Menopause and Estrogen Spray Usage
One of the most common questions we receive relates to the use of estrogen spray, particularly in situations where there is uncertainty about whether periods have ended. The use of a hormonal IUD can especially complicate things, as it may prevent periods, but it doesn't necessarily mean that menopause has begun. In this blog post, we explain how estrogen spray works and why it might cause spotting even when you're not entirely sure if your periods have stopped.
This blog post is part of our Dear Augusta blog series, where our expert team answers questions sent to Augusta Nordic.
Estrogen Supplement and Its Use During Perimenopause
The use of estrogen spray is generally based on symptoms, rather than the state of the menstrual cycle. A hormone supplement like estrogen spray may be necessary if menopausal symptoms such as hot flashes, night sweats, and mood swings are difficult to manage. The use of estrogen supplementation is not dependent on whether periods have ended but rather on how symptoms affect your life.
Spotting During Estrogen Spray Use
If spotting occurs during the use of estrogen spray, it's important to consider a few factors. Spotting can be physiologically explained because estrogen affects the thickness of the uterine lining. As the lining thickens, it can cause spotting. This is particularly typical during perimenopause, the transitional phase, when the ovarian hormone progesterone decreases, and it no longer regulates the uterine lining as effectively as before.
Interaction Between Hormonal IUD and Estrogen Spray
If estrogen supplementation is started during the use of a hormonal IUD, spotting may also occur, even if periods haven't happened for a long time. In this case, it's important to ensure that the hormonal IUD is still functional and hasn't expired. If spotting occurs, it may be helpful to visit a gynecologist for an examination, where an ultrasound can be performed to confirm that there are no changes in the IUD that could be causing the bleeding.
An Individual Approach
It's important to remember that the need for estrogen supplementation and possible side effects, such as spotting, can vary individually. Age is a significant factor, as estrogen supplementation is generally approached more cautiously for those under 40. For those in the typical menopausal age range, around 45-55, the hormonal IUD can influence the use of estrogen spray, but spotting is generally well-understood physiologically.
So, if you're wondering whether you can use estrogen spray even if you're unsure whether your periods have ended, the answer is yes – its use is based on symptoms, not the status of your menstrual cycle. However, if spotting occurs, it's important to ensure that the hormonal IUD is in good condition and, if necessary, visit a gynecologist for a check-up.
Remember, every body is different, and the best approach is to discuss it with a healthcare professional. This ensures that the treatment you choose supports your well-being in the best possible way.
