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:
- SIDE EFFECTS Persistent side effects following logical therapy changes as per Side
effect management.
- POOR SYMPTOM CONTROL Inadequate control despite logical changes
in HRT as per Poor
symptom control.
- 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.
- COMPLEX MEDICAL HISTORY
- PAST HISTORY
OF HORMONE DEPENDENT CANCER
- INDIVIDUAL REQUEST
Page last updated: 6 December 2011
