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).
Mirena is OK for all Oestrogen dosing BUT is the Utrogestan that will change when Oestrogen dose moderate and high for example Oestrogel of 3 pumps considered moderate and 4 pumps is high dose here adjust utrogestan dose to 200mg CC and 300mg cyclically
Yes please. Good qu- can we discuss how to dose utrogestan for the different strengths of oestrogen? Is the mirena ok for all oestrogen doses?
Mirena is OK for all Oestrogen dosing BUT is the Utrogestan that will change when Oestrogen dose moderate and high for example Oestrogel of 3 pumps considered moderate and 4 pumps is high dose here adjust utrogestan dose to 200mg CC and 300mg cyclically
Yes please. Good qu- can we discuss how to dose utrogestan for the different strengths of oestrogen? Is the mirena ok for all oestrogen doses?
Most of the answers to these questions can be found in the on-demand content:
Video: https://app.medall.org/contents/v-managing-hrt
Slides: https://app.medall.org/contents/sd-managing-hrt-slides
Further content from Vikram can be found here: https://app.medall.org/p/vikram-sinai-talaulikar
Most of the answers to these questions can be found in the on-demand content:
Video: https://app.medall.org/contents/v-managing-hrt
Slides: https://app.medall.org/contents/sd-managing-hrt-slides
Further content from Vikram can be found here: https://app.medall.org/p/vikram-sinai-talaulikar
Is HRT ok with ademyosis?
Is HRT ok with ademyosis?
Any option at all for HRT in previous breast cancer patient?
Any option at all for HRT in previous breast cancer patient?
what HRT do you start women on who have had surgical menopause following pelvic radiotherapy?
what HRT do you start women on who have had surgical menopause following pelvic radiotherapy?
Cocp usex for endometriosis so why hrt whi h is low dose contraindicated with untreated endometriosis
Cocp usex for endometriosis so why hrt whi h is low dose contraindicated with untreated endometriosis
Peri-menopausal on POP do you give CC HRT??
Peri-menopausal on POP do you give CC HRT??
From the BMS picture on risk - oestrogen HRT reduces the risk of Breast cancer by -4, so can we give oestrogen only HRT for women with womb would it reduce the risk?
From the BMS picture on risk - oestrogen HRT reduces the risk of Breast cancer by -4, so can we give oestrogen only HRT for women with womb would it reduce the risk?
What is considered a good level of oestrogen for someone on HRT?
What is considered a good level of oestrogen for someone on HRT?
I have had a few women on transdermal cyclical HRT - who start bleeding early whilst still on Utrogestan. Please can you advise on how to manage this?
I have had a few women on transdermal cyclical HRT - who start bleeding early whilst still on Utrogestan. Please can you advise on how to manage this?
what happens if you had surgical menopause aged 34 and were put on 'normal conventional dose of HRT for average age of menopause' and the patient is now over 45 have you missed the boat with the increased oestrogen dose?
what happens if you had surgical menopause aged 34 and were put on 'normal conventional dose of HRT for average age of menopause' and the patient is now over 45 have you missed the boat with the increased oestrogen dose?
How to adjust the dose of the HRT by checking the hormone levels?
How to adjust the dose of the HRT by checking the hormone levels?
How do we match the dose of oestrogen to progesterone?
How do we match the dose of oestrogen to progesterone?
Why do you prescribe with caution in diabetes and migraines?
Why do you prescribe with caution in diabetes and migraines?
women on SCT (using patch plus utrogestan, going on holidays and doesn't want a bleed, would you advise not taking utrogestan as one off?
women on SCT (using patch plus utrogestan, going on holidays and doesn't want a bleed, would you advise not taking utrogestan as one off?
Drosperione is also anti androgeni why its vte risk is high?
Drosperione is also anti androgeni why its vte risk is high?
Can you kindly comment on use of tranexamic acid in these cases? Prolonged use? For bleeds
Can you kindly comment on use of tranexamic acid in these cases? Prolonged use? For bleeds
Can we use Evoril conti as a cyclical or continuous HRT?
Can we use Evoril conti as a cyclical or continuous HRT?
what blood level of estradiol are we aiming for ?
what blood level of estradiol are we aiming for ?
I had a pt on an unusual regime (6 pumps gel and high dose patch as well), still symptomatic but absorbing normally as oestrogen >150. What would you do with her?
I had a pt on an unusual regime (6 pumps gel and high dose patch as well), still symptomatic but absorbing normally as oestrogen >150. What would you do with her?
I have a 51 year old lady who was c/o sequential HRT as she was still having periods which were irregular for the last 8 months. She was applying patch twice per week and taking Utrogestan 2 tablets at night for 12 nights each month. she had a monthly bleed. She was changed to oestrogel pump because of poor adherance to the skin. Since changing to this regime she is not having monthly bleed. Should I change her to CCT? thankyou
I have a 51 year old lady who was c/o sequential HRT as she was still having periods which were irregular for the last 8 months. She was applying patch twice per week and taking Utrogestan 2 tablets at night for 12 nights each month. she had a monthly bleed. She was changed to oestrogel pump because of poor adherance to the skin. Since changing to this regime she is not having monthly bleed. Should I change her to CCT? thankyou
So, we can use norethisterone if they are unable to tolerate utrogestan? What dose would we use?
So, we can use norethisterone if they are unable to tolerate utrogestan? What dose would we use?
what are natural progesterones??? body identical : prescribing
what are natural progesterones??? body identical : prescribing
cyclical progesteron (utrogestan) ,is it given for 12 days of the cycle as per BNF or 14 days as per some Menopause specialist
cyclical progesteron (utrogestan) ,is it given for 12 days of the cycle as per BNF or 14 days as per some Menopause specialist
What are your thoughts on using higher than licensed doses of transdermal oestrogen?
What are your thoughts on using higher than licensed doses of transdermal oestrogen?