Doctor insights on:
Breakthrough Bleeding On Hrt
Usually done to provide the hormones that would be deficient upon surgical removal or inactivity or malfunction of a hormone producing gland or organ. The endocrinologist is the medical specialist that specializes amongst other things, in doing just that. Insulin/glucagon-pancreas, thyroid hormone-thyroid, ovaries, testicles, hypothalamus, ...Read more
During HRT in a postmenopausal woman, does the endometrial cycle continue under the effect of the hormones? Does she have breakthrough bleeding?
Depends...: ...on the cause. If you're not on any hormones (like birth control pills), then this is not normal, and you should be examined right away. If you're taking birth control pills, you probably need a higher dose.
Breakthrough bleed: Breakthrough bleeding (bleeding at the wrong time) is very common on birth control. It happens in about 1/3 of users. Its no big deal and usually self corrects over time. If you are not satisfied or it continues to happen then consider using a different birth control method. It is a common side effect and does not mean something is wrong or that the pill is not working.
Not necessary: This is more of a personal choice. Medically it is not unhealthy to have intercourse on your menses or with breakthrough bleeding. Many couples will only have intercourse on their menses because then they know they can't get pregnant. But if this is not acceptable to you or your partner just avoid those days.See 2 more doctor answers
Get checked: Could be a urinary tract infection or pregnancy. Please see your doctor or to the emergency room immediately.
Please call your GYN: That is a common problem with proges only pills.
Yes!: Absolutely. There are also other possible causes, but this is not to worry about unless it becomes a pattern.See 1 more doctor answer
What is timing?: Implantation is when the conceptus (from union of egg & sperm) attach to the wall of the uterus. Bleeding most often dose not occur with implantation. If there is bleeding the amount is small. It may be small rust or brown colored drops or light pink swirled in white d/C. It usually occurs about ten days after ovulation. There is more blood w period. Take a HPT if you miss your period.
Yes: Assuming you are taking birth control pills and that;s what you're referring to. Keep taking pills.
Briefly: Breakthrough bleeding is often an indicator of a hormonal issue. Taking "extra" birth control pills" increases both Progesterone and estrogen, which is not the optimal way to treat this. The better option is th change to a more appropriate pill, usually meaning not a "lo dose" pill or a "triphasic" pill.See 1 more doctor answer
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