Continuous Utrogestan after hysterectomy? - Endometriosis UK

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Continuous Utrogestan after hysterectomy?

77yellow profile image
5 Replies

Hi everyone! My little back story....

I was diagnosed with endometriosis back in 2015, skip forward to 2020 and my symptoms got a whole lot worse. I was diagnosed with severe DIE (bowel, ureter and pouch of Douglas), adenomyosis and an endometrioma all affecting my left pelvis.

I had a hysterectomy, both ovaries removed, bowel shave and ureter untethered, as well as excision in 2021 under a BSGE specialist.

Since April 2022 I have been on Evorel Conti patches, these have helped with hot flushes and sleeping but my mood is as I can only describe "flat" and I'm getting increasing pelvic pain again.

My GP has changed my HRT to Evorel 75 patches and utrogestan tablets. I've just picked up the prescription today.

My question is should I be taking the Utrogestan continuously? Or as my GP has prescribed 1 tablet for 25 days out of 28. This doesn't make sense to me as I am unable to have a breakthrough bleed due to the hysterectomy 🤔

Thanks in advance for reading and any advice received xxx

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5 Replies
Marcia71 profile image
Marcia71

yes you need to take utrogestan every day. Endo sufferers need continuous combined hrt after hysterectomy unlike others who only need oestrogen once uterus gone. We need combined to give us best chance of endo not reactivating. Unfortunately most doctors - even endo specialists - don’t seem to know that.

77yellow profile image
77yellow in reply toMarcia71

Thank you for your reply, this is really helpful, I suspected it should be continuous, as the evorel conti patches were continuous and they were prescribed by my endo specialist. I will get in touch with the specialist to contact my GP to change the prescription

Bubble41 profile image
Bubble41

I had a hysterectomy back in September and yes I have to take the utrogestan every day.

My GP was unsure so had to confirm with my endometriosis specialist.

It helps stop the endometriosis growing

77yellow profile image
77yellow in reply toBubble41

Thank you for your reply, it is really helpful. I will contact my endo specialist to ask my GP to change the prescription

CofG profile image
CofG

Hi I take Utrogestan 100mgs per day and added the Oestrogel but the endo was flaring up and my IBS was getting out of hand (wind) so do I increase it to 200mgs?? Does anyone know??

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