I'd not had periods for a year but my symptoms were horrendous, my male GP put me on Femostan - after 5 years I finally saw a lovely GP who said as I'm overweight and 52 that I shouldn't be on Femostan, and that I'd had my fair share of periods so put on on the continuous regime with oestrogel - oh my goodness, the difference is incredible! I absolutely love this new HRT and feel like a new woman again
This is so encouraging to hear! I've been struggling terribly on femoston, gaining weight, emotionally ruined and tired all the time! I've just been changed to the same as you so really hope I feel a difference. Thankyou for sharing
@@custardgirl I was awful in it also after a few months I was worse off. My inkh symtons were tiredness and irregular periods. Now I am in the Estradiol and Progesterone and felt awful. Waiting in a priavte consultant as there does not seem to be a right answer.. I have since developed loud tinnitus. Glad you see feeling better. I am hoping the right HRt will take the tinnitus away x
Thank you very much for this. I've been on a regime of oestrogel and Utrogestan for around six months following early menopause due to chemotherapy. I'm very sensitive to progesterone emotionally and wish I didn't have to take it but your video was reassuring that in time it may become more tolerable. It's good to hear that dropping the dose cyclically is also an option. You do great work - early menopause was feeling so lonely!
So you had cancer and chemo and yet are allowed to get onto HRT? I want to as well but my GP refused to prescribe me. Chemo messed up my periods and now I am also post menopausal. May I know if your cancer was hormone positive or negative? Thanks.
@ankavangemert934 Hey there, Few months ago, another GP (female who specializes in women and sexual health did prescribe oral Prometrium and estradiol patches and I was on it for about two months but the side effects were so so bad I had to stop everything and let the hormones clear from my body. After that I felt way better and then I decided to try IUD (by another female GP) but the progesterone in it actually does travel around the body but to a lesser degree. I actually feel the side effects - tiredness, jittery, anxiety and the worst is brain fog... I thought HRT will help me with post menopausal symptoms but it (here it is Progesterone in the IUD) actually seems to make me worse. I am currently not on any estradiol patches as the side effects are awful even on low dose. I think I am very sensitive to the hormones.
I was taking 2x100mg cyclical orally in the evening,this literally tranquillised me,which is obviously good for knocking you out to sleep but I felt bit foggy in the morning and it caused PMT and headaches..so my specialist recommended 1x100mg vaginally at night cyclically,so no sedation and closer to womb as I take Estrogel also,this helped reduce pmt and headaches.Thank you for this detailed video it’s a massive help as not all GPs are trained in HRT menopause and for people who can’t afford private care.
This is good news that its working for you 👍 I'm a bit confused about the latest guidelines for cyclical progesterone. Apparently now we have to use 2 x Utrogestan vaginally? Xx
Thank you, I started this nearly three weeks ago and have had all the side effects mentioned including feeling groggy in the morning, but they are just starting to ease in the last couple of days so don't give up .
Woman to Woman~Thank you for sharing your wisdom as it made a BIG different in my treatment. Patience is a key factor you expressed which helped me tremendously. Thank You!
Brilliant video. I’ve been nearly 3 weeks on Everol 50 patches and day 5 of Progesterone. This morning the side effect were awful and i could barely function/think on the school run. I phoned surgery and got a call from the duty doctor who really didn’t have a clue. I asked if i could take it vaginally, and he said he’d never heard of that, and gave me something synthetic. Needless to say i’m going to start it vaginally tonight instead of orally and get a second opinion. Its never good when you know more about what you are asking for than the gp does! Its so frustrating.
I had a similar experience, I have a mirena coil fitted which it has progesterone, I was on patches with progesterone - not needed!! My GP didn't even ask about the coil I sorted it out myself! Now I take 100 estrogen only patches.
This was a very helpful and informative video. I found it fascinating to hear about the origins of the tablets and the effects of it. I had been on a synthetic HRT for a very long time, and a new GP suggested these tablets and oestrogel gel. I was reluctant to change but recognise the reduced risks, and it had been straightforward. Thank you for making the video. Sarah
Thank you so much for this very informative video! All my questions answered and information I didn’t know I needed! I wanted to change how I was taking my HRT but my GP didn’t know any other variation snd so referred me to a Gynaecology Clinic with a minimum 4 month waiting list. I was honestly at the end of my chain with constant migraines - now I know there is some variation I can try - thank you for giving me hope
@@rubyturner8978 I take it for 12 days every other month and have a short withdrawal bleed. It works far better for me maintaining a cycle and having several weeks on oestrogen only.
A video on the alternatives would be fantastic! Finding a GP that knows about HRT is hard enough finding one that knows about alternatives (other than a coil) is impossible! Like me, I'm sure there are lots of women that want cruelty free medicines and not just homeopathic remedies as alternatives but don't know where to find the information when the GP doesn't even know :(
Brilliant video. Thank you so much for the information. I nearly gave up on this. No trust in doctors anymore!! I read the leaflet inside and was totally baffled. Fingers crossed it really helps me 🎉🎉
Thank you so much, this has been very helpful. Started Utrogestan a week ago and only side effect so far is being very groggy first thing on a morning, but enjoying sleeping better through the night than I did before HRT.
Thank you so much for this video, my GP (a trainee) was so confused about what to do with me. She gave me so many mixed messages. Thanks for clarifying! My periods are so irregular now and causes my PMT to just drag out and agonise, I will try the two weeks on and two weeks off method.
Hi Iv just started this regime, so just to clarity you stop taking Utragesterone at day 14 then start again exactly 14 days later regardless of when your cycle starts?
Bio-identical progesterone does so much more than is explained in this video. It helps protect the brain, the heart, the breasts, the skin and helps the body use fuel for energy instead of laying it down as fat, and the list goes on. Though oestrogen helps slow down resorption of bone minerals, progesterone helps build new bone helping prevent osteoporosis and its associated fractures. Long before menopause the production of oestrogen drops by 40-60% but progesterone production drops to almost zero. With a normal menopause the adrenal glands take over production of oestrogen and our fat cells produce it as well creating an imbalance. There are also what are called xenoestrogens in the environment that add to the imbalance. With a surgical menopause, which happens after a hysterectomy, hormones are lost immediately and progesterone is needed just as much as for those going through a natural menopause.
Sorry, I don't think that Dr. Newsom would agree with this. Progesterone's only real purpose is to support pregnancy and keep the lining of your uterus from growing out of control and becoming cancerous when estrogen is present. I know there are a lot of naturopathic doctors who tout what you're saying here, but those are the same people who are prescribing unregulated compounded hormones.
My GP has been infuriatingly useless and non committal to the point of ignoring my HRT needs. When I asked the NHS gynaecologist why the uterus was thicker - she said she couldn’t answer that. The NHS continues to follow outdated procedures re addressing patient concerns and mark their own homework - this siloed working does not suit the patient. It is like speaking to an alien about MY BODY which makes me feel really uncomfortable. I paid privately to have an adult conversation about my post menopausal problems and options. I came on here and the answers are all here. Thank you….I am going to try every other night and hope the 12 week bleed I had from a polyp has gone as they removed it yesterday!
I tried this with the gel, and I had awful depression, my boobs were really sore, & I had a continuous smelly discharge! I'm glad to hear that it is working for some women.
Excellent video and my GP virtually explained the same way which is comforting, I agree about the leaflet inside you can tell pharmaceuticals are covering their butts for all side affects known to man 😀 . I agree with your 4 x B side affects amd mine are mild, I am a continual HRT taker and it’s been a life saver, getting sleep has mended other issues like anxiety, interesting that people said groggy in the morning glad I am not alone I feel this but having sleep out ways this, love the support this Chanel gives , people can cherry pick ❤️🙏
Thanks so much for this. I started feeling low again but I didn't associate that with this medication. I'll stick with it, easier knowing it's a known side-effect.
