HRT Check

 

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If you take systemic Hormone Replacement Therapy (HRT) you will need an annual review before we can re-authorise your prescription.

This online HRT check aims to make it quicker and easier for you to carry out this review. If you are having any issues with or concerns about your medication, then please do book an appointment with your named GP if you would like to discuss anything further.

Unfortunately supply continues to be an issue for many forms of HRT; please ask to speak to our pharmacist if your medication is suiting you but you are having trouble obtaining your prescription due to stock issues.

To fill in this form you will need your current height, weight and blood pressure. If you do not have the equipment to measure these at home you are welcome to drop into the practice to do so (no appointment needed).

The HRT check will be sent to the practice team and your request will usually be processed within two business days. You must complete every part of this form for us to be able to reissue your prescription safely.

Please see our HRT prescribing information for patients page for more information

Personal Details
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Security Questions

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About the Medication

If you have a uterus, you will need combined HRT to protect your uterus from unopposed oestrogen. Unopposed oestrogen can cause cancer of the endometrium, the lining of the womb. Your HRT must be composed of BOTH oestrogen and progesterone so the womb is protected.

The progesterone arm of your HRT may take one of the following forms.

General Health
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Every 3 years for ages 50-70 year olds
Ages 25-49 should have a smear test every 3 years. Ages 50-64 it is every 5 years. 65 and over will only need one if 1 of your last 3 tests was abnormal
 
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HRT and Risk

Please read and indicate you have read and understood this information

Breast Cancer

Cardiovascular Disease, including Heart Attacks and Strokes

Venous Thromboembolism (‘Blood Clots’) including DVT and PE

Vaginal Bleeding after the Menopause

If at any time you have concerns about your HRT then please book a nurse or GP appointment.

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

 
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