Follow Up

Initial follow up:

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

• assess effect of therapy
• enquire about side effects and bleeding pattern
• check blood pressure and weight

When settled on therapy see once per annum to:

• Check effectiveness of therapy & presence of side effects.
• Update on best type of therapy for patients.
• Discuss pros and cons of continuing HRT, in particular, discussing increased risk of breast cancer with long-term HRT
• Check blood pressure.
• Encourage breast awareness.
• Cervical smear 3 yearly.
• Pelvic examination - only if clinically indicated.