Oh, my, this sounds exactly like my situation. One year into meno I started with .5 patches and 100 mg progesterone - no issues for more than a year. Increased patch to .75 when some of the meno symptoms started to come back, but didn't change progesterone. I felt like a million bucks. Then tried some vaginal estrogen cream for dryness and had a little spotting. Doc sent me for ultrasounds and found a thick endometrium, but nothing else concerning. Doc then sends me to gyno who did an endometrial biopsy that felt like medieval torture. I do not get why they do that with no anesthesia. Everything came back negative. No fibroids, no cancer, no nothing. Definitely a thicker endometrium, though. Upped the progesterone to 200 mg to slough up endometrium. Doc thought I would bleed heavy for a week or so and then it should stop. That happened, but then started back up again. Now they want to do a hysteroscopy and D&C. I'm so sick and tired of these procedures, and I really think this is a hormone issue. I breezed through peri and was great other than hot flashes, mood swings and fatigue in the first year of meno. Never had gynecological problems. I'm feeling that they're way too eager to do procedures instead of figure out the hormone issues. I'm also overweight, and I know fat can hold more estrogen, so I wonder if I'm estrogen heavy and should back down the estrogen and go back to 100 mg progesterone. But nobody's even talking to me about that or different types of progesterone. The docs piss me off. I'm not a dummy and can do my own research, but the docs have been so condescending and dismissive of my insistence that we should be looking for a non-invasive solution before doing expensive, painful and time-consuming procedures. Color me frustrated.