“If it is okay with you, I’d like to tell you about the benefits and disadvantages of HRT, then hopefully you will have enough information to make a decision.” Advantages of HRT Reduction of vasomotor symptoms It is useful to do this by discussing the pros and cons of HRT. hysterectomy) as they do not require the endometrial protection provided by progestogens.Īlways give patients as much information as possible so that they can make an informed decision. Oestrogen-only HRT is recommended for women without a uterus (e.g. Oestrogen-only HRT refers to the use of unopposed oestrogen therapy (e.g. Oestrogen and progesterone are taken daily without any breaks.Ĭontinuous combined HRT is suitable for postmenopausal women. Three-monthly HRT is suitable for perimenopausal and postmenopausal women. Oestrogen is taken daily and progestogen is given for 14 days every 13 weeks. Monthly HRT is suitable for perimenopausal and postmenopausal women. Oestrogen is taken daily and progestogen is given at the end of the cycle for 10–14 days. There are several different ways to take combined HRT (monthly cyclical regimes, three-monthly cyclical regimes, continuous combined regimens). Therefore, women who have had a hysterectomy do not usually require the addition of a progestogen. Progestogens are added to HRT regimens to reduce the increased risk of endometrial hyperplasia and cancer which occurs with unopposed oestrogen. What types of HRT regimes are available? 12 Combined HRTĬombined HRT refers to the use of both oestrogen and a progestogen.Ĭombined HRT is recommended for women with a uterus.
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Other forms of HRT include skin patches, gels and implants such as the Mirena coil. “ There are many ways in which you can take HRT, with the most common way being tablets (oral HRT).
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The aim of HRT is to restore the low levels of hormones that occur as a result of menopause.” 1Įxplain to the patient that HRT can be taken in several different ways depending on their preference. HRT can also have a positive influence on other long-term health problems associated with the menopause, such as reducing the risk of osteoporosis, cardiovascular disease and stroke. “Hormone replacement therapy, often referred to as HRT, is an effective treatment for menopause-related symptoms.
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“What were you hoping HRT might be able to do for you?”Įnsuring to use patient-friendly language, explain that HRT is a treatment that is used to alleviate the symptoms of menopause.“What were you hoping we’d discuss today?”.“Is there anything that worries you about HRT?”Įxplore the patient’s expectations of the consultation and HRT:.IdeasĮxplore what the patient currently understands about HRT:Īsk if the patient has any concerns about HRT: It’s also important to clarify the patient’s expectations of HRT. When exploring concerns, it is important to do so in a sensitive and honest manner. It is important to explore the patient’s ideas, concerns and expectations early in the consultation, as you may need to correct any misconceptions about HRT. You might also be interested in our OSCE Flashcard Collection which contains over 2000 flashcards that cover clinical examination, procedures, communication skills and data interpretation.