Bleeding during menopause | Dr Louise Newson

[@anne-louisegoldie]

Thank you so much for explaining the hyperplasia and bleeding. So many women seem to be getting referred for hysteroscopies from having some bleeding while on HRT, and being told by their GP to stop taking HRT. I know it's an automatic referral for the bleeding, and it's also normal to get some endometrial growth from oestradiol. It's finding the balance so that women and GPs aren't unduly panicked 😊xx

[@SarahSmith-co1vx]

Thank you so much ❤ you are a blessing in my life, I appreciate all your videos they are FACT… without you at this present time I don’t know where I’d be, thank you sooo much ❤ I really feel like showing your videos to all gp’s!

[@carolynheaney715]

I couldn’t agree with you more. Louise’s videos have saved my life.

[@claretowne7801]

Thank you Dr Louise, this has really helped. I had bleeding on the conti patch, had investigated and all okay and now on the bio identical progesterone and oestragel. I have to wait 6months for HRT clinic appointment, still waiting. Also the dr advised I may be better just taking anti depressants, as HRT doesn’t work for everyone, I’m not depressed. It’s ridiculous but thanks to you we have some support xx

[@fionaballantyne4342]

Wow!! This was the information I've been looking for. Thank you so much ❤ you're wonderful 😊 xxxx

[@realalifarhat]

Thank you for this fantastic information! Very helpful!

[@nazeeniranfar2616]

Thank you Dr. Newson, a very thorough overview of all types of bleeding with HRT. I started on Evorel Conti in November 2023 and a month later I had period like bleeding that kept repeating every week to 10 days and would last for a whole week or even more. In January I cut the patches into half and been using half a patch ( couldn’t get appointment with GP!) and that stopped the bleeding as well as still managed my symptoms; but 5 days ago (beginning of March 2024) I started period type bleeding agin and it is still going 😬 I am due to talk to a GP next week, and hopefully she can advise me. 🙏🏻 sorry for this long history but it is very concerning specially when the GP doesn’t get back to you and you don’t know how serious the situation is! Many thanks 🙏🏻

[@dmak4594]

Thank you - this was very helpful. My GP advised that if I changed from cyclic progesterone to continuous and then had a single bleed I would automatically have to go back to cyclic for 6 months. Now I understand that may not be the case. It gives me more confidence to start continuous at my next check.

[@marwaelsayed9451]

You’re the best Dr I have seen so far, I watched all your videos, very informative and reduce my anxiety big times because my dr didn’t explain anything to me when she prescribed HRT

[@tibisayhuerta]

28:51, this was the explanation I have been looking for for so long...! Thank you! 🙌🏻🙏🏻❤️ 32:14, Oh!!!! My doctor changed me from 0.05mg Estrogen to 0.075! 😝 That too! 😅

[@elainelerma9356]

Today is my first day o. HRT! I am now 52 I wasn’t aware about the benefits that it would have on my body. I am on the combi patch. Looking forward to its protective benefits. My doc also put me on vaginal crème. I love your videos. Thank you for your videos. I am from Texas and your videos are great. ❤😊

[@sarahbolton2707]

This is so reassuring!

[@trinidiana]

Thank you. This was so so helpful

[@RachelHolbrook-r6y]

Thank you, very helpful

[@r8chlletters]

I really wish we had a way to capture hormonal levels accurately. Women going through perimenopause need support but here in the US no one will give you HRT unless you 1) have surgical menopause or 2) stop having periods for an entire YEAR. I’m not even kidding, that is the standard practice, suffering a whole year with no hormones.

[@MGSpecial2023]

Check out Dr Mary Clare Havers website for menopause friendly Dr's in your area.

[@jjp007]

Try the online menopause clinics at least in 5he USA. I use MidiHealth and love them.

[@elainehowlett1458]

I feel slightly less panicked now. I had some bleeding a couple of weeks ago whilst on holiday is Spain. Went to the GP as soon as I got home and have been referred under the 2 week rule. However, looking back, I did miss some doses of Utrogesten and I was rubbing sun cream on my arm where I'd applied my Lenzetto spray so I'm hoping this upset in dosages is the reason for the bleeding 🤞🏻

[@carolynheaney715]

Would you mind explaining why, apparently, Tamoxifen can have a role in exacerbating hyperplasia and risk of it evolving into endometrial cancer?

[@AshieCommins-rj7fm]

Wht can i use for this heavy bleeding im 52 years i did do all the test all scans but all test is clean

[@selenasanchez7336]

I am 55 bleeding on and off. Is that normal???

