Does scant bleeding and the return of hot flashes mean that Cyclo-Progynova has stopped working?

When using Cyclo-Progynova, bleeding of varying severity may occur, usually during long-term therapy. Reducing the secretion of estradiol by the ovaries may give instability to thermoregulation causing hot flashes. The return of ailments despite the drug used should be discussed with a doctor who will order appropriate tests, e.g. checking the level of hormones and based on your health condition will determine whether the current therapy requires a change. I enclose materials that may be useful: https://www.gdziepolek.pl/artykuly/htz-hormonalna-terapia-zastepcza-w-menopauzie