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Menopause - Management
When should I refer a women with premature menopause who has started HRT?
- For women taking cyclical hormone replacement therapy refer if:
- There is a change in pattern of withdrawal bleeds or breakthrough bleeding.
- For women taking continuous combined HRT or long cycle regimens refer if:
- Breakthrough bleeding persists for more than 4–6 months after starting therapy.
- A bleed occurs after amenorrhoea.
- Refer if there is multiple treatment failure e.g. three or more regimens have been tried.
- Refer to a team specializing in the management of gynaecological cancer (depending on local arrangements) any persistent or unexplained bleeding after cessation of hormone therapy for 6 weeks.
Basis for recommendation
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