When should you worry about unexpected bleeding on HRT? It is very common for women to have irregular and even sometimes heavy bleeding when they start HRT or when they increase the dose of oestrogen in the HRT. This can take 3 to 6 months to settle.
If you are still having unscheduled bleeding more than 3 months after starting HRT or having your dose or regime changed then please speak to us or your Dr. We may need to consider changing your HRT dose or regime.
We may advise that you arrange an appointment with a doctor to have an internal examination. You may need further investigations like an ultrasound scan or a hysteroscopy. These checks are needed to see where the bleeding might be coming from, to ensure that the vulva, vagina, cervix and endometrium are normal, and to rule out a serious cause for the bleeding. Please attend for your cervical screening appointments.
It is very important to take your HRT as it has been prescribed. Taking oestrogen HRT, without progesterone or progestogen, if you have a womb, puts you at risk of endometrial hyperplasia or endometrial cancer.
Please click on this link to listen to the BMS video which gives you more information about bleeding and HRT.