A 48-year-old woman with perimenopausal symptoms is started on sequential HRT. She attends the GP 6 weeks later reporting breast tenderness, bloating,...

Question

A 48-year-old woman with perimenopausal symptoms is started on sequential HRT. She attends the GP 6 weeks later reporting breast tenderness, bloating, and mild nausea. Her blood pressure is normal. Which is the single most appropriate advice?

Accepted Answer

Reassure that these symptoms are common in the first 3 months, often settle with time, and review if they persist

Answer

Stop HRT immediately due to these side effects

Answer

Switch to continuous combined HRT

Answer

Reduce the oestrogen component to half

Answer

Add an antiemetic for the nausea

uk-drcog MCQ (SBA): HRT Early Side Effects

A 48-year-old woman with perimenopausal symptoms is started on sequential HRT. She attends the GP 6 weeks later reporting breast tenderness, bloating, and mild nausea. Her blood pressure is normal. Which is the single most appropriate advice?