Cyclic progesterone vs continuous

However, this medication is not labeled for contraception. A trial randomly assigned a total of 38 patients with primary dysmenorrhea to continuous norethindrone acetate 5 mg tablets or estrogen-progestin oral contraceptive pills (cyclic dosing fashion) . At six months of follow-up, the reduction in dysmenorrhea was similar between the two …

Cyclic progesterone vs continuous. Continuous combined HRT is available in the form of a daily tablet or a patch. Th e gel and spray only provide estrogen so if either of these are chosen, a daily separate progestin is n eeded. An example of a continuous combined regimen using micronized progesterone would be Ut rogestan 100mg daily at bedtime along with separate estrogen.

If it has been less than a year since your last period, you should take HRT in a cyclical, or sequential, way. This means you spend some time taking both oestrogen and progesterone hormones, and some time on oestrogen only. This variable level of hormones allows your body to have a regular, period-like bleed and keep the lining of the womb healthy.

Object Moved This document may be found here Abstract. Uterine adenomyosis is a commonly encountered estrogen-dependent disease in reproductive-age women, causing heavy menstrual bleeding, intense pelvic pain, and infertility. Although adenomyosis was previously considered a disease of multiparous women, it is becoming increasingly evident that it also affects younger nulliparous women ...This study investigated the impact of chronic exposure to continuous (CoP4) versus cyclic progesterone (CyP4) alone or in combination with 17β-estradiol (E2) on gene expression profiles targeting bioenergetics, metabolism and inflammation in the adult female rat hippocampus.Intrauterine system (e.g. Mirena coil). Cyclical combined HRT options include sequential tablets or patches containing continuous oestrogen with progesterone ...label trial of adjunctive cyclic progesterone versus the optimal antiseizure ... maining women who continued on progesterone therapy had 10% to 50 ...The success of progestin-only methods, such as hormonal IUDs or progestin dominant oral contraceptives in substantially decreasing and controlling menstrual bleeding, has led to development of multiple progestin-only protocols for the sole purpose of bleeding control. ... The continuous combined protocols were designed to limit bleeding ...Provera or medroxyprogesterone acetate is a hormone frequently given to women in order to achieve regular cyclic bleeding. Physiologically, this works well ...

31 Tem 2018 ... Table 1: Studies evaluating the endometrial effects of micronized progesterone administered in combination with transdermal estradiol for ...Cyclic progesterone “addresses the central pathophysiology of androgenic PCOS by slowing the pulse frequency of both GnRH and LH to allow normal FSH and follicle growth and to promote normal reproductive cyclicity, ovulatory menstrual cycles, and fertility.”. By slowing GnRH pulsatility and lowering androgens, cyclic progesterone therapy ...Overview. " Cyclic Progesterone " means treatment with the natural progesterone hormone ( oral micronized progesterone, Prometrium® or compounded in oil) in a way that mimics the normal pattern (14 days in the last half of the menstrual cycle) and amount (300 mg at bedtime) in the menstrual cycle. That definition may suggest this therapy would ...HRT preparations consist of daily oestrogen and with either sequential (cyclic regimen) or daily (continuous combined regimen) progesterone added if necessary ( ...I will be going on cyclical progesterone, supplemented with 2,000mg of inositol daily, two cups of Spearmint tea, and L-theanine. I have opted to try 3 months of progesterone on its own before adding Spironolactone (I have low blood pressure and Spiro can make that worse), but I am considering adding in the topical Spiro to further combat acne.

day plus cyclic medroxyprogesterone acetate, 10 mg/day for 12 days a month; ( 4) conjugated equine estrogen, 0.625 mg/day plus continuous medroxyprogesterone acetate , 2.5 mg /day continuously; or (5) conjugated equine estrogen, 0.625 mg/day plus cyclic micronised pr ogesterone, 200 mg/day for 12 days/month.Continuing education is an important part of any professional’s career. It helps to keep skills and knowledge up to date, as well as providing a way to stay ahead of the competition.Continuous cycle pills contain more pills per pack, which means that they can, depending on how they're used: Shorten your monthly periods. Lower the frequency …Another increasing concern for equities is that we are likely to see an 'earnings recession'....SIVB Investors certainly have had worries piled on top of themselves so far in March. The collapse of Silicon Valley Bank (SIVB) , quick...

