesterone and therefore not protecting the uterus properly. Am I right in having this thought? Many thanks in advance.

I thought the ‘everyday vaginal progesterone’ option is 100mg once every TWO days rather than everyday?

Hi Dr Renee so glad I found this. I have a myrena coil the end date was last month but struggling to find a doctor to replace it they are worried because of my age 57 it could pierce my womb so I’ve asked to be referred to a gynaecologist but could have to wait up to 12 months ! I asked for progesterone to protect my womb in the meantime but concerned how it would work as I won’t bleed whilst I have a coil , I have been prescribed ultrogestan 100mg should I take it ?

I am on the progesterone implant for contraception. I have Oestrogel and Utrogestan. What way would you recommend taking the Utrogestan as I’ve been on the combined pill for years and have a really light withdrawal bleed.

What about increasing estrogen, i think you need more utrogestan then, to prevent a bleed, because more estrogen will lead to.more thicker lining of the womb,?

Hi Dr Renee, thanks for this topic. I have been taking HRT since March this year. I started on the Evorel Sequi which was great but I didn’t like the plasters. So my Doctor put me on Estrogel and Utrogestan. Unfortunately I started the Utrogestan whilst I was away and didn’t take the dosage properly (don’t ask!), I found it also really tricky with when to start taking it and when to stop. Therefore the following month I just decided to take 100 mg everyday (rather than 200mg) however I really want a bleed and want to go back to 200 mg. Can I do this and if so at what stage? I do feel I have not got into a good routine of taking these tablets which is scaring me a little. Thank you.

The progesterone have to be taken in the #15 day or day one together with estradiol? (Day one of the period)?

Thank you for this information. Dr, please can tell me what the side effects could be if taking 5mg of Provera? I have been on Utrogestan and a 75 patch. Due to spotting/bleeding my Dr put me up to 2x Utrogestan each night to try to stop the bleeding. Unfortunately it didn't stop it and she said that it's just not strong enough for my situation. I am not wanting a Mirena so my only option is Provera tablets. I'm worried these might not be the best option, and I'm also wondering about potential side effects. Thanks for your help.

Hi Dr. Renée, I have started on HRT during peri menopause. Overall, I am feeling good but i think I have developed a progesterone intolerance. I have been recommended using the mirena coil but heard about the lawsuit in 2023 and the amount of money bayer had to handle because of the side effects. Is there another option? I am taking at the moment 200 mg of micronized progesterone every two weeks for 12 days and sandrina gel.

I'm 47 years old in perimenopause. I'm on the 75 estradiol patch with the Mirena IUD. I was on Prometrium but the doctor told me to stop when I had the IUD inserted. I don’t think I'm getting enough progesterone. I'm still having many migraines, night sweats and hot flashes plus just an overall sense of unwell. I started taking the Prometrium tabs that I have... one a night 100mg. Is this okay to do with my Mirena because I feel so much better? I also like having birth control and not having a heavy period every 14 days and Mirena provides this.

Hi Ive recently been fitted with a mirena coil to help heavy bleeding and previous thickened lining of uterus. Because mirena is synthetic I would prefer transvaginal micronised progesterone. Would this be equally as effective as having the Mirena for uterine protectuon Thanks.

I have been on everol sequi for nearly a year and now have a thickened womb lining so going for a hysteroscopy. Thought this would not happen but Doctor said as I’m peri could be my own hormones in the background so too much oestrogen! May switch after to mirena and gel. X

Dr rennee I was on the combined patch years ago .I'm 60 and felt much better on thst than the separate oestrogen and tablets or coil. Is the combined patch safe ?

Is there Utrogestan 200mg that is miconised? I did not get the 100mg but 200mg. In your video you emphasised the differences, and I m wondering if things have changed since 2018? Meaning that 200mg that I was prescribed is micronised and used for HRT rather then fertility treatment, which I don't need. Thank you very much in advance for answering my question.