[@Julie-netball]

Interestingly recently, ive met women who are due for a mirena coil change at 5-6 years. They have been advised it can be left for 8 years!

[@hopeperlman8260]

Thank you so much for this. it is very helpful and reassuring. I just added estrogen and testosterone to my progesterone about 6 weeks ago, and after a few chaotic days where I missed a couple of pills, I am having bleeding.

[@bonitayip9774]

I am on continuous hrt for three years, taking estradiol gel 1 mg and micro progesterone 100mg oral , i did have some bleeding when i first started then the ultrasound showed i have a small fibrous, then the bleeding stop , after three years on hrt, i started to have some bleeding again , why? Should i increase the progesterone?

[@Ddj0364]

No menopause specialist seems to address what the options are when bleeding whilst on HRT continues intermittently IRRESPECTIVE of the dosage or methods use for the application of oestrogen and progesterone. What options does one have if you want to continue with HRT because you believe is the best way forward to manage heart disease, altzheimers and osteoporosis as we age? Would it be to have the uterus removed? (Partial hysterectomy) And how many medical specialists would advise this?

[@piperlucille]

Thank you for this! I'm postmenopausal and taking HRT for 2 months. I am having bleeding so my provider increased my progesterone from 100mg to 200mg. The bleeding has slowed but how does it take to completely stop?

[@BuckeyeFan-always]

Having the same issue. HRT 3 months. Bleeding amounts and frequency seem to be increasing. Just got my progesterone bumped up from 100-200, as well. Hoping it stops it…🙏

[@piperlucille]

@@BuckeyeFan-always I got mine changed to 200 and the bleeding stopped after 3 days. I’m hoping the same for you. Go Bucks!!

[@maryholbrook4919]

So helpful thank you xxx

[@katherinegorman65]

I have the opposite issue. I haven't had a period for 70 days. Taking oestrogel and utrogestan for 2 weeks on 2 weeks off but still have not had a period. Is this normal? I am concerned the lining is not shedding.

[@vileshine]

My periods have been last 20 days and then I get a week break before it starts again. I'm 33 😢

[@sandradarcy7743]

I’m reassured. I’m going for a hysteroscopy due to bleeding after 6 years on hrt.

[@cassiopeia7393]

I’ve been on combi HRT for 12 months with no period but have suddenly started getting one period after another 😮

[@anne-louisegoldie]

Why is the continuous progesterone licensed for 25 days a month? What is the evidence behind it? Are there actual physical benefits to doing this? Or is it based on women must bleed (for this or that societal reason)? I'd like to know what the thinking is behind it 😊xx

[@Julie-netball]

Yes this is confusing. I believe it's given daily when prescribed continuously.

[@anne-louisegoldie]

@@Julie-netball yes, I'm taking it continuously at the moment. I'd like to know the history of the 25 day recommendation, in case there's a genuine clinical reason for it, like receptor fatigue* or something (*no idea if this is a thing) 😊xx

[@kellywebster6428]

Need at least three days for the receptor sites to close.

[@pamtraynor2688]

Thank you this has been very helpful. I very occasionally bleed and am holiday at the moment with a 7 hour time difference which seems to have caused prolonged leading this month which has worried me. Also I take progesterone for 25 days on and 3 days off but this hasn’t been mentioned here and I’m wondering if I should take it continuously? I’ve been on HRT for 2 years now (started it after 8 years of menopause and no periods for 8 years).

[@jacquelinejohnson9740]

How does having an ablation effect this? I am 56 and have not bled since my ablation 6 years ago. I am now looking at taking HRT for bone and tendon health.

[@magdaurbanowicz-bq5jh]

Its not harm to coninue cyclic HRT, versus. Like dr Felice Gersh saying this kind of HRT better protects against diseases like Osteoporosis, cariovacular diseases,dementia etc.

[@Jo-fk6sc]

I would really like you to address the recommendations from the American female menopause specialist on KZbin, who says it’s better to cycle the utrogestan. She says it’s better.

[@claudiawilkinson8769]

Is it correct that the equivalent to 100mg utrogestan orally at night is 100mg vaginally every other night?

