Have you ever experienced spotting or bleeding after increasing your estrogen dose or starting HRT?

What happened, and how did you resolve it?

Share your experience in the comments below 👇. Your story could help another woman going through the same thing.

And if you have questions about menopause, HRT, progesterone, estrogen patches, or hormone balance, drop them below. We may feature your question in a future episode!

I am also spotting, and dark thick bleeding. I had early menopause at 43 started HRT after 1 year, and been now 5 months with HRT with low dose patch of 0.025 Estradiol and 100mg daily Progesterone, feeling well no symptoms  of menopause but i am spotting and even have an ovarian cyst since started taking hormones and  dark thick bleeding with pain. I never had this before HRT. I cannot lower my estradiol since i am on lower dose and I am worried about this cyst and bleeding. My estrogens receptors are highly sentitive with such low dose. I also had breast bloaded and painful now it is better but still sensitive.

Sad that these podcasters aren’t as knowledgeable as they think. There is a very simple fix to this. You insert your progesterone pill vaginally. Taking it orally it goes through the liver and 90% of it gets metabolized into allapregnonalone and only 10% of it gets metabolized into progesterone that goes to the uterus. The blood serum amount ends up being extraordinarily low and for some women who have a prolific endometrium they need more than an oral dose is going to deliver. The solution to this is inserting the pill vaginally and you’ll be getting 100% progesterone. I had the same problem because I have a history of very very heavy periods and I am on the highest dosage of estrogen and 200 mg of progesterone but taking it orally caused me to constantly bleed. The problem was fixed when I started inserting it vaginally. I have had two ultrasounds and two hysterscopys that have confirmed that my uterine lining is nice and thin. Do it at bed time and after insertinglay down on your side and it will melt in about 30 minutes. I usually prime mine by running it under hot water for a few seconds first. This is an off label use of oral micronized bioidentical progesterone. It is not FDA approved because it’s expensive to get something FDA approved. But it is a approved for this purpose in Europe and on the package of their progesterone pills which are identical to ours it says for vagina or oral use. Vaginal progesterone is very well researched and tolerated. It is used in pregnancy and women struggling with fertility. If you have any problems with your progesterone if taken orally, such as weight gain, anxiety, depression, or bleeding, this is the fix. This is the bioidentical oral micronized progesterone generic for Protrimium that your doctor prescribes. This does not apply to compounded. Those are usually in pill form with powder inside. The pills I am speaking about which are the most commonly prescribed are kind of a hard shell but squishy at the same time with oozy stuff inside if you cut them in half.

Two questions: 1. What if you need to have higher estradiol for bone health?  2. Why not just set up HRT so that you have a monthly period?

I have 3 small fibrous tissues, and my Dr changed me vaginal estridal and dhea, and a combipatch, I have the brown blood now,so she wants me to do d&c,could it be dhea added

I’ve been on Combipatch for several years but started PMB shortly after starting Wegovy.
TVUS showed a 5 mm lining.
EMB ordered but I am trying 200 mg oral progesterone which seems to have stopped PMB.
Will repeat TVUS in a few months to verify lining thickness.
At what thickness would you perform an endometrial biopsy?

What if progesterone is what causes the spotting?  Every time I take progesterone 200 it causes spotting I get off at for a few days and it stops I get back on it and I start bleeding. My doctor keeps telling me to trust her but we've been at this for almost 2 years now and she hasn't figured anything out.

It can go the other way. Too much progesterone also causes lower back pain, spotting, & sore boobs. I’m very sensitive to progesterone.  I’m having these symptoms with 40 mg transdermal progesterone

I'm cycling progesterone.  My doctor just upped my estrodiol to .075 patch progesterone 200mg. My fake period has become heavier and a few days longer. I believe it's because my receptors are more active..I  had an e level of 30 on .05 and a very light bleed. I have a lot of bloat and breast tenderness but it's only been 3 weeks.

I’ve been on hrt about a year. 63 yrs old. Many breakthru issues. Had a d&c 3 month ago with clear biopsies. I feel like the P is all going thru my liver and not giving uterine protection. Can’t talk my doc into multiple forms of P, she will only offer me OMP or synthetic which I won’t take. In process of getting second opinion. 😢

Is it true that estradiol helps with dry skin? Or collagen? I am 64 and just started To get wrinkles in my face 😢I am on 0.075 estradiol and 200 progesterone every time I put a new patch on I do have a weekly I start bleeding is this normal.

I started hrt 4 months ago. I use 0.1 estradiol patch and 100 progesterone orally and 100 vaginally. I was using 200 progesterone vaginally for a month or so, and I forgot to take one day the progesterone and i had some spotting for a week.  i did an ultrasound and shown my uterus lining on 9 mm, when i started it was 4 mm. Now i have to do a biopsy to know what type of cells are those ones growing. Is there anyone with a success story taking the same doses as me and having a regular uterus lining? Could be that for some estrogen sensitive women the uterus lining got thicker and it is normal?

I was originally on a 50/50 Biest cream but started having issues with absorption. I switched doctors and she changed me to a 0.1 patch. I had some spotting after about 3 months so she lowered me to a .075 patch. I also take 200 mg progesterone nightly. My concern is that my estradiol level is only 56. I’m continuing to put on weight, mainly in the belly. My uterine wall is 4.7 and I have multiple fibroids. I’d like to try the 0.1 patch again but I’m wondering if I have spotting again if increasing my progesterone to 300 mg is possible.