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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
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Page last updated: 16 February 2015

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