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Date Published: October 2024
Date to Review: June 2026
This document provides advice and guidance on managing patients taking systemic HRT who present with unscheduled bleeding under the age of 60. It relates to patients who have a uterus. Unscheduled bleeding on HRT is extremely common: especially during the first 6 months following HRT initiation, or within 3 months of dose or preparation changes in people already established on HRT.
The document aims to guide Primary Care Clinicians as to the management of these patients and reflects the latest national guidance of the British Menopausal Society.
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