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Endometriosis - Management
How do I manage a woman who is considering hormone replacement therapy?
- For women who are considering hormone replacement therapy (HRT) for menopausal symptoms and who are not currently prescribed hormonal treatment for endometriosis, discuss treatment options with a specialist. It is important to discuss the risks of HRT and balance the potential benefits against the risks.
- If HRT is prescribed, monitor for symptoms that may indicate reactivation of the disease. If these occur, either stop the HRT or seek specialist advice.
- HRT is recommended for young women who have had a bilateral oophorectomy.
- Seek specialist advice about whether to prescribe combined HRT, unopposed HRT, combined-continuous HRT, or tibolone.
- Unless there are contraindications, this should be continued until 50 years of age, when a decision should be made to either stop or continue the HRT.
- Monitor for symptoms that may indicate reactivation of the disease. If these occur, seek specialist advice.
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