Thanks for this. Very informative and extremely helpful. I've got an appointment with my GP today to discuss Utrogeston, although I'm not sure if its available yet or being offered to women in Scotland! 🤞
This is very useful. I'm struggling with Utrogestan, in fact any progesterone I've had over the years. I've tried taking it orally 200mg for 14 days, vaginally for 14 days. Now taking 100mg for 25 days....2 weeks in and I still feel dreadful. After watching this I will see a specialist to ask if I can take it every other night.
@@jessicahitchens6926 gynecologist said it had to be 100mg daily or 200mg daily for two weeks each month. I don't get on with any progesterone unfortunately, but still have to take it
Hi there, I have been on HRT for three months now - Evorel 25 and 200 mg Utrogestan capsules. I put a patch on each Friday night, then change to a new patch each Monday night. I was told by my GP to take the Utrogestan for 12 days, day 1 to 12 of each month, as easier to remember. When I first started this treatment I didn't have a period at all, even though I had had regular short periods before. I did have a period in the second month but I am now awaiting my third period which is very late. Is this normal? I must also add that I now suffer with back pain and cramping leading up to a period whether it happens or not. This is something new to me as I didn’t suffer with any period pain previously. In addition, I do suffer with very sensitive breasts, I actually wince if I brush them accidentally. On a more positive note, my sleeping has improved greatly and the majority of my aches and pains have gone away, meaning that I have a new found confidence in joining a gym. I am just concerned about the frequency of my periods plus breast tenderness.
I took utrogestan for 8 months alongside estrogel. I took it at night 3-4 hours after eating. I was like a zombie in the mornings. I started taking in the morning, and that was better for about 5 weeks then I started getting anxiety. I carried on a few months. Tried it vaginally, continuously. Nothing took the anxiety away. .I'm now on patches which seem to suit me better so far
I used to take mine in the morning ans didnt realise they were meant to take at night. I started at night and used the one a day method for 25 days and 5 days off I felt like my head was starting to fry. It was awful. I may ask about patches x
How is your anxiety now? I was taking the utrogestan, both ways but am sensitive to progesterone. So on evorel conti patches. The anxiety and panic attacks are awful, I’m hoping it goes soon 🤞🏻 I hope you’re well now.
Why wouldn't pv utrogestan be the primary choice? It's getting the drug directly to where it is needed, without the guesswork of how each individual will digest and metabolise the drug? We all have different gut biomes and different versions of liver enzymes.....seems to me this approach could take some of that guesswork out of the equation. I don't need anything to zap my energy, as I don't have enough to go around, I also dont need sonething that makes me moodier than I already am. I'm hoping PV Utrogestan will protect my uterus and stay out of my wider system. Thank you for the clear guidance in the video.
I found that Utrogestan taken orally keeps me awake! I was expecting a sedative effect, but instead I wake up at 2 am and cannot get back to sleep. I feel totally wired on this drug.
Just been told that I need to take 2 utrogestan tablets ever night now without a break and 6pumps of gel as I’m not absorbing very well and I feel absolutely terrible and hopeless 😢
Hello, thank you for such an informative video. I have just been prescribed Oestrogel 2 pumps per day and Utrogestan 2 x 100mg for 14 days. I have not had a period since June. I am planning to start the Utrogestan this evening. So would I take it for 14 days, then 14 days without, then 14 days on again? Is it a continuous cycle of 14 days, even if a calendar month is 31? I hope this makes sense? Thank you
I have exactly the same question. Just starting oestrogel today and was told to wait to start utrogestan on first day of next oeroid day 1 to 14 then 14 data off. Won't run a typical monthly cycle. I looked everywhere for this information as my pharmacist didn't know. Why is this basic info not known
Hi...I started the gel 10 days ago and I'm on the same cycle as you starting Utrogestan 2 x 100mg orally on the 14th day of the gel and take it til 28 day of the cycle (which is 15 day)... the only answer they could not give me if I need to have a gap of the Oestrogel or to use it continuously? So confusing. I'm feeling bloated and having stomach cramps really bad ones literally every day all day long..its really depressing,don't want to go to work...breathing really heavily gtom this bloating :(
I'm taking Utrogestan on a cyclical pattern. I take my first two tablets at night, two hours after my last meal. I take it for 14 days (then the packet runs out), 14 days off the tablet ,(when you would re-order). It doesn't matter how many days in the month, start it as soon as you get it and mark the days on the calendar
Perfect 👍🏽 thanks so much! I am unable to digest gelatin so I’ve been taking the capsules orally but not ingesting the gelatin caps. Any thoughts about this?
I'm spotting and bleeding on the mireena coil and 100mg estadot, menopause clinic suggested a scan a d if all normal then said I should take utragetran to help with my bleeding and sleep anxiety
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I tried utrogestan and it really did not agree with me in any way at all and def didn't help me sleep and hurt my stomach. So I got a progesterone cream instead and it's brill.. I'm on that and oestrogen gel and all good and you can control it. If oestrogen can be absorbed through a gel so can progesterone. Deffo works for me.
Hi this is what I would like to do , what is the name of the progesterone cream and can you get it from the nhs or did you have to get it privately and pay ? Thanks
I sincerely would have a soundscan asap to check if the womb lining isn't thickened. Transdermal progesteron is very difficult to absorb and if you're not taking up enough the womb lining will thickened. Setting the stage for endometrial cancer.
Hi its says to take utrogestan on a empty stomach but I've not really been doing that as I eat quite late and ive been on it for about 4 months. I don't think I've had any side effects from taking with food but am I putting myself at risk having them with food or reducing the effectiveness of these tablets?
Late-eater here too wondering the same thing! I heard (!) you take on an empty stomach to help with absorption of the drug. If taken after eating it's not absorbed as well. But don't take my word for that!! It 's an info minefield all of this!!
Been on utrogestan for 2 months I’m 37 taking evening before bed 200 mg capsules 100mg each / but I have a continuous bleeding .. feeling very low / ,, depressed / my I address to my gp what I’m currently going on .. suggested to take 2 morning and one evening to see how my symptoms ease ! Any advise here pls
Unfortunately had to stop HRT because I'm just a psycho moody mess on utrogestan, orally or pv, cyclic or continuous and have also tried an alternative brand of progesterone with same effect. It seems to trigger PMDD sx in me. I'm lucky I recognised it in time to save my life and my marriage.
Iv been on a merry go round for 18 months now with all the different combinations and I’m still on fire at night . It’s so annoying and all those side affects. Some of them literally put me to bed with the sickness
Has anyone found puffy eyes and kind of head congestion/allergy feeling? I've been on progesterone since last fall and have had it all along. It's worth it, but not nice looking!
Hi, i just started with Utrogestan tablet at night orally and oestrogen gel and developed very puffy eyes to.. i stopped all the meds and not sure what to do now..
@@tashtash8834 I have adjusted, it takes time. Surprisingly, I think progesterone was possibly a more challenging adjustment than anything else. I also found that my thyroid was" borderline " so the doctor prescribed armour thyroid and after a good number of weeks my puffiness went down substancially. All in all, I'm finding it has taken many months, 1+ year to get it right and my body to readjust. Don't give up , hang in there, takes a while for some of us!
Hi yes on the 3rd day of using the Utrogestan ( not taking it orally) I wake up with puffy swollen eyes and face. I'm hoping these side effects go away with time as the oestrogel part has been helping.