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progesterone administration in the context of HRT. In the UK, vaginal micronized progesterone preparations that offerthe dosescommonly used within HRTinclude100mg vaginal progesterone tablets (Lutigest) and 200 mg vaginal pessaries (Utrogestan or Cyclogest). The latter combina-tions are not licensed for use as HRT but can be used off-Progesterone (taken daily) is effective treatment of menopausal hot flushes as shown by a CeMCOR randomized trial. Daily progesterone also significantly improves sleep in menopausal women (based on three controlled trials). In short, progesterone is effective therapy for women's menstrual cycle disturbances or perimenopause and menopause ...Europe PMC is an archive of life sciences journal literature. https://orcid.org... cyclic progestin, usually medroxyprogesterone (Provera) because of its low cost. If PMS-like side effects are unacceptable, consider micronized progesterone ...This study investigated the impact of chronic exposure to continuous (CoP4) versus cyclic progesterone (CyP4) alone or in combination with 17β-estradiol (E2) on gene expression profiles targeting bioenergetics, metabolism and inflammation in the adult female rat hippocampus.Abstract. Synthetic progestogens (progestins) have been linked to increased breast cancer risk; however, the role of endogenous progesterone in breast physiology and carcinogenesis is less clearly defined. Mechanistic studies using cell culture, tissue culture, and preclinical models implicate progesterone in breast carcinogenesis.

The included RCT compared LNG‐IUS versus oral continuous or cyclic medroxyprogesterone (MPA) for treating endometrial hyperplasia. After six months of treatment, there was insufficient evidence to determine whether there was a difference in regression rates between the LNG‐IUS group and the MPA group.Estalis continuous 50/250 (same oestrogen, more progestogen than Estalis continuous 50/140) transdermal patch. 50mcg 17β oestradiol/250mcg norethisterone acetate (twice weekly application) Estrogel Pro* Combination pack of oestradiol transdermal gel, with micronised progesterone capsules. Progesterone effects a number of changes in the reproductive system and the mammary glands, which have important implications for its potential therapeutic use. Effects include. transition of the endometrium from the proliferative to the secretory phase 15. preparation of the endometrium for potential implantation 16 , 17. If it has been less than a year since your last period, you should take HRT in a cyclical, or sequential, way. This means you spend some time taking both oestrogen and progesterone hormones, and some time on oestrogen only. This variable level of hormones allows your body to have a regular, period-like bleed and keep the lining of the womb healthy. Continuous progestin regimens may be associated with a greater risk of breast cancer than cyclic regimens, but this is based on observational data. (See …The treatment period was at least 24 months. The study showed an effective reduction of the risk of recurrence in the two groups taking OCs (p = 0.012 for cyclic use and p = 0.006 for continuous use) but without a difference between the rate in the cyclic and continuous users. The number of recurrences in the three groups was 20/69, 11/75 …Dec 7, 2022 · Cyclic combined regimens – For women who are perimenopausal or in early postmenopause, we start with continuous administration of 17-beta estradiol (either transdermal or oral, depending upon underlying comorbidities and patient preference) and cyclic administration of oral micronized progesterone (200 mg/day for the first 12 days of each ... In the normal cycling rats, vaginal cytology reveals that the progesterone treatment prolongs cycle length (Progesterone vs Vehicle: 6.71 ± 0.67 vs 4.68 ± 0.35 d; n = 7 and 5, respectively; P ...Estalis continuous 50/250 (same oestrogen, more progestogen than Estalis continuous 50/140) transdermal patch. 50mcg 17β oestradiol/250mcg norethisterone acetate (twice weekly application) Estrogel Pro* Combination pack of oestradiol transdermal gel, with micronised progesterone capsules. Postmenopausal women using hormone therapy have used cyclic therapy, including four weeks of estrogen with progestin added for the last 10 to 13 days, after which they would expect to bleed. Recently, continuous hormone therapy -- a daily combined estrogen and progestin dose with no expectation of menses -- has become more popular.It wasn't too bad on 100mg/day but at 200mg/day I could barely function after a few days taking it cyclically. (To be clear: the usual continuous dose is 100mg/day and the usual cyclic dose is 200mg/day). That said, lots of women, particularly in peri, like the effect of progesterone and it doesn't make them depressed.

Dec 5, 2020 · 1.1. HMB: The Most Common Complaint. A number of theories have been proposed to explain fibroid-related HMB. These include an increase in uterine surface area, endometrial ulceration or an enlarged vascular network on the surface of a submucosal fibroid, greater vascular flow into the myometrium, changes in contractility of the inner junctional zone, and congestion of the endometrium and ...

