Hello,
Thanks for posting your query at DoctorSpring.com
Prometrium gives comparatively less side effects such as anxiety, moodiness etc.
Regarding bleeding, both are comparably efficacious.
So yes, you can just go onto the Prometrium and keep taking it every day.
The chances of a bleed such as the one you had, and are afraid of, are minimal.
Another option is to have the Mirena coil inserted for a short span of time until Menopause sets in, which it should, ina short while, since you are already 58.
All the best
Please feel free to discuss further.
Regards.
Patient replied :
Thank you. One last question. Since it has been 3 1/2 months since I have had a bleed/shed of the liningetting do I need to clear it again with provera first or can I just go to daily use of prometrium and will it still thin the lining without a withdrawal type bleed like the provera did?
IF possible have a scan.
If the lining is thin enough, you can straightaway go to the Prometrium.
If it is mildly thick, you can first have a withdrawal with Provera, and then switch over to Prometrium.
Take care.