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Decision Tree

This interactive flow chart aims to facilitate treatment decisions. Clicking on the red boxes leads to the relevant section.


Spray Local oestrogen SERM Oral oestrogen Indications for non-oral Non-oral oestrogen Oral Oral Tibolone Review Poor symptom control Side effects When to refer Indications for non-oral Long cycle HRT Non-oral sequential HRT Indications for non-oral Non-oral continuous combined HRT Patches Gel implants Urogenital symptoms only Parathyroid calcium vitamin d Bisphosphonates vasomotor diet guide calcitonin testosterone

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