I am now changing from Evorel Sequi back to the gel and Utrogestan. Information from various GPs has been hit and miss. I have an appointment with HRT specialist in August but need to know now how to transtion. I have one patch left which should be put on tonight. side effects have been so bad I don't think I can face it. Do I stop now and go straight in with gel and then wait for a bleed to start Utrogestan (vaginally) or take a Utrogestan to REPLACE the progestrogen in the patch (up until I would normally start a new pack of patches? there is literally no adivce, no one at surgery seems to know and he Menopause Matters website seems to be down...
If you're going to start estrogen gel, you should make sure you were opposing it with progesterone. At least until you've had a chance to discuss it further with the menopause specialist.
I am on the gel pump as well with these and I have to up the pump to 5/6 pumps should I take 2 100 mg of these instead of one . Doctors is shut for Easter
Thank you. It's all so confusing. I've just switched from patches to oestrogel and utrogestan. I messed the first month of my patches up due to confusing instructions. Then I get utrogestan and it says day 15 to day 27. It's bad enough having a perimenopause brain let alone confusing instructions 😂
@@victoriasantangelo I'm in my 6th month and this is the best I've felt in years. I do 2 weeks on and 2 weeks off on the utrogestan, that's the usual regime if you're still having periods. Unless you're on continuous progesterone.
@Rockabela Are you still having periods? It appears that you are on continuous HRT, which I'm on now. It's where you do have oestrogen and progesterone every day, usually when your periods have stopped or your doctor has chosen that continuous HRT is your treatment due to your age or other reasons. All women eventually end up on continuous without breaks , it's to try and eliminate monthly bleeds because no woman wants periods after menopause, though in the early days you can gets a bit of bleeding but it should settle down.
I found the video very helpful but a little confusing. My GP has told me to take two tables on an evening (I take 4 pumps of gel) but I am feeling like a zombie the next day. In the video Dr Bell said to take 1 tablet which I was previously (when only taking 2 pumps) and although a little tired the next day I would function. May I ask which is correct - is it one tablet over the 28 days or two tablets? thank you for any advice/guidance you can give me
Thank you very much for this info. I am glad i found you. I can only get the round white Prometrium gelatin caps where I live, but i have a big problem with them. I have taken them for 2 months now, orally, but after one hour i feel totally drugged and dizzy unable to even walk, and i get nightmares during the night and cannot get back to sleep, once i wake up. I cannot continue like that. My MD or pharmacist have no clue what to do. I tried the vaginal route, but i think they did not absorb, because the next day there was a white creamy discharge on my panty. I read somewhere that these round hard shelled caps can also be used rectally. Do you suggest that? Would it help to pierce the round capsule open before inserting, so it gets absorbed better. Thank for any reply.
This wrecks me when taken orally. I can not sleep at all,fuzzy in the head and feel like I am brain damaged the next day . Anxious and nervous. Tried them vaginaly and felt pretty good. When I started to inform my doc I was doing this she would not even let me speak and basically said orally only, she won't budge on the licensing. And wont even listen to my side effects. She then put on the tablet form saying the low dose was better for me...I had the worst night ever and have sat in a chair literally all day in pain and so so tired . I am going to see a natural path dr . And don't worry about the white discharge it is the pill casing that the vagina releases and the oil packed progestrone stays in the vagina and the uterus where it belongs. I am inserting 100mg every second day. I am post menopause. Good luck to you. I am wondering if this method causes yeast tho. Estrogen and testosterone love me ..what a bloody shame progestrone has to tag along too. Blah.
Very informative,Thank you. Decided to stop braving it out and started HRT yesterday. Have been post menopausal for 3 Years. I am not sure how long before I notice any difference?
I’ve just started with utrogestan 100mg and the gel. It’s only been a couple of days and haven’t seen any difference yet. How are you getting on with it? Have you noticed any weight gain? Also which gel are you using?
@@mandymandy7225 Hello Wendy, I started to notice a difference after 2.5 Weeks. The biggest change I am having is sleep. I have not slept through the night or had a comfortable sleep for 3 years. I can’t believe I am sleeping and it feels great. I can’t say I have noticed any change with any thing else. I am still feeling a little Flat, no sex drive, dryness and aches. My doctor has increased the gel to two pumps with a view to review it in 3 months time. I can’t say i have seen any weight gain, fingers crossed. I am taking two pumps of the Oestrogel. The GP is more than happy to increase the pumps if needed. Hang on in there, are you having many symptoms? Thank you so much for the message , I do hope it works for us both, Take care,
I started HRT Estrogen two weeks ago and Progesterone I week ago vaginally but got Trush my taking it that way so now have started taking it orally I hope I don't get side effects. Also I was prescribed only two weeks of it even though I have had no periods for a few years I think I should be on continues
Hi, thanks for your informative video. I am just about to start HRT for the first time (am 57) and have been given Utrogeston 100 and Lenzetto transdermal spray. It looks like I should be taking the Utrogestan in the evening - can I use the Lenzetto in the morning or should both be taken together in the evening?
Hi I'm on this post Menopause one can help with sleep I been on it 9 months but was taking wrong I'm now taking 2 capsules at night so hoping it will kick in 🙏
Thank you for this video. I have been on the Depo-Provera injection for around 20 years, and the last two months have been on 2 pumps Oeastrogel and two Utrogestan tablets on days 15 to 26. As I have not had a period during my time on the Depo injection, would I really begin to have a cycle and start having periods? I’m now 49.
Very informative , id like to ask for post menapause women who have had a hysterectomy in the past and have osteoporosis would they be a benifits to taking utrogestan along with estrogen patches ??
Progesterone does nothing for osteoporosis. If you don't have a uterus you don't need progesterone since it's only action is preventing endometrial cancer
I had awful side effects of taking this daily I was so tired even after having 8hrs sleep 🙁 I tried it internally and had a period for the first time in 6 years 🙁 is there an alternative to try.
Thank you, Dr Ball. This was very informative. I am on Evorel 75 and Utrogestan capsules, but have recently asked my NHS GP about Prochieve sustained release micronised progesterone gel, which I understand can be used as HRT in the 4% version and this avoids taking the higher dose of progesterone that is necessary in an oral capsule, due to much of it being metabolised. I have had some side effects and therefore would prefer to be on a lower dose. Also, I hope to be able to continue on HRT as long as possible and therefore it seems sensible to be on the lowest possible dose of progesterone. My GP says he will not prescribe Prochieve, as it is not licensed, however, he has referred me to a Menopause Clinic. I understand his point of view, but from what I have read, this seems to be a very safe way of taking body identical progesterone. Is the reason the NHS has not licensed it down to cost? I wondered what your view of Prochieve gel was. Thanks.
@@essanjay8604 Thanks. It's good to know that it's available. I know it is likely to be messier and less convenient, but my main concern is the strength of the dose of Utrogestan, as it needs to be stronger if taken orally. Therefore, even if I use it vaginally, I am taking a higher dose than I need to. If I can get a type of micronised progesterone that is a much lower dose, I would be happier taking it and especially so in the longer term. I'm willing to put up with the inconvenient method of use. Prochieve gel is, I understand, a much lower dose that provides the same level of uterine protection.
Sorry this is an old thread but could you tell me if you tried the Prochieve as I have problems with utrogestan both ways taking it. I don’t want mirena so the only way I feel is to come off HRT. I have tried cyclogest also.
@@lindakaye100I had a bad time on the utrogestan, as am sensitive to progesterone. I’m now on evorel conti 75 patches. Still having bad panic attacks and awful anxiety, just hoping it gets better soon. Hope you got sorted 🤞🏻
The 100 mg Utrogestan did not seem to work anymore when I tried a higher dose estradiol patch. I got breakthrough bleeding. Do I need a higher progesterone dose or would the vaginal route stop the bleeding?
