I haven't contacted my gyno yet but I discontinued estradiol after 2nd day of bleeding and plan to resume after bleeding stops (its been 5 days and seems to be easing up). The steroid shot was so helpful for my shoulder issue that I'd do it again and deal with 5-7 days of bleeding, as long as it isn't creating more serious problems like polyps or uterine cancer. The gynos and ortho docs need to be better informed about this for sure!