Nausea when I stop Utrogestan

[Peachyhair]

Hi I'm really struggling, I've been on HRT for about a year and a half. Estrogel and utrogestan. In January I started to experience extreme nausea as soon as I stopped the 2 weeks of 200mg Utrogestan. It became so debilating that my GP referred me to the women's health clinic. The doctor there said as my periods were becoming so few I could try daily utrogestan 100mg. I did this and the nausea eased, but my bleeding became very sporadic, not heavy at all, more spotting and light.So because of this they have put me back to cyclicle utrogestan and straight away the nausea is back. I'm crying as it's too awful to manage. It is getting in the way of my life as I feel so awful with it. Has anyone experienced this? I have a GP appointment this week as I can't carry on like this.

[Belle76]

you could try 200mgs of utrogestan or try provera which may help when you take it continuously

[Teresa156]

What did your GP advise?

I was going to say, have you considered the mirena coil? I had problems with utrigestab and had spotting ( I’m post menopausal) but I never really took to it. It provides progesterone for five years, when at that time it will get replaced. Not everyone likes them, but in the past, I’ve had them, this is my third.

You can also insert utrogestan vaginally, off licence. Your GP should be able to advise, this might work for you as well. A friend of mine has been doing this for years with no issues.

I hope whatever happened, it’s better….

[Peachyhair in reply to Teresa156]

Hi Teresa, so my GP was happy for me to go back to daily 100mg utrogestan as long as I had an ultra scan to check my womb lining was normal. It was all fine. However this time the nausea hasn't gone away. I thought it would. I've been referred to the community gynaecology team too, but that could take months.

[Teresa156]

I belong to another forum and nausea is quite common with utrogestan. More common than you would think. I also had some nausea and I know my friend did. She switched to using it vaginally and the nausea ceased. It might be worth considering this. I think the shell bit finds its way out later ( if you know what I mean). Have a google and you will find posts about it. Might be worth considering, especially if you are feeling like that and it’s going to be months. In my experience too, gynaecologists know very little about HRT. You would think they would, but it’s not their specialty. I’ve been given wrong directions from them in the past.

I just found the coil a lot simpler at the end of the day. I did go privately to have it put it by a gynaecologist at BUPA but it was still cheaper than I thought it would be ( about £250 overall). I have a tilted womb though and the nurses at my surgery abc GP can’t find my cervix so it would also have taken months to wait for a hospital referral.