NEW ALERT
High Dose Oestrogen HRT Regimes Guideline Update
I am writing to you to share some information on recent changes to HRT guidelines. The British
Menopause Society (BMS) have recently updated their recommendations for progesterone
dosage in women using higher doses of oestrogen as part of their HRT. High dose oestrogen is
defined as:
Consider having a Mirena coil as the progesterone part of your HRT regime – this is a
great option as it provides excellent protection against endometrial cancer on all doses
of HRT and has little or no increased risk of breast cancer. Once the coil has been fitted
it works for 5 years before needing to be changed. It also provides contraception if you
need it. After the first couple of months most women will have no bleeding at all with a
Mirena.
Please contact the practice if you would like to discuss any of this further
Dr Heather Craigie
GP Partner and Menopause Lead
Reduce your oestrogen dose
Increase your progesterone dose as above – accepting that we don’t know if there is an
increased risk of breast cancer associated with this regime
Continue on your current regime – accepting that there may be an increased risk of
endometrial cancer associated with this regime. If you choose this option it is very
important that you report any vaginal bleeding (if your periods have stopped) or change
to your bleeding pattern (if you are still having periods)
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