Red Whale Primary Care Pod

HRT regimens and progestogen dosing: time to change our practice?

Sep 20, 2024
Explore the upcoming changes to death certification in England and Wales, which promise increased transparency in healthcare. Delve into the critical discussion on HRT regimens, specifically the importance of progestogen dosing to mitigate endometrial cancer risks. Discover how new guidelines aim to enhance patient safety and care. And enjoy a hilarious listener story about a good deed gone awry, resulting in an unexpected adventure! Tune in for essential insights and community engagement in healthcare.
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INSIGHT

Balance Estrogen with Progestogen

  • Unopposed oestrogen in women with a uterus increases endometrial cancer risk.
  • Adequate progestogen dosing is essential to balance estrogen in HRT.
INSIGHT

Updated Death Certification Rule

  • We can now complete death certificates if we attended the patient in life and have a cause of death to best knowledge and belief.
  • Previous 28-day attendance or post-mortem rule is no longer required.
ADVICE

Role of Medical Examiners

  • Medical examiners review patient's last 3 months notes to confirm cause of death and safety concerns.
  • They speak with clinicians and next of kin to clarify and address any issues.
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