Hormone replacement therapy can promote vaginal bleeding after menopause. So, is progesterone necessary as a part of HRT? It is essential to take progesterone to balance levels of estrogen, much like the way our bodies naturally would. So how often and how long is progesterone required?

For some patients, they will need to take it every day—especially those with a medical reason to avoid getting their period. Studies have shown that it is safe to use daily. But in all other cases, it's best to mimic the way nature intended it, taking progesterone 12-14 days a month. However, doing it this way means you will get a period.

If you use progesterone without estrogen, you will not get a period. Estrogen is required to create the uterine lining. Are there cons to having a period after menopause? Having a regular period can be inconvenient and/or physically distressing, or even cause anemia.

There are also pros to having a period after menopause too. For one, it can promote heart health by helping to naturally thin out your blood. It also protects your lining by promoting shedding. You're also less likely to develop polyps or hyperplasia. Having a period is also useful data for your doctor, especially if you're on HRT.

Bleeding monthly can also help to prevent breakthrough bleeding. This can happen multiple times a year and always needs to be evaluated, which can be costly and uncomfortable. Ultimately, the decision to take it daily or not is a personal one, but knowing the pros and cons can help you make an informed decision.

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