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HRT: When to be referred


When to be referred depends on the experience and facilities available to your own GP or nurse but in general terms, the following apply:

  1. SIDE EFFECTS Persistent side effects following logical therapy changes as per Side effect management.

  2. POOR SYMPTOM CONTROL Inadequate control despite logical changes in HRT as per Poor symptom control.

  3. BLEEDING PROBLEMS Sequential therapy - change in pattern of bleeding including increased duration, frequency and/or heaviness, and irregular bleeding. Continuous combined therapy or tibolone - if still bleeding after 6 months of therapy or if bleeding occurs later after a spell of no bleeding.

  4. COMPLEX MEDICAL HISTORY

  5. PAST HISTORY OF HORMONE DEPENDENT CANCER

  6. INDIVIDUAL REQUEST
Regelle
Southdown Duvets
Menopace
Promensil
Menopause Essentials
Omega7
vibrance
Fingertips
Ostinol
The Wool Room
Lady Prelox
supersupps
USA ads
mission
Nurture
Monalisa
Physicool
Red Peony Menopause Tincture
Cysticlean

Page last updated: 16 February 2015

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