Hi Dr. Renée! I am a 36 years old woman with fibroids and adenomyosis. I have made a lot of changes in my diet and lifestyle in the last several years, but I got this problem. The last thing I could this of stopping was dairy and sugar (the only sugar I was consuming was a little bit of coconut sugar in my organic coffee). Despite this after a surgery for removal of the fibroids, I got two new fibroids only a few months later which was too early... My period is coming on the 17th day in the last several months (so I do not ovulate), I have been bleeding outside of it as well. Obviously I need natural progesterone to regulate the period and prevent the thickening of my uterus. The issue is that the fibroids have a lot of receptors both for estrogen and progesterone. I am estrogen dominant and I take supplements to fix it. But the ratio compared to my progesterone is 54:1. I do not want to make the fibroids grow from the progesterone. Should I not take it at all or is there a safe small dose that will help without doing a harm? I will be grateful for your reply, because many books and studies have contrary statements. Thank you!

I've been on evorel conti patches for 3.5 months and suddenly started bleeding. 2 years post menopause. It stopped for a week and just started again. Doctor said it's normal, it doesn't feel normal. It's painful and I'm not sleeping well :(

I have watched many " What is like inserting IUD" on KZfaq. But they are all young women . Probably 20s or 30s? and they all said It was horrible and so much pain or gained weight ,cramps, acne..... I am postmenopausal woman and have been thinking about IUD for HRT. But those stories make me so scared to try IUD. I would like to know If experiences are different for older women??

All woman need progesterone. Uterus or not. I wish you guys get your information correctly

Thankyou x

HELP PLEASE. I can't take progesterone. It causes suicidal depression and extreme heaviness and fatigue to the point I cannot function with even small daily tasks. I am great on estrogen and my brain needs it as without it, it's like I have dementia, but have the risks of cancer. What can I do? I am post meno. Have tried micronized and bio identical tablets and creams.

Thank you for this video. I'm a 45 year old women and gave been on cyclical hrt using sandera and utrogestan. I was getting a bleed every month but for the lat two I've had no period. Is this a cause for concern?

Hello, I am 56, still have my uterus and have just started on HRT. Initially on the combined patch femseven conti and then asked to change to body identical so now I am on Progynova 50mg patch an Utrogestan 100mg. I cnat take the utrogestan orally, it makes me crazy! So started taking in vaginally every other night, but I am having a light bleed but with terrible period pains. I am going to go back to taking it every night vaginally to see if that stops the bleeding and the pain. It is mostly old blood, dark in colour. Dr Newson says every other night which is why I decided to take it that way. Am I doing the right thing going back to every night? I had a coil for 7 years and it was taken put in 2020. I didnt have a bleed at all in that time and only started HRT in Jan 22. I very much look froward to hearing from you. My Gp (Lady) is not in the surgery for a month so cannot talk to her. Thank you Heather

You need progesterone if you enjoy having your bones not turn to sand.

I had an operation 4 years ago to remove my overies & still have my womb. 3 1/2years ago I was put on Evrol Conti patch and have had a monthly bleed. Just had a scan done & all is good, lining of the womb lovely and thin. to stop breakthrough bleeding Doctor has prescribed me Evrol 75 & Utrogestan continuous HRT. So I have no bleeding. I’ve only just started day 4., and im bleeding , but understand this should settle with in 3 months ?

Hi there, thanks for this information, it's very good. The last period I had was about 3 months ago when I stopped taking femostan which I only took for 3 months, it caused me to bleed monthly which I wasn't happy about as my periods were slowing down to about 4 monthly. I'm 49 and been going through the perimenapause for about 5 years. I heard about taking hrt cyclicly and body identical hrt, so now I have Oestrogel and Utrogestan 100. Today I took my first dose of Oestrogel, I want to take the progesterone 3 monthly but don't know whether to wait for the 13th week or to take it this week? It's like the beginning and the end of a cycle are the same? What do you think please?

This was a great help Dr. Renee! One question: I'm not doing well with the dizziness that comes with oral progesterone. I'd like to try it vaginally. But do I need to pop a hole in it or anything or will it dissolve on it's own vaginally the way it does orally? Thank you! ;-)

I've just started HRT,(2 weeks ago), I'm coming up 65, have put up with the constant hot Sandrena pack says take for 12 to 14 days, so I was very confused. So glad to have found your vlog and which explained so well. The flushes seem to be easing but I now have a continuous discharge which is worse than the flushes and other meno symptoms. Is this something I will have to put up with?

From what you say would not women just need to take a break from estrogen every month instead adding too much chemicals ( progesterone)?

