Menopause Matters Forum

Menopause Discussion => Personal Experiences => Topic started by: Lex45 on October 23, 2015, 09:52:22 AM

Title: HRT guidelines
Post by: Lex45 on October 23, 2015, 09:52:22 AM

Found this and thought it might be useful!
http://www.gwh.nhs.uk/media/163808/wiltshire_hrt_guidance_2014.pdf

Title: Re: HRT guidelines
Post by: TheDuchess on October 23, 2015, 10:03:22 AM

It's a little out of date in terms of latest thinking amongst specialists. (not a criticism of you for posting!)

There is a definite move away from Prempak and other HRT which uses conjugated oestrogen, because of possible side effects. Shame it's on the list as a routine treatment.

There is also no mention of using separate oestrogens (as a patch or gel)  and a progestogen/ progesterone for ALL women, as a long-term sequential alternative to conti HRT, in women who prefer not to have progestogens daily.

It seems very 'tablet' heavy with gel being reserved for women without a uterus whereas in fact many women with a uterus use it along with a separate progestogen/ micronised progesterone.

Title: Re: HRT guidelines
Post by: Lex45 on October 23, 2015, 11:35:20 AM

Yeah I know it's got flaws,  but it's one of the clearest general guides I've seen, and acknowledges different progesterone

Title: Re: HRT guidelines
Post by: Anjia on October 23, 2015, 12:18:18 PM

This is a very good site thanks x

Title: Re: HRT guidelines
Post by: Sunnydays on October 23, 2015, 01:33:42 PM

I think it gives a good visual overview  of the different routes. I like to see the whole picture. Some gynaes still prescribe premoack etc as first choice.