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Menopause - Management
When should I switch to a continuous combined preparation?
- Consider switching from cyclical to continuous combined HRT when the woman is considered to be postmenopausal. This may be difficult to judge. Women are generally considered to be postmenopausal if:
- They are more than 54 years of age (approximately 80% of women are postmenopausal by this age).
- They have had previous amenorrhoea or increased levels of follicle-stimulating hormone (FSH). Women who experienced 6 months of amenorrhoea or had increased FSH levels in their mid-40s are likely to be postmenopausal after taking several years of cyclical HRT.
In depth
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