I have been on daily progesterone for nearly two months now. The first month I had a normal period, which lasted around 7 days. I'm into month two now, and I've been having light to moderate bleeding for two weeks . Also I've increased the estrogel this past 3/4 weeks. I really feel lots better with taking the progesterone daily. Rather than every two weeks. But is it quite normal to have the prolonged bleed on daily. I imagine my body must still be adjusting after being on the cyclical for over 12 months

Thank you for this blog I’ve just started HRT at 64 and you’ve answered a lot of questions I had. I have one query that may not be possible to answer but here goes 😊 is it better (safer, for eg to prevent BC) to use Utrogestan vaginally rather than it going through the liver etc when taken orally. I am learning so much from your videos, they are so clear - your a star ⭐️

Dr Renee, can I burst the utrogestan capsule and take it orally. I’m on sequential regime. I can’t invest the gelatine.

Hello dr Renee.can I take prognova sublingual and how many doses is required.there is only premarin or prognova tablet form is available no patch no gel.so i want tablet don't go through my stomach

Which would you recommend for peri menopause? Progesterone bc tablets or progesterone cream? These mood swings and skin changes are like walking thru the 7 gates of hell and I feel sorry for anyone who is in my path 😂

I have had a full hysterectomy and I take Progesterone

Hi doctor put me on estradiol gel and put me on noriday mini pill but he didn't tell me how to take them how do i use the 2 together

I'm on a 100mg progesterone tablet and two pumps of estrogen gel per night. I'm a life long endometriosis sufferer and I've been struggling with menopausal symptoms for three years . My Dr started me on hrt 3 weeks ago and felt wonderful for about a week and a half ...after that I started to feel very tired and then 3 days ago started a heavy period . Any advice very welcome 🙏

Hi dr renee. Recently had the coil out as it was in for nearly 5 years . I didnt want another one as it was so painful going in . Been prescribed the tqblets but different brand , can these still be ised vaginally ? Also i found it easier using the combined patch but is this not as safe as the patch and tablet's? Im 60 and came off it after the coil came out but am burning up all the time so need to go back on HRT.

hi Dr. i am in Canada and taking Estrogel (17 - estradiol 0.06%) and Prometrium 100mg, i was prescribed to take one pump of the gel and 1 prometrium pill, however my symptoms are not totally gone so my question is what if i take two pumps of the Estrogel and if so do i need to increase the prometrium dose? please help my family Dr. thinks one pump is enough. i just need to know the correct balance for the two hormones. thank you so much for your vlog.

I have found taking utrogestan orally causes side effects. You say that I can take it vaginally 100 mg every day however another well known clinic online suggests using it every other day. I’m confused can you help?

Thank you so much for your reply, I have responded in the below conversation. It seems like very hard work to try and get the answers I need which is why I have asked your opinion. One thing I am still unclear about regarding Utrogestan. I have taken my first dose this week on the 15th day and will continue until day 26. If I was to bleed early before finishing this month's Utrogestan, would I count my first day from that bleed, then wait 15 days before starting the progesterone again. Alternatively, am I supposed to be creating a cycle by having a diary of blocks of 28 days on which I start the Utrogestan on the 15th day of each 28-day block, and not worry about the point at which the bleed falls? Sorry if that sounds confusing, but I am not clear on how to work out the next 15th day for progesterone if the bleed is at variable times. Thank you😀

Hi Dr Renée. I would like to move from cyclical to continuous progesterone. Could you advise how to go about this? Do I take my 200 for twelve days and then simply switch to 100 every day or do I need a break? My French GP is not up to speed I think as she prescribed 200 mg per day for continuous. However as I am new to HRT and my last period was last August I started on cyclical. Many thanks in anticipation.

I’ve read that progesterone improves bone health. Is it better to take it systemically or locally?

Is progesterone cream harmful or beneficial if someone has varicose veins?

