HRT Review

If you have been advised by the surgery to submit a HRT review, please use this form.

HRT Review

HRT Review

Smoking Status:

Blood Pressure


Which type of HRT do you use?
Do you have a family history of DVT (deep venous thrombosis)?
Do you suffer from migraines?
Do you have gallstones?
Have you had a hysterectomy (surgical removal of womb)?

Does your HRT control the following menopausal symptoms?

Mood problems:
Vaginal dryness and skin thinning:
Does your HRT medication cause any side effects?
Do you still have periods or bleeding with your HRT?
Is there any family history of breast or ovarian cancer?
Applies to mother/sister/daughter only.
Are you interested in gradually reducing or stopping your HRT?
Do you need contraception?

Important safety information about HRT 

You should seek urgent medical help if you develop any of the following symptoms:

Bad headache or migraines/ painful swelling of your leg/weakness or numbness of an arm or leg/sudden problems with speech or sight/difficulty breathing/coughing up blood/chest pain especially if when breathing in/faint or collapse

Screening information

It is important to keep up to date with screening checks. Breast screening is advised every 3 y years from age 50-70. Cervical screening is advised every 3 years from age 25-49 and every 5 years from age 50-64.

Cyclical HRT

If you still have periods with your HRT (cyclical preparation that changes during the month) this is normally changed to a continuous preparation after you turn 54. Please get in touch if you wish to discuss changing.

Risks of HRT

  • Breast cancer – small increased risk that rises with age
  • DVT (blood clot) – small risk associated with oral HRT
  • Stroke – slight increased risk that rises with age (risk very low under age of 60)

Please visit the websites below, and tick to confirm that you have read and understood the information provided.