December 5, 2018. Progesterone is one of two important hormones for women (estrogen is the one we usually hear about). Menstrual cycle hormone levels can be disturbed, even during regular cycles. The most common disturbance is of ovulation causing progesterone levels to become too low or absent.Continuous or extended cycle vs. cyclic use of combined oral contraceptives for contraception. ... Gallo MF, Schulz KF. Combined hormonal versus nonhormonal versus progestin-only contraception in ...Estrogen-progestin contraceptives - Bleeding pattern - Management. Women using a cyclic regimen; Women using continuous or extended regimens; Progestin-only contraceptives - Depot medroxyprogesterone acetate. Bleeding types; Treatment options; Treatments with limited data - Progestin-releasing implants. …As compared to cyclic administration, continuous therapy with COC has been shown to have better pain control. 20 However the limiting factors include long-term administration, ... Progesterone has multiple mechanisms of action that form the pathophysiologic basis of its use in endometriosis.Upon receiving the medicine at first, you will likely not know where you are in your cycle so you start the medicine immediately. Within 1-3 days of finishing your 10 day course, you should have a menstrual cycle. This cycle can be significantly heavier than your usual cycle. The day you start bleeding after the medicine, is CYCLE DAY #1.progesterone administration in the context of HRT. In the UK, vaginal micronized progesterone preparations that offerthe dosescommonly used within HRTinclude100mg vaginal progesterone tablets (Lutigest) and 200 mg vaginal pessaries (Utrogestan or Cyclogest). The latter combina-tions are not licensed for use as HRT but can be used off-Download scientific diagram | OVX: ovariectomy; E2: 17β-estradiol; CoP4: continuous P4; CyP4: cyclic P4. from publication: Continuous versus Cyclic Progesterone Exposure Differentially Regulates ...This study investigated the impact of chronic exposure to continuous (CoP4) versus cyclic progesterone (CyP4) alone or in combination with 17β-estradiol (E2) on gene expression profiles targeting bioenergetics, metabolism and inflammation in the adult female rat hippocampus. Continuous HRT means taking oestrogen and progesterone continuously, without a break. Which one you take will usually depend on things like your age and the stage of menopause that you’re in. Cyclical HRT is more commonly used in people who are still getting their periods, whereas continuous HRT is usually recommended for post-menopausal ...

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This study investigated the impact of chronic exposure to continuous (CoP4) versus cyclic progesterone (CyP4) alone or in combination with 17b-estradiol (E2) on gene expression profiles targeting bioenergetics, metabolism and inflammation in the adult female rat hippocampus. High-throughput qRT-PCR analyses revealed that ovarian hormonal ...Continuous and cyclic progesterone differentially interact with estradiol in the regulation of Alzheimer-like pathology in female 3×transgenic-Alzheimer's disease mice. Endocrinology. 2010; 151 (6):2713–2722. [Europe PMC free article] [Google Scholar]Recent experimental evidence suggests that continuous progesterone can attenuate neural actions of estradiol (E(2)). In the present study, we compared the effects of continuous and cyclic progesterone treatment in the presence and absence of E(2) in ovariectomized 3xTg-AD mice, a transgenic mouse model of AD. The continuous combined protocols were designed to limit bleeding episodes to every 3 or more months. Recent changes include important alterations of the traditional 21–7 monophasic pill regimen. The 24–4 pill regimen shortens the pill free window allowing for a limited withdrawal bleeding episode.Continuous-combined regimen inhibits the sloughing of mammary epithelium that occurs after progesterone withdrawal in a cyclic regimen. More importantly, the progestins used (medroxyprogesterone acetate and 19-Nortestosterone-derivatives) are endowed with some non-progesterone-like effects, which can potentiate the proliferative action of ...progesterone administration in the context of HRT. In the UK, vaginal micronized progesterone preparations that offerthe dosescommonly used within HRTinclude100mg vaginal progesterone tablets (Lutigest) and 200 mg vaginal pessaries (Utrogestan or Cyclogest). The latter combina-tions are not licensed for use as HRT but can be used off-Effects of continuous estrogen and estrogen-progestin replacement regimens on cardiovascular risk markers in postmenopausel women. Arch Intern Med (2000) ... Continuous- cyclic estrogen-progestogen therapy includes daily estrogen dosing with progestogen added cyclically for 12 to 14 days per month or in long cycle formulations, …Extended Use Instructions. Take 84 hormonal pills in a row, one each day. (These are the hormonal pills in 4 monthly packs.) Users of 28-pill packs do not take the nonhormonal pills. After 84 hormonal pills, wait 7 days and start the next pack of pills on the 8th day.For cyclic OCPs, with typical use, as contrasted to perfect use, the pregnancy rate is 8% vs 0.3% per year, respectively, showing that missed pills or other reasons for imperfect use cause ...Cyclic therapy usually consists of the daily administration of estrogen usually in the form of an oral estrogen tablet or a transdermal estrogen patch replaced once or twice weekly but worn continually plus progesterone in tablet form taken 10-12 days a month. Estrogen stimulates and thickens the endometrium, (the lining of the uterus) and then ... The administration of 200 mg/day progesterone over 12 days of a menstrual cycle or a daily administration of 100 mg combined with an estrogen are a safe and well-tolerated option to treat menopausal symptoms, with a better benefit risk profile compared to synthetic gestagens. Key words: hormone therapy, progesterone, menopause, menopausal symptomsIn a 12-month study of a continuous COCP regimen, 59% of women experienced no bleeding in months six through twelve and 79% of women experienced no bleeding in month twelve. Extended or continuous use of COCPs or other combined hormonal contraceptives carries the same risk of side effects and medical risks as traditional COCP use. [citation needed] ….