For several years now I use 100mg Utrogestan daily vaginally plus 3 pumps of estrogel but get pretty continuous breakthrough bleeding. I’m wondering if I am getting too much progesterone as it’s absorbed better this way? I have been checked and had scans and no problems found but would love to find a solution to the bleeding. I’m trying to understand estrogen/progesterone and get the balance right
@@juliemountford3969 Thank you for your reply! I hear you. I’d like to learn more about how to get to the right estrogen/progesterone balance as well. I think we’re underserved with just two doses (100 or 200 mg) of the progesterone pill. No good way to fine tune, it seems. I’ve learned about possibly trying a different delivery method for the progesterone, such as the Mirena IUD. Would like to know if that option would be better to prevent breakthrough bleeding. You may want to check out Dr Barbara Taylor’s videos here on RUclips. It’s a complete menopause education and she offers private consultations where she can tailor everything to you personally. She’s a retired ObGyn and menopause specialist.
@@cm1906 Thankyou, I will look at your suggestions and watch the video you recommend. Yes the problem with progesterone is the set dose, plus more is absorbed if it’s taken vaginally but doctors don’t recommend having a lower dose because they are worried the lining of the womb wouldn’t be protected. I was interested in your original post as you got the bleeding when you increased estrogen so I’m going to try reducing my estrogel from 3 pumps to 2 and split the dose between morning and evening. It’s so frustrating because I know there is a simple solution out there, I just need to find it. Good luck
@@juliemountford3969 Yes, I think the issue with breakthrough bleeding is too much estrogen/not enough progesterone. I think your plan to reduce the estrogen a bit and /or spread it out over the day makes sense. Hopefully you won’t have to go too low (and get menopausal symptoms) in order to stop the bleeding. And give it enough time (in my case it took about a week after going back to a lower dose of estrogen for the bleeding to stop). Another delivery method for the estrogen, such as the patches, might also be a consideration to perhaps get the right dosage for getting the best estrogen/progesterone balance. It seems like a lot of providers are not very knowledgeable about all the different options and ways to “tweak” this, so perhaps trying to find a menopause specialist could be another option. I hope you find a good solution. Good luck. 😊
@@cm1906 Is the too much oestrogen / not enough progesterone being the cause of bleeding actually a legit theory? I have wondered (and still suspect!) the same, but can't find any research on it. Same happened to me when I upped the oestrogen! Awful!
This was so well explained. Thank you so much. I’m having difficulties swallowing them even with gallons of water and then feel as if they are stuck in my throat and cause a heartburn like situation. I wonder if I could use vaginally as I don’t need the sedative or anti depressant effect. I need them purely for womb protection as mirena coil has passed the four year mark where it releases the hormone. It’s really horrible to take. Can I be sure that inserting vaginally will be effective? Any comments or suggestions very helpful. Thank you again.
The Marina coil is now approved for up to 7 years in the US, and my menopause specialist believes it will probably be extended to 10 years. So you're probably fine not taking extra progesterone until you go see your doctor
I seem to only sleep well when I'm on the days where I am taking both hormones and unfortunately that's the symptom I struggle with the most. With that improve with time? I only started HRT a couple of months ago.
This was more helpful to me than my own GP, my package says to take 1 on days 1 to 25 ? I’ve not had a period for over three years, so I will take one continuously, do I use the gel at the same time or can I use the oestrogen in the morning and take the utrogestan at night ?
Take the progesterone at night, take the estrogen whenever you want but at the same time daily. Most people get more benefit from having more estrogen during the day so do better taking it in the morning
Is 100 mg of vaginal Utrogestan every other day enough to suppress the lining of uterus and not cause early breakthrough bleeding . It sounds ideal 100 mg every other dayl because I'm quite intolerable to progesterone. Thanks
Ive just started using the oestrogel and utrogestan.. On day 15 do I stop using my gel and just continue with my utrogestan alone for 15 days. Do I then have a break or restart my gel?
I'm 32 weeks pregnant, and was diagnosed with a shortened cervix at 27 weeks. Dr put me on utrogestan twice daily to help prevent preterm labor. I was leaking colostrum and it has now stopped. Can progesterone in Hugh doses effect my milk supply when my babies are born? I'm having twins and really want to be able to EBF for atleast the first 6 months!
Hi if i need to take ustrogen for 14 days i missed a day should I continue the pill on day 15 to make it 14 days or should i make it 13 days of it instead?
I have taken this alongside Oestrogel for around 8 months now. I think I have thrush, is it safe to take a Fluconazole tablet while taking Utrogestan and Oestrogel? I used internal Canesten but still feel sore and uncomfortable. Thank you
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This is exactly what I needed to hear, having side effects but not wanting to give up! And no confidence in my GP's! So,Thank You.
Just wondering how things went for you. Have you managed to stay on the Utrogestan?
Exactly my GP knows nothing at all ZERO! Thanks
GPs are awful these days.
I'd not had periods for a year but my symptoms were horrendous, my male GP put me on Femostan - after 5 years I finally saw a lovely GP who said as I'm overweight and 52 that I shouldn't be on Femostan, and that I'd had my fair share of periods so put on on the continuous regime with oestrogel - oh my goodness, the difference is incredible! I absolutely love this new HRT and feel like a new woman again
This is so encouraging to hear! I've been struggling terribly on femoston, gaining weight, emotionally ruined and tired all the time! I've just been changed to the same as you so really hope I feel a difference. Thankyou for sharing
@@custardgirl I was awful in it also after a few months I was worse off. My inkh symtons were tiredness and irregular periods. Now I am in the Estradiol and Progesterone and felt awful. Waiting in a priavte consultant as there does not seem to be a right answer.. I have since developed loud tinnitus. Glad you see feeling better. I am hoping the right HRt will take the tinnitus away x
Thank you very much for this. I've been on a regime of oestrogel and Utrogestan for around six months following early menopause due to chemotherapy.
I'm very sensitive to progesterone emotionally and wish I didn't have to take it but your video was reassuring that in time it may become more tolerable. It's good to hear that dropping the dose cyclically is also an option.
You do great work - early menopause was feeling so lonely!
So you had cancer and chemo and yet are allowed to get onto HRT? I want to as well but my GP refused to prescribe me. Chemo messed up my periods and now I am also post menopausal. May I know if your cancer was hormone positive or negative? Thanks.
@@wem-c9fdo you use HRT by now? Did someone prescribe it to you in the meanwhile?
@ankavangemert934 Hey there,
Few months ago, another GP (female who specializes in women and sexual health did prescribe oral Prometrium and estradiol patches and I was on it for about two months but the side effects were so so bad I had to stop everything and let the hormones clear from my body.
After that I felt way better and then I decided to try IUD (by another female GP) but the progesterone in it actually does travel around the body but to a lesser degree. I actually feel the side effects - tiredness, jittery, anxiety and the worst is brain fog... I thought HRT will help me with post menopausal symptoms but it (here it is Progesterone in the IUD) actually seems to make me worse. I am currently not on any estradiol patches as the side effects are awful even on low dose. I think I am very sensitive to the hormones.
@@wem-c9f aww that's such a shame! Is there a gynecologist who specializes in HRT that can help you?
I have struggled with HRT for a year snd this video has been an absolute godsend in explaining types of dosage and when. Thank you!
I was taking 2x100mg cyclical orally in the evening,this literally tranquillised me,which is obviously good for knocking you out to sleep but I felt bit foggy in the morning and it caused PMT and headaches..so my specialist recommended 1x100mg vaginally at night cyclically,so no sedation and closer to womb as I take Estrogel also,this helped reduce pmt and headaches.Thank you for this detailed video it’s a massive help as not all GPs are trained in HRT menopause and for people who can’t afford private care.
