A 51-year-old woman with a BMI of 33 kg/m² and a previous unprovoked DVT 3 years ago presents to the GP with significant vasomotor symptoms. She would...

Question

A 51-year-old woman with a BMI of 33 kg/m² and a previous unprovoked DVT 3 years ago presents to the GP with significant vasomotor symptoms. She would like to try HRT. Which is the single most appropriate approach?

Accepted Answer

Offer transdermal oestrogen with micronised progesterone after specialist input and discussion of risks

Answer

HRT is absolutely contraindicated with a history of VTE

Answer

Offer oral combined HRT at the lowest dose

Answer

Offer tibolone as it has no VTE risk

Answer

Prescribe SSRIs only as no form of HRT is safe

uk-drcog MCQ (SBA): HRT with VTE History

A 51-year-old woman with a BMI of 33 kg/m² and a previous unprovoked DVT 3 years ago presents to the GP with significant vasomotor symptoms. She would like to try HRT. Which is the single most appropriate approach?