A 48-year-old perimenopausal woman on sequential HRT reports persistent heavy withdrawal bleeds during the progestogen phase. She finds them distressi...

Question

A 48-year-old perimenopausal woman on sequential HRT reports persistent heavy withdrawal bleeds during the progestogen phase. She finds them distressing. Which is the single most appropriate adjustment?

Accepted Answer

Increase the progestogen dose or duration, or consider switching to the LNG-IUS for the progestogen component

Answer

Stop HRT

Answer

Switch to oestrogen-only HRT

Answer

Add tranexamic acid during withdrawal bleeds

Answer

Switch to continuous combined HRT

uk-drcog MCQ (SBA): Heavy Withdrawal Bleeds on Sequential HRT

A 48-year-old perimenopausal woman on sequential HRT reports persistent heavy withdrawal bleeds during the progestogen phase. She finds them distressing. Which is the single most appropriate adjustment?