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MedAll Primary Care
MedAll Primary Care
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Posted by Lynda Haire  |  30 Apr 2024
30 Apr 2024

HRT

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

HRT

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

Natasha Mir30 Apr 2024
30 Apr 2024

Oh , this is a DEN for me ,

Oh , this is a DEN for me ,

Natasha Mir30 Apr 2024
30 Apr 2024

is this her new bleeding? If it is then wouldn’t she need two week ref ?

is this her new bleeding? If it is then wouldn’t she need two week ref ?

Lynda Haire30 Apr 2024
30 Apr 2024

This is new bleeding for her but I have read in the BMS guidelines that you could increase utrogestogen to 2 nightly and then review. I find this is a great area as each region is different

This is new bleeding for her but I have read in the BMS guidelines that you could increase utrogestogen to 2 nightly and then review. I find this is a great area as each region is different