🩸 Why Might a Woman Bleed on HRT? Basically all women are different and respond to every HRT differently. There’s no right or wrong type as a whole. Here’s 5 reasons you might bleed: 1. Timing & Type of HRT ✅Sequential HRT (e.g. oestrogen daily 2w progestogen): causes predictable monthly withdrawal bleeds- may get lighter over time as get into full menopause. ✅Continuous combined HRT (oestrogen progestogen daily): should ideally lead to no bleeding, but spotting is common in the first 3–6 month

Can hormonal changes make fibroid-related bleeding worse? 💭 Yes — they can! Estrogen and progesterone play a major role in how fibroids grow and how your uterus responds during your cycle. When estrogen levels rise, fibroids may grow larger and the uterine lining thickens — leading to heavier, longer bleeding. On the other hand, low progesterone levels can make it harder for your body to control bleeding, causing longer or more unpredictable periods. If you notice your cycles getting heavier or