I'm just about to start the gel and the tablet after being on the patches and I'm still 50/50 on weather to take them x
This is good news that its working for you 👍 I'm a bit confused about the latest guidelines for cyclical progesterone. Apparently now we have to use 2 x Utrogestan vaginally? Xx
@@melissaphibben4937 yes I recently heard this also,going to try and find out more,Thank you👌🏾
@@MarieKelly0161 I’m in the same boat! Seems there isn’t any clear information.
It seriously knocks me out! Fanjo it is
Thank you, I started this nearly three weeks ago and have had all the side effects mentioned including feeling groggy in the morning, but they are just starting to ease in the last couple of days so don't give up .
How are you doing now? Would be interested to hear if the side effects are now negligible.
@@essanjay8604 Unfortunately I did continue to have some side effects, so I switched to using the capsules vaginally and that is a lot better
@@dawnhoffman366 I can only use them vaginally and even that way I sometimes feel 'spaced out'. It sounds so easy in theory doesn't it?
@@dawnhoffman366 I did that but they are really messy did u try doubling your tablets b 4 u did that vaginal tablet ?
@@dawnhoffman366 Hiya Dawn. How are you now on Utrogestan vaginally or did you stop? Xx
Woman to Woman~Thank you for sharing your wisdom as it made a BIG different in my treatment. Patience is a key factor you expressed which helped me tremendously. Thank You!
Finally a some information that was super informative. Thank you 😊
Brilliant video. I’ve been nearly 3 weeks on Everol 50 patches and day 5 of Progesterone. This morning the side effect were awful and i could barely function/think on the school run. I phoned surgery and got a call from the duty doctor who really didn’t have a clue. I asked if i could take it vaginally, and he said he’d never heard of that, and gave me something synthetic. Needless to say i’m going to start it vaginally tonight instead of orally and get a second opinion. Its never good when you know more about what you are asking for than the gp does! Its so frustrating.
Going to try this too can I ask how you're getting on ?
How did you get on with progesterone vaginally? Is it Utrogestan you're on? Xz
@@melissaphibben4937 I'm waiting to speak to my Dr on Monday. Yes Utrogestan
I had a similar experience, I have a mirena coil fitted which it has progesterone, I was on patches with progesterone - not needed!! My GP didn't even ask about the coil I sorted it out myself! Now I take 100 estrogen only patches.
What are they paying these GPs so much for when they don't learn the basics!!!
I guess I'm lucky I haven't had any of those side effects 2 months in! It's been working really well for me. Newson Health has been a godsend :)
This was a very helpful and informative video. I found it fascinating to hear about the origins of the tablets and the effects of it. I had been on a synthetic HRT for a very long time, and a new GP suggested these tablets and oestrogel gel. I was reluctant to change but recognise the reduced risks, and it had been straightforward. Thank you for making the video. Sarah
Thank you so much for this. I was a bit bemused and overwhelmed when I got my medication, but this has answered all the questions I had.
Yes me too 😂
Dr Sarah, you are a star! Thank you so much for sharing this with us. It’s not always easy to get answers.
Thank you Sarah, your information on this video is amazing!
Thank you so much for this very informative video! All my questions answered and information I didn’t know I needed! I wanted to change how I was taking my HRT but my GP didn’t know any other variation snd so referred me to a Gynaecology Clinic with a minimum 4 month waiting list. I was honestly at the end of my chain with constant migraines - now I know there is some variation I can try - thank you for giving me hope
Thank you for this, new to HRT and have noticed bloating & grogginess in the morning, my sleep has improved so that’s a plus!
Which it would improve me
Thank you so much for this! That is such a clear and thorough explanation.
This is just what I was waiting for after experiencing side effects with Utrogestan but not wanting to give up, thank you very much 👍🏻
Me too
I've been using it since 2011 but have never been able to tolerate it daily.
And me…. Waking up feeling yuk and I could cry at the least thing….. going to stick with it though
@@rubyturner8978 I take it for 12 days every other month and have a short withdrawal bleed. It works far better for me maintaining a cycle and having several weeks on oestrogen only.
@@rubyturner8978 me too. Did it get better?
A video on the alternatives would be fantastic! Finding a GP that knows about HRT is hard enough finding one that knows about alternatives (other than a coil) is impossible! Like me, I'm sure there are lots of women that want cruelty free medicines and not just homeopathic remedies as alternatives but don't know where to find the information when the GP doesn't even know :(
Indeed, I was thinking the same, why can't they use a gelatin alternative etc anyway? I had no idea they weren't vegetarian /vegan?!
I have soy sensitivity which is pretty common! Super common matter of fact! Tons of us won’t be able to use this!
Brilliant video. Thank you so much for the information. I nearly gave up on this. No trust in doctors anymore!! I read the leaflet inside and was totally baffled. Fingers crossed it really helps me 🎉🎉
Thank you so much, this has been very helpful. Started Utrogestan a week ago and only side effect so far is being very groggy first thing on a morning, but enjoying sleeping better through the night than I did before HRT.
@@lynnstew7409 Not getting the grogginess in the morning now but still helping me sleep, glad it's helping you :)
@@rachelbentley8220 can I ask how long it took to settle?
@@katyh1975 It took 3 cycles, now it helps me nod off to sleep at night but doesn't make me groggy at all the next day.
Wow , thank you so much, this has expalined in detail and i feel happier to proceed with this , x
Thank you so much for this video, my GP (a trainee) was so confused about what to do with me. She gave me so many mixed messages. Thanks for clarifying! My periods are so irregular now and causes my PMT to just drag out and agonise, I will try the two weeks on and two weeks off method.
Hi Iv just started this regime, so just to clarity you stop taking Utragesterone at day 14 then start again exactly 14 days later regardless of when your cycle starts?
Bio-identical progesterone does so much more than is explained in this video. It helps protect the brain, the heart, the breasts, the skin and helps the body use fuel for energy instead of laying it down as fat, and the list goes on. Though oestrogen helps slow down resorption of bone minerals, progesterone helps build new bone helping prevent osteoporosis and its associated fractures. Long before menopause the production of oestrogen drops by 40-60% but progesterone production drops to almost zero. With a normal menopause the adrenal glands take over production of oestrogen and our fat cells produce it as well creating an imbalance. There are also what are called xenoestrogens in the environment that add to the imbalance. With a surgical menopause, which happens after a hysterectomy, hormones are lost immediately and progesterone is needed just as much as for those going through a natural menopause.
Sorry, I don't think that Dr. Newsom would agree with this. Progesterone's only real purpose is to support pregnancy and keep the lining of your uterus from growing out of control and becoming cancerous when estrogen is present. I know there are a lot of naturopathic doctors who tout what you're saying here, but those are the same people who are prescribing unregulated compounded hormones.
@@athenachloewoodrow6356this is incorrect outdated information
Excellent comment..
My GP has been infuriatingly useless and non committal to the point of ignoring my HRT needs. When I asked the NHS gynaecologist why the uterus was thicker - she said she couldn’t answer that. The NHS continues to follow outdated procedures re addressing patient concerns and mark their own homework - this siloed working does not suit the patient. It is like speaking to an alien about MY BODY which makes me feel really uncomfortable. I paid privately to have an adult conversation about my post menopausal problems and options. I came on here and the answers are all here. Thank you….I am going to try every other night and hope the 12 week bleed I had from a polyp has gone as they removed it yesterday!
I tried this with the gel, and I had awful depression, my boobs were really sore, & I had a continuous smelly discharge!
I'm glad to hear that it is working for some women.
Excellent video and my GP virtually explained the same way which is comforting, I agree about the leaflet inside you can tell pharmaceuticals are covering their butts for all side affects known to man 😀 . I agree with your 4 x B side affects amd mine are mild, I am a continual HRT taker and it’s been a life saver, getting sleep has mended other issues like anxiety, interesting that people said groggy in the morning glad I am not alone I feel this but having sleep out ways this, love the support this Chanel gives , people can cherry pick ❤️🙏
Thank you very much for this specific information! It really helped me answer some questions that I had.
