Menopause Treatment (Women without a Womb or with a Coil) HRT Start – Hysterectomy or Coil Complete this form if you have already been diagnosed with Peri-Menopause or Menopause, you have a Coil in your womb or have had a your womb removed (eg Hysterectomy) and would like: Lifestyle advice to help your symptoms Non-HRT treatment HRT treatment Menopause and HRT are complex topics with a huge amount of conflicting and often incorrect online information. BBC Panorama recently investigated concerns on TV doctors and Private Clinics. There are many factors to consider which is why this is best done with an online form written by your own NHS GPs which gives you space and time to consider your options. Let’s ensure this form is correct for you. * I have a hormone coil fitted (not copper) I have had a hysterectomy Your Details Patient Name * Date of Birth * Mobile number to contact you * Things you can do The Menopause is a natural process that all women go through and some wish to manage their symptoms themselves without HRT. Even if you choose to start HRT, the NHS article below can help advise you on how to manage symptoms such as hot flushes, night sweats, mood swings and vaginal dryness. Menopause – Things you can do – NHS I have read the above information * I confirm I am aware of the things I can do to manage my symptoms Weight * I am aware that keeping a healthy BMI 18.5 – 24 can help my symptoms Exercise * I am aware that regular cardiovascular and weight bearing exercises can help maintain my bone strength Non-HRT treatments Natural Menopause Treatments These are generally not recommended by doctors as their quality, safety and effectiveness is uncertain. Further information can be found here. Non-HRT Prescription Medication Generally these are only advised if you cannot take or wouldn’t like HRT. They can help with hot flushes and night sweats. They include: Fluoxetine Venlafaxine Paroxetine Gabapentin Clonidine Would you like to consider Non-HRT prescription medication INSTEAD of HRT? * Yes please – WE WILL BE IN TOUCH No thanks HRT (Hormone Replacement Therapy) Information Would you like to consider HRT? * Yes No thanks Contra-Indications First, let’s ensure you can have HRT. Regrettably, having any of the following means that we cannot prescribe you HRT due to the risks: Current, past, or suspected breast cancer Oestrogen-dependent cancer Vaginal bleeding of unknown cause A history of blood clots A recent heart attack Liver Disease Pregnancy Contra-Indications * I confirm I do not have any of the above Risks and Benefits of HRT HRT replaces the oestrogen hormones that lessen as you get older. HRT helps reduce the symptoms of menopause as well as offering other benefits. HRT also comes with risks which can include cancer. Please read about the risks and benefits here. HRT risks * I have considered the risks and benefits of HRT Contraception * I understand HRT does not act as contraception Breast Cancer Breast Cancer is the most significant risk of taking HRT. Current MHRA recommendations suggest the following relating to HRT: All forms of HRT increase breast cancer risk HRT should only be use to relieve post-menopausal symptoms that are affecting quality of life HRT is used for the shortest time and at the lowest dose HRT users should check their breasts for lumps and attend for breast screening when invited. Further information about the risks are published here Breast Cancer risk * I am aware of the risk and to use HRT for the shortest time I need it Would you like to start HRT? * Yes please No thanks If you have your coil removed you it is very important your HRT is adjusted. * I understand and will try to remember to remind the clinician if they forget! Starting HRT Types of HRT Tablets containing oestrogen Topical (through the skin) Tablets containing oestrogen are no longer recommended to be offered first as they have a higher risk of blood clots. Therefore we recommend topical HRT. There are three types of topical HRT that are applied to the skin: a Patch a Spray a Gel The patch can sometimes not always stick well or cause skin irritation but there is otherwise little to choose between them. It is your choice. Testosterone – This is not licensed in the UK to treat the menopause. Read our practice policy here. Which type of HRT would you prefer? * Patch Spray Gel You have nearly finished the form. What would you like to happen next? * I would like a clinician to review the form and prescribe me HRT as appropriate I would like to discuss with a clinician How would you like to proceed? * I am happy with my answers and the information provided I would like to SPEAK TO A CLINICIAN about my symptoms Privacy Policy This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our privacy policy to discover how we protect and manage your submitted data. Consent * I agree to the privacy policy © 2024 Kristian Turnbull CAPTCHA Submit If you are human, leave this field blank.
