Can dose of oestrogen or progesterone affect bleeding pattern? I have a 53 year old on E2 only patch plus utrogestan 100mgs nightly, for 2 years, and now having monthly bleed.Is it reasonable to increase utrogestan to 2 tablets every night and try this for 3 months or would you carry out PV in the first instance? Recent smear normal.

women who have bleeding on HRT, if you refer them for a scan, you will be advised to tell the patient to stop HRT for 6 weeks first and or refer to gynae but most women do not want to stop HRT. What would you advise ?

Thankyou, Lynda

Kindly explain age adjustments for premature baby at 8 weeks check and for routine immunisation

This Primary Care Updates course is designed to help GPs to stay up-to-date with the latest guidelines and developments in Managing HRT including bleeding, prescribing, types and balancing (oestrogen, testosterone, progesterone)

Note for GPs in Ireland: We have applied for Irish College of GPs CPD points and recognition is pending

Note for GPs in the UK: This event is not formally accredited by an external organisation for UK CPD points. The current guidance for GP CPD in the UK is that it is appropriate that the credits you self-allocate should equal however many hours you spent on learning activities, as long as they are demonstrated by a reflective note on lessons learned and any changes made or planned (if applicable).

This online session aims to provide GPs with the competence to deliver comprehensive, empathetic, and effective care to patients with personality disorders, reflecting the latest advancements and best practices in the field.

The upcoming webinar, "Bone Health: What Primary Care Practitioners Need to Know," aims to equip GPs with essential knowledge and skills for managing bone health in their patients. Topics will include the identification and assessment of common bone conditions such as osteoporosis, effective screening and diagnostic techniques, and evidence-based management strategies. Attendees will also learn about the latest advancements in bone health treatments, preventive measures, and the importance of a multidisciplinary approach in patient care. This comprehensive session is designed to enhance the primary care practitioner's ability to promote and maintain optimal bone health in their patient population.

This online session for GPs covers defining and treating Adult ADHD, addressing diagnostic challenges and misdiagnosis. It will also cover the relationship between substance use and ADHD, increased risk and how to recognize the signs of substance misuse in ADHD adults. Participants will learn about ADHD's diagnostic criteria and how to better explain the treatment options to patients.