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HRT and bleeding explained - a British Menopause Society video 

British Menopause Society
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Dr Paula Briggs, Consultant in Sexual & Reproductive Health, Liverpool Women’s Hospital and Immediate Past Chair - British Menopause Society, answers these FAQs: What are the bleeding patterns that could be expected with HRT? I am taking a cyclical HRT preparation that is giving me a monthly bleed. Can I change to a non-bleed preparation? Is bleeding in the first few months of starting HRT a cause for concern? When does this need to be investigated? What are the causes of irregular bleeding in women on HRT? What investigations need to be carried out if I have ongoing irregular bleeding on HRT? Do I need to stop HRT or change how I take it if I have irregular bleeding on HRT?

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5 сен 2024

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Комментарии : 10   
@charleedell92
@charleedell92 4 месяца назад
There is far too much fear around bleeding on MHT - it takes years to develop endometrial cancer, it doesn't just happen after a few months! Even in the past when estrogen alone was used, only a minority ever developed endometrial cancer. I do think women are being scared witless unnecessarily. The combined pill can also be a great option for under 50s - taken every day it can stop bleeding completely as well as treating vasomotor symptoms!
@leea2112
@leea2112 25 дней назад
I agree !! I am 58 I have been on ovestin vaginal cream for 2 yrs for horrendous bladder and vaginal atrophy that my gp said is perfectly safe hrt I was very apprehensive going on it in the first place but she insisted eastrogen vaginal cream is very safe and I will be ok I use it everynight as I'm in so much pain with atrophy I started very light spotting for 2 weeks due to thrush as I was red raw inside and out after a gp examination i was never given an explanation that hrt cream can give you thrush and atrophy can make you spot too as soon as I used the canesten cream the spotting stopped virtually after 1st application! but this didnt stop my gp from sending me for a internal ultrasound which I was fine about but the sonographer then said oh your womb has thickened to 10mll this happens on hrt I was told by many woman taking it the sonographer said you will need a biopsy I said do you see anything nasty no but you will need to see a gyne !! so along I went to a gyne who tried to do a biopsy without any anesthetic i was told to take a paracetamol an hour beforehand honestly it was like being flayed alive!! But I lay there crying in pain but suffering it to get it over with She failed the biopsy!! then said I will now need a biopsy and a hysteroscopy to be flayed again!! And my app can take 30 weeks wait uk nhs!! I insisted on local anesthetic when I do eventually have this torture done to me again as I cannot take the pain what the failed biopsy did to me sent out in agony bleeding ect asked if I was wearing a sanitary pad by a nurse then thrown out to just find my way home !! I was crying and nearly passed out with pain an elderly lady had been there before me came out crying and collapsed!! Its time this horrendous flaying of woman stopped if it was a man recieving a vasectomy it would be all bells and whistles for them I'm terrified of what they are going to put me through again I cannot eat , sleep, function I'm living in fear lost 2st in weight due to no appetite through the trauma the gyne put me through I'm still breaking down crying daily my mental health is failing me with fear and the nhs think this is acceptable!! 😢😢😢😢😪
@mariedawn-
@mariedawn- 15 дней назад
Is unpredictable bleeding the only reason to do cyclical??? I don’t want to do cyclical and have periods. I’d rather have some breakthrough bleeding than a period every month!
@sunshinejones8643
@sunshinejones8643 6 месяцев назад
How does one know if they have fully entered menopause if on cyclical HRT. I am on cyclical, yet my periods appear to be irregular i am 54
@nohemiwest-phelps534
@nohemiwest-phelps534 3 месяца назад
How would you evaluate if you need more progesterone versus less estrogen? what target numbers would you look for in testing?
@jennysiepka9900
@jennysiepka9900 Месяц назад
different drs have different opinions... I know one of my favorites (elise Gersh) says that she likes to see estradiol level around 100. This is higher than what others say. I think the average is somewhere between 50-80...
@nohemiwest-phelps534
@nohemiwest-phelps534 Месяц назад
@@jennysiepka9900 Thanks! I was using .05 patch and progesterone 200 mg and my estrogen levels were 48 and I started spotting. We increased my progesterone to 400 mg but it made me anxious. My doctor switched me to .03 patch and my menopause symptoms started coming back mildly so now I am back to .05 and my progesterone is at 300mg and I feel good and no more spotting.
@user-bj6nh5gc8p
@user-bj6nh5gc8p Год назад
Bleeding on hrt tablets and gel,can I use tampons
@mariedawn-
@mariedawn- 15 дней назад
Are you a bot? 🤖
@barbaratankersley7117
@barbaratankersley7117 9 месяцев назад
Hi i have had a D C because of bleeding on HRT Still after DC I'm still bleeding on HRT What is the answer to bleeding after surgery? Is it to much of one of the the HRT ?
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