December 5, 2018. Progesterone is one of two important hormones for women (estrogen is the one we usually hear about). Menstrual cycle hormone levels can be disturbed, even during regular cycles. The most common disturbance is of ovulation causing progesterone levels to become too low or absent.Progesterone talks back to the hypothalamic and pituitary (brain) hormones that control the ovary, and stops them from stimulating the ovary to make too much testosterone. Taking progesterone for two weeks every month (called cyclic progesterone) may help the brain to develop the normal cyclic rhythm that is missing in …Progesterone for prevention of bone loss in adolescent, pre- and perimenopause. Oral micronized progesterone (progesterone) that is identical to ovarian luteal-phase P4 production is now available for cyclic therapy Citation 39. However, progesterone therapy only became available in France in the 1980s Citation 39 and North America in the mid ...AUB-O occurs in women as a result of absence of cyclic progesterone due to absence of the corpus luteum and the stimulation of the endometrium by unopposed estrogen . For the correct definition of women with AUB-O, excessive bleeding lasting more than 8 days in the last 6 to 12 months should not be due to pregnancy, diagnosed pelvic and ...In the 36-month Postmenopausal Estrogen/Progestin Interventions (PEPI) trial, there was very little difference between percent adherent to the protocol at the end of the study comparing CE plus either cyclic MPA or cyclic progesterone or continuous combined MPA [21]. Percentage adherent was around 80% in all of these combination regimens ... Objective: The purpose of this study was to evaluate the acceptability and endometrial safety of a twice-weekly administration of transdermal estradiol (0.05 mg) systems and vaginal progesterone gel (Crinone [Serono, Rome, Italy] 4%, 45 mg/d) as a continuous combined nonoral hormone replacement therapy regimen.Study Design: Thirty-five …Continuation of postmenopausal hormone replacement therapy: comparison of cyclic versus continuous combined schedules Menopause. 2018 Nov;25(11):1187-1190. doi: 10.1097/GME.0000000000001215. Authors Bruce Ettinger ... Progesterone / therapeutic use*Cyclical transdermal HRT is only available in a medium dose of estrogen and appropriate progestogen. Tablet form continuous combined preparations are available ...In the normal cycling rats, vaginal cytology reveals that the progesterone treatment prolongs cycle length (Progesterone vs Vehicle: 6.71 ± 0.67 vs 4.68 ± 0.35 d; n = 7 and 5, respectively; P ... Cyclic progesterone vs continuous, Continuous progestin regimens may be associated with a greater risk of breast cancer than cyclic regimens, but this is based on observational data. (See …, The compared effects of continuous COC versus oral progestin administration were assessed by the same Italian group in two different studies. ... Continuous versus cyclic EE 20 µg plus GSD 0.075 mg or no therapy.-Lower endometrioma recurrence rate in continuous and cyclic regimen groups (14.7% and …, Extended or continuous cycle combined oral contraceptive pills are a packaging of combined oral contraceptive pills (COCPs) that reduce or eliminate the withdrawal bleeding that would occur once every 28 days in traditionally packaged COCPs. It works by reducing the frequency of the pill-free or placebo days. Extended cycle use of COCPs may also be …, The fashion industry is known for its cyclical nature, constantly drawing inspiration from different eras. One such era that has made a strong comeback in recent years is the 70s. The iconic style of the 70s is all about bold prints, vibran..., The addition of progesterone for at least 12 days per month/28 day cycle or continuous combined estrogen-progestogen therapy in non-hysterectomised women prevents the excess risk associated with estrogen-only HRT. ... who received cyclic micronized Progesterone capsules, 200 mg daily (12 days per calendar month cycle) with daily …, Estalis continuous 50/250 (same oestrogen, more progestogen than Estalis continuous 50/140) transdermal patch. 