HRT Hormone Replacement Therapy

HRT Hormone Replacement Therapy


What can be done if I develop irregular bleeding on HRT?

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What can be done if I develop irregular bleeding on HRT?

A little irregular bleeding can occur during the first few months of taking HRT. It is likely to settle. Your doctor may wish to check that it is the HRT and there is no other cause for the bleeding. At one time D and C (hysteroscopy D and C) was commonly recommended but these days a tiny tube can be introduced into the cavity of the womb to obtain a small biopsy (sample) of the lining (Q 24.9). Sometimes the bleeding may settle with additional progestogen for one or two months. There are many HRT preparations and a change to another type or strength may be the solution. We also find that a course of antibiotics may help on occasion, presumably by treating bacteria in the uterine cavity.

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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London.

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