A 53-year-old woman on sequential HRT for 18 months asks the GP if she can switch to continuous combined HRT to avoid monthly withdrawal bleeds. She h...

Question

A 53-year-old woman on sequential HRT for 18 months asks the GP if she can switch to continuous combined HRT to avoid monthly withdrawal bleeds. She had her last natural period 14 months ago. Which is the most appropriate advice?

Accepted Answer

She can switch to continuous combined HRT now, as she has been on sequential HRT for at least 12 months and her last natural period was >12 months ago

Answer

She cannot switch until she has been amenorrhoeic for 2 years on sequential HRT

Answer

She must stop HRT entirely before switching

Answer

She should wait until age 55 to switch

Answer

Continuous combined HRT is only available as an oral preparation

uk-drcog MCQ (SBA): Sequential to Continuous Combined HRT Switch Criteria

A 53-year-old woman on sequential HRT for 18 months asks the GP if she can switch to continuous combined HRT to avoid monthly withdrawal bleeds. She had her last natural period 14 months ago. Which is the most appropriate advice?