Dr Renee hi I’m in full menapause Please help I am on bi est compounded oestrogen I want to get onto oestrodial patch only Can I take my micronized progesterone 100 mg With the patch It’s Not utrogestan. But the same Micronized from the compound pharmacy My Gynae is not a meanapause specialist says I have to use mirana coil she says I can’t use tablets This is not true ?? Pls clarify

DR Renee, I am wondering, if you take utrogestan vaginally in the sequential method, would taking 1 x 100mg capsule day for that duration be enough to do the job of shedding the lining of the womb, as oppose to taking 2 x 100mg capsules? If 2 x 100mg is required for the oral dose but some of that is naturally broken down by the liver and doesn't get to the uterus where it needs to be, is taking 2 x 100 mg vaginally actually necessary? I'm thinking this could be a way of avoiding possible side effects caused by the higher dose? I can't ask my GP because she isn't up on this subject, she didn't know about taking it vaginally.

What if I’ve had an ablation? Do I need progesterone with my estriol?

Hello dr, When using the progesterone vaginally as you mentioned instead of orally is it ok to use vaginal estrogen at the same time?

I'm on sequential HRT but I haven’t had a bleed in 3 months. Why is this?

Thank you for your informative video about taking progesterone. I’m PM and not had a period for 5-6 years, I started 12 months ago on 2 pumps Oestrogel and continuous Utrogestan with no bleed but had to swap to patches because of the gel shortage, I was put on Evorel Conti but after 5 weeks I had a bleed which lasted 5-7 days and I get them every other week, I’ve been on the patches 3 months now. Can I take Utrogestan as well as the patches or should I ask to swap to Evorel 50 with Utrogestan, I tolerated Utrogestan quite well. Thank you so much.

I am on .075 estradiol patch and 100mg oral micronized progesterone continuously/daily. I feel like I could use some additional help sleeping. Is it ok to take 200mg OMP every day or would that be too much? I can only find protocols for 100mg continuously or 200mg sequentially. Thank you!

Question if you are on 3 pumps of Lenzetto is 100mg of utergestan enough??

Hi dr Renée, I am progesterone intolerant, I had patches which were awful , I am currently on utrogestan tablet and Estrogel ..whilst better than patches still not great . Two hormone hrt doctors have suggested I try merino coil as it’s localised . My concern is it’s synthetic levonorgestrel ...which was also in patches . It’s a complete nightmare . Should I stick with my current hrt as it is better than patches or give mireno coil a go . What would you suggest for women experiencing progesterone intolerance in hrt ? Would be grateful to know what you think . 💕

Hi Dr Renee..Thank you for clarifying how HRT works.. I had my last period 11months ago and have been taking estrogel(2 pumps per day) and 100mg utrogestan vaginally for 4 weeks..I started bleeding yesterday..Should I continue with the utrogestan? Thank you in advance..

Hello Dr. Renee. I am 43 years old and started experiencing peri menopause. I understand that I still need contraception but I know that my estrogen is low. I have been on Yaz for 10 years and really loved that pill. But now that my own levels are low, I feel like it’s not enough. Going up to 30 mcg of Ethinylestradiol seems to cause low moods, low libido and bloating. And Yaz doesn’t cut it anymore as I get light heart palpitations and a strange feeling in my knee joint. I also read that Ethinylestradiol doesn’t bind to the estrogen alpha and beta receptors the way Estradiol does which explains why it feels a little “off”. I tried a patch 0.1 mg of Estradot with 100 mg of Utrogestan. I cramped and bled for two weeks straight, it was really hard. But at the same time, apart from these uterine side effects, I felt amazing mood wise. And I am afraid of mini pill due to being prone to acne and hair loss. That’s why Yaz worked so well for me. My question is, can I keep taking Yaz but also supplement my body with more natural Estradiol by wearing my patch but cut to half a dose, 50 mg instead of 100. If Utrogestan didn’t hold the endometrium that well, I wonder if drospirenone 3 mg will as it works in Yasmin. And Yaz and Yasmin have the same amount of drospirenone. So topping up 20 mcg of Ethinylestradiol with 0.50 transdermal Estradiol patch to get the benefits of the hormone that binds to my estrogen receptors like my own Estradiol used to do would be an ok idea or not? Since it’s transdermal, it’s still better for the liver then going up to 30 mcg of Ethinylestradiol in an another OCP. Am I on the right track at all? My doctor doesn’t feel comfortable with this scenario but they are all afraid here of prescribing hormones. My gynaecologist is 55 and she has been taking Yasmin back to back since 45 and that’s what she recommended I did. It didn’t work at all, Yasmin is so strong. Do you see my logic? Thank you very much for your help with everything you do for us!

