A 44-year-old perimenopausal woman using a desogestrel POP develops hot flushes, night sweats, and vaginal dryness. She wishes to start HRT. She does ...

Question

A 44-year-old perimenopausal woman using a desogestrel POP develops hot flushes, night sweats, and vaginal dryness. She wishes to start HRT. She does not want an IUC. What HRT regimen can be offered while she continues the POP for contraception?

Accepted Answer

Oestrogen-only HRT (as the POP provides endometrial protection)

Answer

Sequential combined HRT (oestrogen plus cyclical progestogen) in addition to the POP

Answer

No HRT can be given while on the POP

Answer

Testosterone only

Answer

Tibolone only

uk-dfsrh MCQ (SBA): HRT Regimen with POP No IUC

A 44-year-old perimenopausal woman using a desogestrel POP develops hot flushes, night sweats, and vaginal dryness. She wishes to start HRT. She does not want an IUC. What HRT regimen can be offered while she continues the POP for contraception?