Red Whale Primary Care Pod

HRT, bleeding and endometrial cancer... Have you had more phone calls and e-consults?

Nov 15, 2024
This discussion dives deep into hormone replacement therapy (HRT), particularly the complexities surrounding unscheduled bleeding and its link to endometrial cancer. The need for practitioners to stay updated on evolving vaccination schedules takes center stage, especially with new vaccines like RSV for pregnant women. Tackling vaccine hesitancy is also highlighted, emphasizing effective communication strategies to boost acceptance. Expect engaging insights alongside practical tips for improving patient compliance and care.
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ADVICE

Managing HRT Bleeding Risk

  • Manage unscheduled bleeding on HRT carefully due to rising referrals and potential cancer risk.
  • Use recent BMS guidance to assess bleeding and stratify endometrial cancer risks effectively.
INSIGHT

Complex Causes of Bleeding on HRT

  • Causes of unscheduled bleeding on HRT are poorly understood and multifactorial.
  • Endometrial cancer risk rises with age; menopausal women require cautious bleeding assessment.
ADVICE

Prevent Bleeding Before HRT

  • Before starting HRT, investigate and manage any abnormal bleeding issues.
  • Choose appropriate regimen and adequate progestogen to minimize bleeding risks and cancer factors.
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