Initial review:

When commenced on HRT, or when HRT changed, see your doctor or nurse after 3 months to:

• assess effect of therapy
• discuss any side effects and bleeding pattern
• have check of blood pressure and weight

When settled on therapy see your doctor or nurse at least once per year to:

• Check effectiveness of therapy & presence of side effects.
• Update on best type of therapy for you.
• Discuss pros and cons of continuing HRT, in particular, discussing increased risk of breast cancer with long-term HRT
• Have blood pressure checked.
• Breast and pelvic examination need only be performed if there is a clinical indication, and cervical smears as indicated by the screening programme in your area.