A 53-year-old woman on HRT presents to the GP with new-onset breast pain. She has been on continuous combined HRT for 6 months. She has no lump and no...

Question

A 53-year-old woman on HRT presents to the GP with new-onset breast pain. She has been on continuous combined HRT for 6 months. She has no lump and no family history. Which is the most appropriate management?

Accepted Answer

Reassure - breast tenderness is a common side effect of HRT, particularly in the first few months. It often settles with time. If a lump develops, she should attend promptly.

Answer

Stop HRT immediately and refer for breast imaging

Answer

Switch to an alternative oestrogen preparation

Answer

Reduce the oestrogen dose immediately

Answer

Arrange an urgent mammogram

uk-drcog MCQ (SBA): Breast Tenderness on HRT - Reassurance

A 53-year-old woman on HRT presents to the GP with new-onset breast pain. She has been on continuous combined HRT for 6 months. She has no lump and no family history. Which is the most appropriate management?