I’m in the USA. I just started a combo patch for HRT I haven’t had a period 3 yrs. The issue is I’m having bleeding. I was worked up for endometrial issues a year ago for some mild spotting and it was negative. OB thinks it estrogen related. I want to just get an IUD. She uses the brand Lilletta. I’ve only heard physicians talk about Mirena for HRT IN Menopause. Is a different brand IUD okay?

Can you point us to the video explaining who needs to bleed? I can't find it specifically.

Can utrogestan taken daily 100mg make you feel depressed. I started this way four days ago after sequi for a year and have been crying and nauseous ever since. Should I stop?

Diagnosed with both endometriosis and early menopause. I am prescribed 200mg of Progesterone with 2.5mg of Estrogel for continuous HRT (previously on Femoston). Is it overdosage? In your video understand only 100mg of Progesterone is required for continuous HRT. Thanks!

Hello, if I am prescribed hrt on day 18 of my cycle can I start the patch and insert the pills vaginally from day 18 as I noticed you did mention a few times it has to be days 15-26 but can it be days 18 -29?

Thanks 🙏🏾

Hi there, Thank you for doing these videos, it's great to be able to find things out, GP's don't really know a great deal about the subject, though mine is quite happy for me to do the research and tell him what I would like to do. I do have a question if you don't mind. I'm 51 years old, went on Femoston 1/10 last September, after having periods every 4 months for 18 months, I then changed to femoston 2/10 in January this year , I was always worried about the risk of clots etc so Ive just gone on to estrogel & utrogestan, really enjoying it and I wondered can I move over to continuous this september , when I will have been on some form of hrt for a year , or do I have to be on estrogel for a year.

Hello doc, I am 47 been on continuous hrt since 4 years, estrogen gel 2 pumps and utrogestan 200mg as per my gyn instructions, but recently I've started to have more anxiety so I've switched to another gyn, she prescribed me utro 100mg she said I don't need more & I even can use it as a sequential 14 days on & off but I don't have periods anymore after 1 year of using cont. hrt, I think it doesn't make sense. I need your advice plz!

I was told to do vaginally be abuse I was so groggy but just every other night. Now after 2 months I’m cramping ( no bleeding) I’m really worried I’ve got a build up?

Thank you for your advice . I am post menopausal 2 y now, and after some research I decided to try HTR, my GP prescribed Utrogestan 100 mg capsules at night. I took these orally for 6 days now and have side effects - I feel bloated and have pain in my ovaries . Can I use the same med viginally ? It does not say in leaflet that I can.

I always turn to your videos when I have questions I’ve been on HRT for a year 0.5 patch and micronized progesterone 100 mg the problem is my lining has built up and now I have to get a D&c OB/GYN suggested an IUD. I really don’t want to go that route do you have any suggestions on how, I could help my body absorb the progesterone bloodwork says I only have .7 progesterone, which is hardly anything. She also suggested I get off HRT and take anti-depressants, which is ridiculous Needless to say, I’m switching OB/GYN after the D&c

Hi, your vedio is very informative. I m 46, my last menstrual period was on 12 aug 2019,i missed 2 months, having terrible hot flashes, night sweats, insomnia nd other menopausal symptoms. Can I start with premarin 0.3 and take vaginal progestrone 200 mg for 1st 12 days nd then take tab premarin for rest of the cycle. I wud like to bleed. I m taking very low dose of premarin becoz tab yaz gave me melasma, so I want to go slow.

Hmmmm...if you no longer have a uterus, you still need progesterone to counteract that 'excess' cortisol that prevents a good night's sleep now that every hormone is now out of balance.

Hi i very suddenly experienced severe hot flushes,anxiety,panic attacks depression wow I thought I was going mad, I was put on anti depressants and evorel sequi.I was in such a state after the doctors appointment I just stuck a patch on without reading what to do .....I thought they were all the same patch.... six weeks later i begin to feel like the old me ...no not flush of anxiety ....I go to the chemist to collect my owed patches the pharmacist explains why they are 18£ as they are two different patches oh i said i didn't know that so now I'm doing them properly i have noticed this last week on evorel conti I've had a big dip in mood hot flushes and anxiety ..what do you suggest I do I really don't want to go back to that dark space i was in its scary. Thank you