Excellent information. Thank you so much.
Thank you! ❤❤❤
I’m just starting this . Wonderful to hear .
Thanks so much for this. I started feeling low again but I didn't associate that with this medication. I'll stick with it, easier knowing it's a known side-effect.
Great information I’m 3 months in no side effects. And sleeping great x
Hello. Please tell me what you been taking and how ? Have you put on weight?
Thank you so much, it all finally makes sense.
Thank you, this is so useful! I was unclear what the purpose of utrogestan was. Your video has explained it very clearly.
Thank you so much for doing this video,a great help
Thank you. This was so useful.
Thanks for this. Very informative and extremely helpful. I've got an appointment with my GP today to discuss Utrogeston, although I'm not sure if its available yet or being offered to women in Scotland! 🤞
I'm in Scotland and am on this. Apparently it seems to be easier to get it here.
Thank you for your very informative video 🌸
This is very useful. I'm struggling with Utrogestan, in fact any progesterone I've had over the years. I've tried taking it orally 200mg for 14 days, vaginally for 14 days. Now taking 100mg for 25 days....2 weeks in and I still feel dreadful. After watching this I will see a specialist to ask if I can take it every other night.
Too high. Start at 50 vaginally
@@jessicahitchens6926 gynecologist said it had to be 100mg daily or 200mg daily for two weeks each month. I don't get on with any progesterone unfortunately, but still have to take it
Great info! thank you.
Hi there,
I have been on HRT for three months now - Evorel 25 and 200 mg Utrogestan capsules.
I put a patch on each Friday night, then change to a new patch each Monday night.
I was told by my GP to take the Utrogestan for 12 days, day 1 to 12 of each month, as easier to remember.
When I first started this treatment I didn't have a period at all, even though I had had regular short periods before. I did have a period in the second month but I am now awaiting my third period which is very late. Is this normal? I must also add that I now suffer with back pain and cramping leading up to a period whether it happens or not. This is something new to me as I didn’t suffer with any period pain previously.
In addition, I do suffer with very sensitive breasts, I actually wince if I brush them accidentally.
On a more positive note, my sleeping has improved greatly and the majority of my aches and pains have gone away, meaning that I have a new found confidence in joining a gym.
I am just concerned about the frequency of my periods plus breast tenderness.
Hard relate re boobs. Ouch.
Magnesium Glycinate at night and Vit B complex daily.
Can this be dissolved under your tongue to help prevent elevated liver enzymes? Thank you.
great job dr thanks
You can use Utrogestan vaginally to help avoid side effects?
I took utrogestan for 8 months alongside estrogel. I took it at night 3-4 hours after eating. I was like a zombie in the mornings. I started taking in the morning, and that was better for about 5 weeks then I started getting anxiety. I carried on a few months. Tried it vaginally, continuously. Nothing took the anxiety away. .I'm now on patches which seem to suit me better so far
I used to take mine in the morning ans didnt realise they were meant to take at night. I started at night and used the one a day method for 25 days and 5 days off I felt like my head was starting to fry. It was awful. I may ask about patches x
How is your anxiety now? I was taking the utrogestan, both ways but am sensitive to progesterone. So on evorel conti patches. The anxiety and panic attacks are awful, I’m hoping it goes soon 🤞🏻 I hope you’re well now.
The app is really good. Can you add blood pressure and where can we add our types of HRT we are taking
Thank you so much.
Why wouldn't pv utrogestan be the primary choice? It's getting the drug directly to where it is needed, without the guesswork of how each individual will digest and metabolise the drug? We all have different gut biomes and different versions of liver enzymes.....seems to me this approach could take some of that guesswork out of the equation. I don't need anything to zap my energy, as I don't have enough to go around, I also dont need sonething that makes me moodier than I already am. I'm hoping PV Utrogestan will protect my uterus and stay out of my wider system. Thank you for the clear guidance in the video.
Thank you this has been so useful x
I found that Utrogestan taken orally keeps me awake! I was expecting a sedative effect, but instead I wake up at 2 am and cannot get back to sleep. I feel totally wired on this drug.
Important info, thank you
Very informative 👏
Just been told that I need to take 2 utrogestan tablets ever night now without a break and 6pumps of gel as I’m not absorbing very well and I feel absolutely terrible and hopeless 😢
Hello, thank you for such an informative video. I have just been prescribed Oestrogel 2 pumps per day and Utrogestan 2 x 100mg for 14 days. I have not had a period since June. I am planning to start the Utrogestan this evening. So would I take it for 14 days, then 14 days without, then 14 days on again? Is it a continuous cycle of 14 days, even if a calendar month is 31? I hope this makes sense? Thank you
I have exactly the same question. Just starting oestrogel today and was told to wait to start utrogestan on first day of next oeroid day 1 to 14 then 14 data off. Won't run a typical monthly cycle.
I looked everywhere for this information as my pharmacist didn't know. Why is this basic info not known
Hi...I started the gel 10 days ago and I'm on the same cycle as you starting Utrogestan 2 x 100mg orally on the 14th day of the gel and take it til 28 day of the cycle (which is 15 day)... the only answer they could not give me if I need to have a gap of the Oestrogel or to use it continuously? So confusing. I'm feeling bloated and having stomach cramps really bad ones literally every day all day long..its really depressing,don't want to go to work...breathing really heavily gtom this bloating :(
I'm taking Utrogestan on a cyclical pattern. I take my first two tablets at night, two hours after my last meal. I take it for 14 days (then the packet runs out), 14 days off the tablet ,(when you would re-order). It doesn't matter how many days in the month, start it as soon as you get it and mark the days on the calendar
Perfect 👍🏽 thanks so much! I am unable to digest gelatin so I’ve been taking the capsules orally but not ingesting the gelatin caps. Any thoughts about this?
So you break the capsule open & swallow the liquid? I was wondering about this too. Don't want the gelatin coating.
Thank you.
I'm spotting and bleeding on the mireena coil and 100mg estadot, menopause clinic suggested a scan a d if all normal then said I should take utragetran to help with my bleeding and sleep anxiety
I get breakthrough cramping alternate nights so wonder whether every night would be better
Women with PMDD can also take it and it does wonders!!!
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Very useful
I always believed that Oestrogen was the tranquilising hormone however Dr Ball says that progesterone can be calming.
I tried utrogestan and it really did not agree with me in any way at all and def didn't help me sleep and hurt my stomach. So I got a progesterone cream instead and it's brill.. I'm on that and oestrogen gel and all good and you can control it. If oestrogen can be absorbed through a gel so can progesterone. Deffo works for me.
Hi this is what I would like to do , what is the name of the progesterone cream and can you get it from the nhs or did you have to get it privately and pay ? Thanks
Which progesterone cream please?
I sincerely would have a soundscan asap to check if the womb lining isn't thickened. Transdermal progesteron is very difficult to absorb and if you're not taking up enough the womb lining will thickened. Setting the stage for endometrial cancer.
Hi Anna Maria, please tell what cream you are taking please?
Progesterone please
Thank you🙏
You really need to have a consultation with a menopause specialist, even if you have to private pay once
Hi its says to take utrogestan on a empty stomach but I've not really been doing that as I eat quite late and ive been on it for about 4 months. I don't think I've had any side effects from taking with food but am I putting myself at risk having them with food or reducing the effectiveness of these tablets?
Hi I was told it’s to prevent nausea don’t think it’s dangerous 👍
@@wendyharbour8915 thankyou x
Late-eater here too wondering the same thing! I heard (!) you take on an empty stomach to help with absorption of the drug. If taken after eating it's not absorbed as well. But don't take my word for that!! It 's an info minefield all of this!!
