instruction: hello doctor I have been on femosten conti for several months and have changed from a different hit medication which was also the brand femosten but I cannot recall its name I commenced on the first medication to manage menopausal symptoms it has certainly helped with the symptoms especially the femosten conti I have noticed some spotting on occasion it is very minimal I wear panty liners so note any discharge or bleeding it is what I would describe as infrequent I am not sure if I should see my go about this
output: hi thank for the query I can understand your concern femoston conti contains dydrogesterone and estradiol hemihydrate means combination of progesterone and estrogen to treat the symptoms of menopause usually prolonged use of hormone replacement therapy is not recommended if using for prolonged periods then regular general checkup is advised to diagnose any problems related to hormonal use irregular spotting after menopause should be considered seriously as sometimes it may indicate some problem usual causes are atrophic endometrium cervical erosion increased endometrial thickness etc hit is not advisable in case of unknown cause of pelvic bleed usually so please consult your gynecologist once get examined and go for pap smear test and ultrasound with this workup the possible cause of your problem can be identified and treated if symptoms of menopause are minimal then herbal extracts like astro are better with less side effects hope I have answered your question I will be happy to answer any further follow up questions take care increased endometrial thickness pap smear and ultrasound side effects increased endometrial thickness to be evaluated better to avoid prolonged use if needed