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

Page last updated: 16 February 2015

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