Can @DrSarahBall respond so we get a definitve answer please?
Been on utrogestan for 2 months I’m 37 taking evening before bed 200 mg capsules 100mg each / but I have a continuous bleeding .. feeling very low / ,, depressed / my
I address to my gp what I’m currently going on .. suggested to take 2 morning and one evening to see how my symptoms ease ! Any advise here pls
Unfortunately had to stop HRT because I'm just a psycho moody mess on utrogestan, orally or pv, cyclic or continuous and have also tried an alternative brand of progesterone with same effect. It seems to trigger PMDD sx in me. I'm lucky I recognised it in time to save my life and my marriage.
Iv been on a merry go round for 18 months now with all the different combinations and I’m still on fire at night . It’s so annoying and all those side affects. Some of them literally put me to bed with the sickness
Has anyone found puffy eyes and kind of head congestion/allergy feeling? I've been on progesterone since last fall and have had it all along. It's worth it, but not nice looking!
Hi, i just started with Utrogestan tablet at night orally and oestrogen gel and developed very puffy eyes to.. i stopped all the meds and not sure what to do now..
@@tashtash8834 I have adjusted, it takes time. Surprisingly, I think progesterone was possibly a more challenging adjustment than anything else. I also found that my thyroid was" borderline " so the doctor prescribed armour thyroid and after a good number of weeks my puffiness went down substancially. All in all, I'm finding it has taken many months, 1+ year to get it right and my body to readjust. Don't give up , hang in there, takes a while for some of us!
Hi yes on the 3rd day of using the Utrogestan ( not taking it orally) I wake up with puffy swollen eyes and face. I'm hoping these side effects go away with time as the oestrogel part has been helping.
I am now changing from Evorel Sequi back to the gel and Utrogestan. Information from various GPs has been hit and miss. I have an appointment with HRT specialist in August but need to know now how to transtion. I have one patch left which should be put on tonight. side effects have been so bad I don't think I can face it. Do I stop now and go straight in with gel and then wait for a bleed to start Utrogestan (vaginally) or take a Utrogestan to REPLACE the progestrogen in the patch (up until I would normally start a new pack of patches? there is literally no adivce, no one at surgery seems to know and he Menopause Matters website seems to be down...
If you're going to start estrogen gel, you should make sure you were opposing it with progesterone. At least until you've had a chance to discuss it further with the menopause specialist.
Do i need to apply the gel every day without a break or do i only apply it from day 15 to day 28 then have a break
So can the same utrogestam tablets be inserted vaginally or is it a different capsule or tablet? Thank you
I am on the gel pump as well with these and I have to up the pump to 5/6 pumps should I take 2 100 mg of these instead of one . Doctors is shut for Easter
If you're increasing your estrogen dose, then you have to balance it with an increased dose of progesterone.
Where I can find ?
Thank you. It's all so confusing. I've just switched from patches to oestrogel and utrogestan. I messed the first month of my patches up due to confusing instructions. Then I get utrogestan and it says day 15 to day 27. It's bad enough having a perimenopause brain let alone confusing instructions 😂
I'm starting tomorrow and was confused it I take both gel and pills together I was on the patches
@@victoriasantangelo I'm in my 6th month and this is the best I've felt in years. I do 2 weeks on and 2 weeks off on the utrogestan, that's the usual regime if you're still having periods. Unless you're on continuous progesterone.
@Rockabela Are you still having periods? It appears that you are on continuous HRT, which I'm on now. It's where you do have oestrogen and progesterone every day, usually when your periods have stopped or your doctor has chosen that continuous HRT is your treatment due to your age or other reasons. All women eventually end up on continuous without breaks , it's to try and eliminate monthly bleeds because no woman wants periods after menopause, though in the early days you can gets a bit of bleeding but it should settle down.
I found the video very helpful but a little confusing. My GP has told me to take two tables on an evening (I take 4 pumps of gel) but I am feeling like a zombie the next day. In the video Dr Bell said to take 1 tablet which I was previously (when only taking 2 pumps) and although a little tired the next day I would function. May I ask which is correct - is it one tablet over the 28 days or two tablets? thank you for any advice/guidance you can give me
Thank you very much for this info. I am glad i found you. I can only get the round white Prometrium gelatin caps where I live, but i have a big problem with them. I have taken them for 2 months now, orally, but after one hour i feel totally drugged and dizzy unable to even walk, and i get nightmares during the night and cannot get back to sleep, once i wake up. I cannot continue like that. My MD or pharmacist have no clue what to do. I tried the vaginal route, but i think they did not absorb, because the next day there was a white creamy discharge on my panty. I read somewhere that these round hard shelled caps can also be used rectally. Do you suggest that? Would it help to pierce the round capsule open before inserting, so it gets absorbed better. Thank for any reply.
it's normal to get the white creamy discharge in your panties when using internally
This wrecks me when taken orally. I can not sleep at all,fuzzy in the head and feel like I am brain damaged the next day . Anxious and nervous. Tried them vaginaly and felt pretty good. When I started to inform my doc I was doing this she would not even let me speak and basically said orally only, she won't budge on the licensing. And wont even listen to my side effects. She then put on the tablet form saying the low dose was better for me...I had the worst night ever and have sat in a chair literally all day in pain and so so tired . I am going to see a natural path dr . And don't worry about the white discharge it is the pill casing that the vagina releases and the oil packed progestrone stays in the vagina and the uterus where it belongs. I am inserting 100mg every second day. I am post menopause. Good luck to you. I am wondering if this method causes yeast tho. Estrogen and testosterone love me ..what a bloody shame progestrone has to tag along too. Blah.
Very informative,Thank you. Decided to stop braving it out and started HRT yesterday.
Have been post menopausal for 3 Years.
I am not sure how long before I notice any difference?
I’ve just started with utrogestan 100mg and the gel. It’s only been a couple of days and haven’t seen any difference yet. How are you getting on with it? Have you noticed any weight gain? Also which gel are you using?
@@mandymandy7225 Hello Wendy,
I started to notice a difference after 2.5 Weeks. The biggest change I am having is sleep. I have not slept through the night or had a comfortable sleep for 3 years. I can’t believe I am sleeping and it feels great.
I can’t say I have noticed any change with any thing else.
I am still feeling a little Flat, no sex drive, dryness and aches.
My doctor has increased the gel to two pumps with a view to review it in 3 months time.
I can’t say i have seen any weight gain, fingers crossed.
I am taking two pumps of the Oestrogel. The GP is more than happy to increase the pumps if needed.
Hang on in there, are you having many symptoms?
Thank you so much for the message ,
I do hope it works for us both,
Take care,
@@mandymandy7225 How many pumps are you using ?
Feel any better?
@@sammyrichardson7305 feel any better?
I started HRT Estrogen two weeks ago and Progesterone I week ago vaginally but got Trush my taking it that way so now have started taking it orally I hope I don't get side effects. Also I was prescribed only two weeks of it even though I have had no periods for a few years I think I should be on continues
Hi, thanks for your informative video. I am just about to start HRT for the first time (am 57) and have been given Utrogeston 100 and Lenzetto transdermal spray. It looks like I should be taking the Utrogestan in the evening - can I use the Lenzetto in the morning or should both be taken together in the evening?
Estradiol in the morning, progesterone in the evening - mimics the natural production throughout the day.
Hi I'm on this post Menopause one can help with sleep I been on it 9 months but was taking wrong I'm now taking 2 capsules at night so hoping it will kick in 🙏
Thank you for this video. I have been on the Depo-Provera injection for around 20 years, and the last two months have been on 2 pumps Oeastrogel and two Utrogestan tablets on days 15 to 26. As I have not had a period during my time on the Depo injection, would I really begin to have a cycle and start having periods? I’m now 49.
