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Advice please

I am 52 have been in menopause for 2 years or so. 5 months ago the symptoms got to me & I went to my GP who did a blood test confirming menopause. He prescribed me Estalis Continuous patches which helped with the mood swings & night sweats. A week or so after starting HRT I began to spot, then full on bleeding. The info I was provided with said bleeding may happen so I wasn't worried. The bleeding is into its 5 month with light days, heavy days & some days it's stops but most days bleeding happens. The days I don't bleed I have a white thin discharge that's almost as bad as the bleeding. I went back to my GP who referred me to an ob-gyn. I also have pain like ovulation pain in my right ovary during the days I bleed. Plus bloating, abdo pain & now right groin lymph nodes have swollen into lumps. They hurt for 2 weeks & they stopped hurting. I can still feel the hard lumps. I had a wait to get in to the ob-gyn almost 3 months. I have now been but found I have more questions than answers. My cervical test came back normal, my ovaries normal, my endometrium has thickened & he suggested a d & c. He said I could have polyps or fibroids & he will be checking for cancer. Now I'm waiting on surgery. Not sure when it will be but he said sooner rather than later. I'm not a person who panics easily but I'm thinking most likely the patches are causing the problems. I think they are the highest dose 250?. Has anyone gone through something similar or anyone think maybe I'm too relaxed about this. Apologies for the long post x
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Avatar universal
Sorry you're dealing with this. Chances are it's nothing serious. I would think too that it's the patch causing all this. Although fibroids and polyps can cause bleeding, the timing would point to the patch. HRT can cause a little bit thicker lining which usually isn't a problem. Keep in mind too that imaging isn't exact so fibroids and polyps can appear to be part of the lining making it look thicker than it is. How thick is it? Is there a reason he doesn't want to do an in-office biopsy instead of the more invasive D&C? Also, a short course of a progestin can be used to thin out the lining.  

I don't know why, but some women do better on different types of progestogens when it comes to breakthrough bleeding. A different formulation  as either combined hormones or two separate ones may work better for you. And some find taking a progestogen separately every so often (monthly, quarterly) to force a bleed prevents the sporadic bleeding.

I hope this helps and all is ok! Keep us posted.
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