At first, utrogestan (micronized progesterone) may make you feel depressed, as if you had a dark cloud over your head. This side effect may improve over time, usually within the first 3 months or 3 cycles if taken sequentially. At first, you may feel a little foggy in the morning while taking Utrogestan before going to sleep. This usually goes away with time (a few weeks).
Of course, hormone replacement is a very individualized process. While some patients feel significant results within a few days, others feel results after months. HRT treatments can be customized over time based on patients' needs. It's common to start hormone therapy with a low dose to see how it initially improves hormone levels, and then the dose can be adjusted accordingly.
Bleeding usually goes away within the first 3 to 6 months of starting HRT or after changing the dose of HRT. If you are taking hormone replacement therapy such as “monthly bleeding”, a monthly bleeding pattern should be established after three to four months. If side effects don't go away within 3 months or cause you a lot of discomfort, you may need to reconsider hormone replacement therapy. When starting hormone replacement therapy, it is very common to experience some initial side effects or initial symptoms, such as breast tenderness or breast enlargement.
If side effects are severe or don't go away, schedule another appointment with your doctor, as changing the type or dose of HRT may help. The following table shows approximately how long it may take for a person to notice the difference with administering hormone replacement therapy by inserting pellets under the skin. Let's first examine why people consider hormone replacement therapy to determine if this treatment plan may be right for you. It can take up to 3 months for menopausal symptoms to go away when you start hormone therapy, but they usually get better faster. Women who experience natural menopause (anytime after age 4) will usually be offered hormone replacement therapy based on symptoms and may not need any blood tests.
If you take certain types of medications, such as antibiotics or steroids, they can interfere with or delay the results of hormonal hormone therapy. If bleeding episodes are becoming less frequent and milder, it will be presumed that the body is slowly adapting to the hormone therapy regimen. Keeping a diary can be useful, especially if you follow a sequential “bleeding” regimen, as it will help you to check if you only have adverse effects on the days you take the progestogen (the day of Utrogestan, the Evorel Conti patches in the Evorel Sequi box, or the oral HRT tablets containing progestogen, which will have a different color depending on your HRT).The decision to stop, change, or discontinue hormone replacement therapy should be made in a joint and informed manner, based on changes in health and any new research findings during the previous year. It is also important to understand which symptoms are of greatest concern and what are the expectations of each woman with regard to hormone replacement therapy.
This is because HRT will provide estrogen that should still have been produced in the ovaries to help prevent heart disease. and osteoporosis.
