Are the levels of the hormones you are taking high enough to induce a period ie build up the endometrium enough and then when the hormones are cut off, you have a 'bleed'?
Without the HRT you won't be getting a period ie no oestrogen to build up endometrium and no progesterone to thicken it ie menopause like you said.
The pill that you are on, is it continual hormones or does it contain sugar pills as well. You may need the ones that have the weeks break (sugar pills) that cut off the supply of hormones that induce the period.
Did you continue to have periods when off the HRT as it sounds like you did from your OP?
I was on aviane which is a birth control pill(21 day) so yes sugar pills included although I never took the sugar pills as they are just to help you remeber to take a pill everyday right? at least I thought so. anyway , I did have a period while taking them but when I had a break for two months and then started them again, I had no bleeding what so ever. so even though I was taking the hormones, I wasn't getting a period...... i am wondering what caused all this and the pain I was worried about too.
Not sure why you would have a period if skipping the sugar pills but skipping them would explain why you aren't having a period now. Lots of women choose to skip the sugar pills for that reason.
I'm just wondering whether the pelvic pain you are having is related to endometriosis and/or retrograde menstruation (period flows back through fallopian tubes and into the abdomen). Most women have some retrograde menstruation but generally the immune system copes with it and you never know about it. But I wouldn't think that would be the cause. A transvaginal ultrasound may not pick it up in the abdomen and you need a laparoscopy.
I doubt you'd be 'blocked up' because really the only place that that would happen is if the cervix was scarred over or your hymen is intact. But the ultrasound would've picked up on that.
I'm also wondering whether the pelvic pain is related to an adverse effect to the pill/s that you were one and you need something different
I'm confused.... Aren't the sugar pills just placebo? I usually skip them wait 7 days without taking pills and start a new pack
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