HRT

Question 1

Who should take oestrogen-only HRT and who should take combined?

Answer 1

-Oestrogen-only = women with no uterus
-Combined = women with uterus (progesterone is protective against endometrial cancer)

Question 2

What forms can HRT be taken in?

Answer 2

-Tablet (both)
-Patch (both)
-Gel (oestrogen)
-Implant (oestrogen but can have separate IUS)
-Vaginal (oestrogen)

Question 3

What is the main risk when taking oral HRT?

Answer 3

-VTE
-Not suitable in those with a Hx of endometrial or oestrogen-dependent breast cancers

Question 4

What treatment routines are there for HRT?

Answer 4

-Cyclical
–monthly
–3-monthly
-Continuous combined

Question 5

How are cycle routines taken?

Answer 5

MONTHLY
-Oestrogen every day
- +Progestogen for the last 14 days of your cycle
3-MONTHLY
-Oestrogen every day
- +Progestogen for 14 days every 3 months

Question 6

Who are monthly and 3-monthly cyclical HRT regimes recommended for?

Answer 6

-Monthly = recommended for women having regular periods
-3-monthly = irregular periods

Question 7

Who is continuous combined HRT recommended for and how should it be taken?

Answer 7

-Recommended for those who are post-menopausal ie not had a period for 1 year
-Take both every day with no break
-If on oestrogen-only, take just oestrogen every day with no break