[@JustEye_La]

I’m ( 54) on the estradiol patch 0.075 and progesterone ( 200 mg ) nightly. I have had some break thru spotting and so I am only doing the patch change once a week instead of twice. I called my obgyn and they weren’t worried about it. I’m so confused 😕

[@helimahbilal807]

What info do you have for those who have no hrt

[@nicolemerz1731]

... this woman is a genius and she supplies women all over the world with this essential info on HRT (which is a very complex topic!!), runs clinics to offer help to desperate women and works for political change in London + holds conferences for GPS to inform and teach them.🙏 No offense, but there are so many "herb doctors" around that are afraid of bodyidentical hormones that you will surely find plenty of infos on their channels...

[@cm1906]

I highly recommend the balance-menopause website that Dr Newson created for comprehensive and evidence based information on everything related to menopause and women’s health.

[@maggiewalshkahlout6364]

This Doctor is amazing at breaking if down - im going for hicscopy d&C plus coil - and had bleeding when I changed from femoston to femoston conti …. Went for scan that showed 6mm plus im 59 … any advice doctor Louise im soo nervous in case it’s something bad 🙏🙏🙏

[@Julie-netball]

I wonder if continuous hrt would help fibroids. I've had awful bleeding, a resection of fibroid but it's grown back, I'm not on hrt at 51 years old. I'm waiting on hysterectomy now, I want a definitive solution. 😢

[@Julie-netball]

@Adulthumanfemale84 thank you.

[@grannyfranny5410]

Go on a plant based diet high fruits and vegetables

[@oonaghcleary3645]

Hi Louise I love the work you are doing helping women so much I have a question my periods stopped at age 34 I then started hrt oestrogel and utrogestan vaginal capsules 200 ml every other night after 2 years of this I've put on 9kg and now have bleeding for 4 days every month i saw gynagologist and they said i had 2 polyps they removed 1 but couldnt remove the other im very upset that im having such bad side effects have you any suggestions i also had estrogen positive breast cancer in 2019 my mood is better but bleeding and weight gain is upsetting especially as i lift v heavy weights and run and walk loads thanks from Oonagh Cleary

[@empresslove2120]

Iv been using the oral utrogestan vaginaly (off licence) 100mg continuously (post menopause) my question is should I only be using the vaginal pessary? Or is it ok for me to take it this way?

[@yasmindavidson5171]

It's fine to use the 100mg vaginally. Lots of women do

[@jjp007]

@@yasmindavidson5171I tried this and now I’m bleeding trying the oral pill vaginally for a little over a month. So I’m back to taking it orally. Haven’t had a bleed for over 6 years. The PMS is for the birds.

[@jjp007]

I started using my oral progesterone 100 mg vaginally w my 50 mg estrogen patch and now I’m bleeding w bad pms (migraines) for the first time in over 6 years. Not a fan of vaginal oral pills.

[@EatGardenEat]

If there was heavy bleeding in perimenapause would it be heavy when starting HRT duting menapause?

[@NewUser-l1k]

Gn I am 53 6 week now am bleeding

[@FlorenceLunsford-sk2nj]

No l no longer have a period anymore

[@janemasini2810]

I'm still having period, even when I take HRT estragel utragestran vaginally ❤

[@leea2112]

Hi im on ovestin vaginal cream 2 years for vaginal atrophy and bladder atrophy i never wanted to go on it as i dont like hrt in any form but i was in so much pain my gp insisted so all was fine until two mnths ago when i started spotting after a family bereavement i went to see my gp she examined me then sent me for a vaginal ultrasound the sonographer said i needed to see a gyne as my womb lining was 10mml then to go for a biopsy the gyne failed it without anesthetic felt like being flayed alive now im waiting between 8 to 30 weeks on another biopsy and hysteroscopy nhs waiting list is very long last week i started spotting again after another bad shock to my system i wondered if its shock thats done this to me again ? also two days in a row i weed the estirol out unintentionally i insert it at bed time and was wakened by neighbours causing me to wee it out during the night i was well on the ovestin cream before could missing these days have brought on the spotting again ? Im very worried again 😪

[@farzanamazhar5271]

Hi I start my period on 5 th February still on the go of bleeding why is that I am the age of 50

[@NewUser-l1k]

I have forbboid of 1.4x1.3 endom is 6 cm

[@shelix222]

Pretty sure HRT was what caused my cancer

[@NewUser-l1k]

Pre menpos

[@Sarah-ik5ce]

To all women , i went on carnivore diet , i no longer have any symptoms all hot flushes have gone , 👊 it took couple of months to work so if u try give it time to work , ps iam not on any medss😁 ohh ad lots of vitamin d3 k2 omega 3 ad salt in water , 👊