![]() ![]() You may switch to a continuous combined HRT (see below) if: This is then shed as a 'withdrawal' bleed every 28 days when the progestogen part is stopped.) Monthly cyclical HRT is normally advised for women who have menopausal symptoms but are still having regular periods. The progestogen causes the lining of your womb to build up. (They are not 'true' periods, as HRT does not cause ovulation or restore fertility. This causes a regular bleed every 28 days, similar to a light period. ![]() Monthly cyclical HRT - you take oestrogen every day but progestogen is added in for 14 days of each 28-day treatment cycle.If you start HRT when you are still having periods, or have just finished periods, you will normally be advised to use a 'cyclical combined HRT' preparation: Your doctor or practice nurse can give you information about the pros and cons of the different types of HRT. Unlike tablets, patches and gel do not increase your risk of blood clots. Patches and gel are increasingly popular forms of HRT, and many women find them convenient to use. The options include: patches, tablets and topical gel or spray (applied to the skin). See the separate leaflet called Vaginal Dryness (Atrophic Vaginitis).ĭifferent women prefer different methods of taking HRT. If you have had a hysterectomy or have a contraceptive intrauterine system fitted (Mirena ®), you do not need a progestogen.Īn option to ease symptoms just in the vaginal area is to use a cream, vaginal tablet (pessary), or vaginal ring that contains oestrogen. In many HRT products, the oestrogen and progestogen are combined in the same patch or tablet however, they can also be taken separately. The risk of cancer of your womb is completely reduced by adding in the progestogen. Therefore, the oestrogen in HRT is usually combined with a progestogen hormone. However, if you just take oestrogen then the lining of your womb (uterus) builds up, increasing the risk of developing cancer of the womb (endometrial cancer). ![]() Some types contain a progestogen hormone as well. If you take HRT it replaces the oestrogen that your ovaries no longer make after the menopause. All types of HRT contain an oestrogen hormone. ![]()
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