Bleeding on HRT - information for women who still have a womb
Experiencing vaginal bleeding while on hormone replacement therapy (HRT) is common, especially for women who still have a uterus. The type and timing of bleeding can vary depending on the HRT regimen—continuous or sequential. While light, short-duration bleeding is often considered normal, especially with sequential HRT, unscheduled or prolonged bleeding may indicate underlying issues such as endometrial hyperplasia or cancer. It's crucial to monitor bleeding patterns and consult with a healthcare provider if irregularities occur. Early detection and appropriate adjustments to HRT can help manage symptoms and reduce risks.
Long term safety of HRT
Hormone Replacement Therapy (HRT) remains a cornerstone in managing menopausal symptoms, offering relief from hot flushes, night sweats, and mood changes. While HRT is generally safe for women under 60, especially when initiated close to menopause onset, long-term use carries certain risks. These include a slightly increased risk of breast and ovarian cancers, as well as potential cardiovascular concerns if started many years post-menopause. However, for many women, the benefits—such as reduced risk of osteoporosis and improved quality of life—outweigh the risks. It's crucial to have a personalised discussion with a healthcare provider to weigh the pros and cons based on individual health profiles.