HRT

Question 1

What is HRT used for?

Answer 1

1. To relieve the symptoms of menopause:
2. Preserve bone strength

Question 2

What are the three types of HRT?

Answer 2

1. Oestrogen only
2. Oestrogen and progesterone sequentially
3. Oestrogen and progesterone combined

Question 3

When would you give oestrogen only HRT and why?

Answer 3

If they have had a hysterectomy

There is no uterus so no risk of endometrial cancer from the oestrogen

Question 4

When would you give combined and sequential HRT and why?

Is there a withdrawal bleed?

Answer 4

• If the women has not had a hysterectomy
• The cyle limts the endometrial cancer risk of the oestrogen
• Withdrawal bleed
• Less than a year since last period

Question 5

When would you give combined continous HRT and why?

Is there a withdrawal bleed?

Answer 5

• If the women is post menopausal otherwise the endometrium would continue to build up in the presence of progesterone
• No bleeding as continuous progesterone
• Over a year since last period