Very informative , id like to ask for post menapause women who have had a hysterectomy in the past and have osteoporosis would they be a benifits to taking utrogestan along with estrogen patches ??
Progesterone does nothing for osteoporosis. If you don't have a uterus you don't need progesterone since it's only action is preventing endometrial cancer
I had awful side effects of taking this daily I was so tired even after having 8hrs sleep 🙁 I tried it internally and had a period for the first time in 6 years 🙁 is there an alternative to try.
Thank you, Dr Ball. This was very informative. I am on Evorel 75 and Utrogestan capsules, but have recently asked my NHS GP about Prochieve sustained release micronised progesterone gel, which I understand can be used as HRT in the 4% version and this avoids taking the higher dose of progesterone that is necessary in an oral capsule, due to much of it being metabolised. I have had some side effects and therefore would prefer to be on a lower dose. Also, I hope to be able to continue on HRT as long as possible and therefore it seems sensible to be on the lowest possible dose of progesterone. My GP says he will not prescribe Prochieve, as it is not licensed, however, he has referred me to a Menopause Clinic. I understand his point of view, but from what I have read, this seems to be a very safe way of taking body identical progesterone. Is the reason the NHS has not licensed it down to cost? I wondered what your view of Prochieve gel was. Thanks.
I tried Prochieve but quite honestly it was messier and no more convenient than simply using Utrogestan capsules vaginally every other day.
@@essanjay8604 Thanks. It's good to know that it's available. I know it is likely to be messier and less convenient, but my main concern is the strength of the dose of Utrogestan, as it needs to be stronger if taken orally. Therefore, even if I use it vaginally, I am taking a higher dose than I need to. If I can get a type of micronised progesterone that is a much lower dose, I would be happier taking it and especially so in the longer term. I'm willing to put up with the inconvenient method of use. Prochieve gel is, I understand, a much lower dose that provides the same level of uterine protection.
This doctor says you would only insert one of the capsules into your vagina rather than two, so having a lower dose that way
Sorry this is an old thread but could you tell me if you tried the Prochieve as I have problems with utrogestan both ways taking it. I don’t want mirena so the only way I feel is to come off HRT. I have tried cyclogest also.
@@lindakaye100I had a bad time on the utrogestan, as am sensitive to progesterone. I’m now on evorel conti 75 patches. Still having bad panic attacks and awful anxiety, just hoping it gets better soon. Hope you got sorted 🤞🏻
The 100 mg Utrogestan did not seem to work anymore when I tried a higher dose estradiol patch. I got breakthrough bleeding. Do I need a higher progesterone dose or would the vaginal route stop the bleeding?
For several years now I use 100mg Utrogestan daily vaginally plus 3 pumps of estrogel but get pretty continuous breakthrough bleeding. I’m wondering if I am getting too much progesterone as it’s absorbed better this way? I have been checked and had scans and no problems found but would love to find a solution to the bleeding. I’m trying to understand estrogen/progesterone and get the balance right
@@juliemountford3969 Thank you for your reply! I hear you. I’d like to learn more about how to get to the right estrogen/progesterone balance as well. I think we’re underserved with just two doses (100 or 200 mg) of the progesterone pill. No good way to fine tune, it seems. I’ve learned about possibly trying a different delivery method for the progesterone, such as the Mirena IUD. Would like to know if that option would be better to prevent breakthrough bleeding.
You may want to check out Dr Barbara Taylor’s videos here on RUclips. It’s a complete menopause education and she offers private consultations where she can tailor everything to you personally. She’s a retired ObGyn and menopause specialist.
@@cm1906 Thankyou, I will look at your suggestions and watch the video you recommend. Yes the problem with progesterone is the set dose, plus more is absorbed if it’s taken vaginally but doctors don’t recommend having a lower dose because they are worried the lining of the womb wouldn’t be protected. I was interested in your original post as you got the bleeding when you increased estrogen so I’m going to try reducing my estrogel from 3 pumps to 2 and split the dose between morning and evening. It’s so frustrating because I know there is a simple solution out there, I just need to find it. Good luck
@@juliemountford3969 Yes, I think the issue with breakthrough bleeding is too much estrogen/not enough progesterone. I think your plan to reduce the estrogen a bit and /or spread it out over the day makes sense. Hopefully you won’t have to go too low (and get menopausal symptoms) in order to stop the bleeding. And give it enough time (in my case it took about a week after going back to a lower dose of estrogen for the bleeding to stop). Another delivery method for the estrogen, such as the patches, might also be a consideration to perhaps get the right dosage for getting the best estrogen/progesterone balance.
It seems like a lot of providers are not very knowledgeable about all the different options and ways to “tweak” this, so perhaps trying to find a menopause specialist could be another option. I hope you find a good solution. Good luck. 😊
@@cm1906 Is the too much oestrogen / not enough progesterone being the cause of bleeding actually a legit theory? I have wondered (and still suspect!) the same, but can't find any research on it. Same happened to me when I upped the oestrogen! Awful!
Are Utrogestan pessaries available in the UK?
Good idea!
This was so well explained. Thank you so much. I’m having difficulties swallowing them even with gallons of water and then feel as if they are stuck in my throat and cause a heartburn like situation. I wonder if I could use vaginally as I don’t need the sedative or anti depressant effect. I need them purely for womb protection as mirena coil has passed the four year mark where it releases the hormone. It’s really horrible to take. Can I be sure that inserting vaginally will be effective? Any comments or suggestions very helpful. Thank you again.
You can insert vaginally. I too can't swallow big pills or capsules & my friend told me she had horrible heart burn from the capsules.
The Marina coil is now approved for up to 7 years in the US, and my menopause specialist believes it will probably be extended to 10 years. So you're probably fine not taking extra progesterone until you go see your doctor
I seem to only sleep well when I'm on the days where I am taking both hormones and unfortunately that's the symptom I struggle with the most. With that improve with time? I only started HRT a couple of months ago.
This was more helpful to me than my own GP, my package says to take 1 on days 1 to 25 ? I’ve not had a period for over three years, so I will take one continuously, do I use the gel at the same time or can I use the oestrogen in the morning and take the utrogestan at night ?
Take the progesterone at night, take the estrogen whenever you want but at the same time daily. Most people get more benefit from having more estrogen during the day so do better taking it in the morning
Is 100 mg of vaginal Utrogestan every other day enough to suppress the lining of uterus and not cause early breakthrough bleeding . It sounds ideal 100 mg every other dayl because I'm quite intolerable to progesterone. Thanks
Ive just started using the oestrogel and utrogestan.. On day 15 do I stop using my gel and just continue with my utrogestan alone for 15 days. Do I then have a break or restart my gel?
The gel is always continuous. You can either take the progesterone continuously or cyclically. Continuous is usually 100, cyclically is usually 200.
I'm 32 weeks pregnant, and was diagnosed with a shortened cervix at 27 weeks. Dr put me on utrogestan twice daily to help prevent preterm labor. I was leaking colostrum and it has now stopped. Can progesterone in Hugh doses effect my milk supply when my babies are born?
I'm having twins and really want to be able to EBF for atleast the first 6 months!
Good day maam.
What if it is taken orally?
Is there an effect with pregnancy?
Thank you!
Hi if i need to take ustrogen for 14 days i missed a day should I continue the pill on day 15 to make it 14 days or should i make it 13 days of it instead?
I have taken this alongside Oestrogel for around 8 months now. I think I have thrush, is it safe to take a Fluconazole tablet while taking Utrogestan and Oestrogel? I used internal Canesten but still feel sore and uncomfortable. Thank you
Thank you