50mcg 17β oestradiol/250mcg norethisterone acetate (twice weekly application) Estrogel Pro* Combination pack of oestradiol transdermal gel, with micronised progesterone capsules. , Feb 17, 2023 · Body-identical or bioidentical progesterone can treat women’s health conditions such as PCOS, PMDD, migraines, endometriosis, adenomyosis, and perimenopause. Progesterone is called oral micronized progesterone and requires a doctor’s prescription. Brand names include Prometrium Ⓡ, Utrogestan Ⓡ, Teva Ⓡ, and Famenita Ⓡ, depending on ... , Oct 22, 2021 · Abstract. Uterine adenomyosis is a commonly encountered estrogen-dependent disease in reproductive-age women, causing heavy menstrual bleeding, intense pelvic pain, and infertility. Although adenomyosis was previously considered a disease of multiparous women, it is becoming increasingly evident that it also affects younger nulliparous women ... , Also, ovulation and progesterone (P4) levels become insufficient or absent. The most symptomatic women have higher E2 and lower P4 levels. Because P4 and E2 complement/counterbalance each other's tissue effects, oral micronized P4 (OMP4 300 mg at -bedtime) is a physiological therapy for treatment-seeking, symptomatic perimenopausal women., Continuous cycle pills contain more pills per pack, which means that they can, depending on how they're used: Shorten your monthly periods. Lower the frequency …, Recent experimental evidence suggests that continuous progesterone can attenuate neural actions of estradiol (E(2)). In the present study, we compared the effects of continuous and cyclic progesterone treatment in the presence and absence of E(2) in ovariectomized 3xTg-AD mice, a transgenic mouse model of AD., It wasn't too bad on 100mg/day but at 200mg/day I could barely function after a few days taking it cyclically. (To be clear: the usual continuous dose is 100mg/day and the usual cyclic dose is 200mg/day). That said, lots of women, particularly in peri, like the effect of progesterone and it doesn't make them depressed., Progesterone effects a number of changes in the reproductive system and the mammary glands, which have important implications for its potential therapeutic use. Effects include. transition of the endometrium from the proliferative to the secretory phase 15. preparation of the endometrium for potential implantation 16 , 17., Feb 17, 2023 · Body-identical or bioidentical progesterone can treat women’s health conditions such as PCOS, PMDD, migraines, endometriosis, adenomyosis, and perimenopause. Progesterone is called oral micronized progesterone and requires a doctor’s prescription. Brand names include Prometrium Ⓡ, Utrogestan Ⓡ, Teva Ⓡ, and Famenita Ⓡ, depending on ... , Continuation of postmenopausal hormone replacement therapy: comparison of cyclic versus continuous combined schedules Menopause. 2018 Nov;25(11):1187-1190. doi: 10.1097/GME.0000000000001215. Authors Bruce Ettinger ... Progesterone / therapeutic use*, No significant differences were apparent between women taking CEE only versus the three progestin regimens: medroxyprogesterone acetate (MPA) at 2.5 mg daily (continuous MPA), MPA at 10 mg on days ..., Intrauterine system (e.g. Mirena coil). Cyclical combined HRT options include sequential tablets or patches containing continuous oestrogen with progesterone ..., CEE, 0.625 mg daily, with MPA, 5 or 10 mg, on days 1 through 10 of each month. Withdrawal bleeding occurs monthly after day 10 of progestin and can continue for years. Cyclical HRT is available in a combination pill (Premphase) in which progesterone is present only in the pills for days 12 through 28., Studies suggest that rising and falling levels of hormones (eg, estrogen and progesterone) may also influence chemicals in the brain, including a substance called serotonin, which affects mood. However, it is not clear why some women develop premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD) and others do not., Oct 22, 2021 · Abstract. Uterine adenomyosis is a commonly encountered estrogen-dependent disease in reproductive-age women, causing heavy menstrual bleeding, intense pelvic pain, and infertility. Although adenomyosis was previously considered