Management of unscheduled bleeding on HRT: A joint guideline on behalf of the British Menopause Society, Royal College Obstetricians and Gynaecologists, British Gynaecological Cancer Society, British Society for Gynaecological Endoscopy, Faculty of Sexual and Reproductive Health, Royal College of General Practitioners and Getting it Right First Time.
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Authors
Manley, Kristyn
Hillard, Timothy
Clark, Justin
Kumar, Geeta
Morrison, Jo
Hamoda, Haitham
Barber, Katie
Holloway, Debra
Middleton, Bronwyn
Oyston, Maria
Issue Date
2024-05-14
Type
Journal Article
Practice Guideline
Practice Guideline
Language
en
Keywords
Unscheduled bleeding , guideline , hormone replacement therapy , postmenopausal bleeding , urgent suspicion cancer pathway , Wessex Classification Subject Headings::Gynaecology
Alternative Title
Abstract
Unscheduled bleeding on hormone replacement therapy (HRT) can affect up to 40% of users. In parallel with the increase in HRT prescribing in the UK, there has been an associated increase in referrals to the urgent suspicion of cancer pathway for unscheduled bleeding. On behalf of the British Menopause Society (BMS) an expert review panel was established, including primary and secondary care clinicians with expertise in the management of menopause, with representatives from key related organisations, including the Royal College of Obstetricians & Gynaecologists, the British Gynaecological Cancer Society, British Society for Gynaecological Endoscopy, Royal College of General Practitioners and Faculty of Sexual and Reproductive Health, and service development partners from NHS England and GIRFT (Getting it Right First Time). For each topic, a focused literature review was completed to develop evidence led recommendations, where available, which were ratified by consensus review within the panel and by guideline groups.
Description
Citation
Manley K, Hillard T, Clark J, Kumar G, Morrison J, Hamoda H, Barber K, Holloway D, Middleton B, Oyston M, Pickering M, Sassarini J, Williams N. Management of unscheduled bleeding on HRT: A joint guideline on behalf of the British Menopause Society, Royal College Obstetricians and Gynaecologists, British Gynaecological Cancer Society, British Society for Gynaecological Endoscopy, Faculty of Sexual and Reproductive Health, Royal College of General Practitioners and Getting it Right First Time. Post Reprod Health. 2024 Jun;30(2):95-116.
Publisher
Sage
License
Journal
Post reproductive health
Volume
30
Issue
2
PubMed ID
ISSN
2053-3705