A 42-year-old woman using a desogestrel POP asks about switching to HRT as she develops vasomotor symptoms. She still has occasional periods. What is ...

Question

A 42-year-old woman using a desogestrel POP asks about switching to HRT as she develops vasomotor symptoms. She still has occasional periods. What is the most appropriate advice?

Accepted Answer

Continue the POP for contraception and add oestrogen-only HRT, or switch to a 52 mg LNG-IUS for contraception plus endometrial protection and add transdermal oestrogen

Answer

Stop the POP and start combined HRT immediately

Answer

She cannot use HRT while still having periods

Answer

She should wait until she has been amenorrhoeic for 2 years before starting HRT

Answer

Switch to CHC as this treats both menopausal symptoms and provides contraception

uk-dfsrh MCQ (SBA): Perimenopause Contraception and HRT

A 42-year-old woman using a desogestrel POP asks about switching to HRT as she develops vasomotor symptoms. She still has occasional periods. What is the most appropriate advice?