Hello,
In a previous post, you discussed the effects of estrogen on the uterine lining after menopause, and that "After menopause, if one is given estrogen every day and progesterone for two weeks of each month, you will have periods in menopause for as long as you are on the hormones."
I am concerned that I am not having withdrawal bleeding on continuous sequential HRT. No others symptoms or problems -- feeling great!
I wanted to do HRT on this schedule to keep uterus healthy , i.e., endometrium flat ... But my 1st and only ultrasound, after only 8mos of HRT (Vivelle dot .1mg x2 weekly and 14 days of 200mg Prometrium each month), shows thickened endometrium at 1.2 cm?? US was done on day 4 after last Prometrium tab -- maybe too soon in cycle? In addition, report notes a "paraovarian cyst and small amount of fluid in endomentrial canal." My doctor recommends reducing estrogen , but i'm wondering if maybe increasing dose might be enough to cause withdrawl bleed, thus thinning endometrium? Last estradiol blood levels were 52 pg/ml (highest of all readings), progesterone at 12.7 ng/ml and testosterone at 27.8 ng/dL.
I am 52 years and last period was age 47 -- could length of time since last period have something to do with no withdrawal bleed? If increasing dose is out of safety realm, should reduing estrogen dose help endometrium thin and if so, to what dosage? Is there any other approach that might be used to cause the endometrial stipe to shed? Should I be concerned about any other details at this point or just wait until next US?
Thank you.