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Hormone replacement therapy (HRT)
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What are the different types of HRT and what do they do?
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In UK practice, HRT is usually reviewed: ✅around 3 months after starting/changing, then ✅annually once stable How practices do this telephone call, questionnaire, nurse apt, GP apt can vary. Firstly, Symptoms are not always menopause related just because a woman is midlife. These symptoms can be: 👉🏻menopause-related brain fog (sometimes helped by dose adjustment) 👉🏻progesterone sedation (especially if you’re on cyclical micronised progesterone, some feel more foggy/tired and do better with a
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🩸 Why Might a Woman Bleed on HRT? Basically all women are different and respond to every HRT differently. There’s no right or wrong type as a whole. Here’s 5 reasons you might bleed: 1. Timing & Type of HRT ✅Sequential HRT (e.g. oestrogen daily 2w progestogen): causes predictable monthly withdrawal bleeds- may get lighter over time as get into full menopause. ✅Continuous combined HRT (oestrogen progestogen daily): should ideally lead to no bleeding, but spotting is common in the first 3–6 month
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