A 51-year-old woman starting HRT asks the GP about the difference in VTE risk between oral and transdermal oestrogen. She has a BMI of 32 kg/m². Which...

Question

A 51-year-old woman starting HRT asks the GP about the difference in VTE risk between oral and transdermal oestrogen. She has a BMI of 32 kg/m². Which route should be recommended?

Accepted Answer

Transdermal oestrogen - it avoids first-pass hepatic metabolism and does not increase VTE risk, making it the preferred route for women with a BMI ≥30

Answer

Oral oestrogen as it is more convenient

Answer

Either route - BMI does not influence the choice

Answer

Intramuscular oestrogen injections

Answer

Oral oestrogen with prophylactic aspirin

uk-drcog MCQ (SBA): Transdermal Oestrogen for BMI ≥30

A 51-year-old woman starting HRT asks the GP about the difference in VTE risk between oral and transdermal oestrogen. She has a BMI of 32 kg/m². Which route should be recommended?