a disease of multiparous women, it is becoming increasingly evident that it also affects younger nulliparous women ... , Recent experimental evidence suggests that continuous progesterone can attenuate neural actions of estradiol (E(2)). In the present study, we compared the effects of continuous and cyclic progesterone treatment in the presence and absence of E(2) in ovariectomized 3xTg-AD mice, a transgenic mouse model of AD., More recent data derived from a direct comparison of continuous exposure to 17β-estradiol plus cyclic exposure to progesterone vs. a continuous combined regimen of these hormones over several months resulted in very different gene expression profiles in brain . As might be expected, continuous exposure to 17β-estradiol plus cyclic exposure to ..., Endometriosis is a disease that affects an estimated 5%–10% of women of reproductive age with a prevalence peak between 25 and 35 years of age. It is associated with a wide spectrum of pain symptoms (dysmenorrhea, dyspareunia, periovulatory pain, chronic pelvic pain without any relation to menstrual cycle, dyschezia, dysuria, pain due to ..., Progesterone Therapy for Heavy Bleeding. Bio-identical progesterone can be very helpful in the treatment of heavy menstrual bleeding. As mentioned, progesterone is a natural opposer of estrogen. As a result, it can reduce excessive growth and fragility of the endometrial lining. This leads to lighter cycles., However, compared with cyclic regimens, noncyclic estrogen use could expose women to an increased cumulative dose of estrogen and therefore may increase the risk for VTE. Lybrel (Pfizer) is the first continuous-cyclic (365/0) COC approved in the United States, containing ethinyl estradiol 20 µg and levonorgestrel 90 µg., Of 780 studies that were screened by title and abstract, 8 were included in the final analysis; 6 evaluated cyclic vs. continuous CHC, and 2 evaluated cyclic vs. extended/flexible CHC use. Quality of evidence was low for all outcome measures. Overall, compared to cyclic use, flexible/extended CHC resulted in 4 fewer days of dysmenorrhea., Dec 26, 2022 · Cyclic progesterone “addresses the central pathophysiology of androgenic PCOS by slowing the pulse frequency of both GnRH and LH to allow normal FSH and follicle growth and to promote normal reproductive cyclicity, ovulatory menstrual cycles, and fertility.”. By slowing GnRH pulsatility and lowering androgens, cyclic progesterone therapy ... , 1.1. HMB: The Most Common Complaint. A number of theories have been proposed to explain fibroid-related HMB. These include an increase in uterine surface area, endometrial ulceration or an enlarged vascular network on the surface of a submucosal fibroid, greater vascular flow into the myometrium, changes in contractility of the inner junctional zone, and congestion of the endometrium and ..., It can be given cyclic 5-10 mg/ day or continuous 1.25-2.5 mg/day regimen. Several studies have confirmed that taking it is associated with an increased risk of breast cancer, as in “WHI” study (9, 15). Women who do not tolerate oral progesterone have the option of placing Levonorgestrel-leasing intrauterine device-LNG-IUS in the endometrium., The continuous therapy regimens examined by the included studies were CEE (0.625 or 1.25 mg/day) plus medroxyprogesterone (MPA; 2.5, 5 or 10 mg/day), or CEE alone (0.625 mg/day). The cyclic regimens used by …, ... cyclical HRT or breakthrough bleeding after 6 months on continuous combined therapy when there has been established amenorrhoea. Practice nurses must be ..., As you approach the menopause, levels of the sex hormones oestrogen and progesterone fall, which causes symptoms such as hot flushes, night sweats, mood swings and vaginal dryness. Continuous combined HRT works by replacing these hormones, which helps to improve menopause symptoms., Use continuous oestrogen and cyclic progestogen combinations at peri-menopause or if less than 12 months amenorrhoea LOW DOSE ... gel, with micronised progesterone capsules. 1 pump (0.75mg oestradiol) daily, and 2 capsules (200mg) micronised progesterone orally for 12 days out of a 28-day cycle MEDIUM DOSE