I have been on HRT for 5 years. I'm currently on 300mg Utrogestan (100mg to 200mg 17/10 then 200mg 25 on 3 days off then up to 300mg on 11/2/24 25 days on 3 days off) and 100 evorel patch plus 1 pump of tostran gel twice a week. I have been having bleeds since June 23 (had an internal scan and biopsy taken which came back ok). I have had bloods done but struggling to make sense out of them. Due to see a gynecologist to discuss the HRT I'm currently on. The results were:
Serum oestradiol level 368 pmol/L
Testosterone (MS) 3.6 nmol/L
Androstenedione 1.00 nmol/L
FREE ANDROGEN INDEX (MS) 7.2% 0.2 - 3.6
SHBG - AUTOMATION 50 nmol/L 27 - 128
17 - HYDROXY PROGESTERONE <0.3 nmol/L 0.4 - 5.0
I'm hoping these bloods would explain why after 5 years I've suddenly started to have random bleeds ( 19 days in December, 18 days during January, 7 days in February ) and what changes to my HRT are needed.
Any advice would be appreciated.