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Your HRT: Top tips for getting started

The information inserts with your HRT are out of date and not accurate, the MHRA (Medicines and Healthcare products Regulatory Agency) are working to change and update them in line with the evidence that shows that HRT is safe and effective.

HRT can sometimes take a few weeks to start improving your symptoms.

Some women are advised to change the dose with time, if this is the case for you it should tell you how in your clinic letter. The dose and type of HRT should be reviewed with you in your next clinic appointment.

If you want to know more detail about how to apply your HRT, read here.

Side effects can be common initially, and they often improve with time. The commonest side effects are:


This could be brown discharge, light spotting or sometimes more like a heavy period and may come and go or last for a few weeks. Any bleeding usually settles after a few weeks, contact the clinic if it has been more than 3 months and you’re still bleeding.


Your breasts may become tender, be quite painful, and be more sensitive around the nipples. This can last for several weeks but usually settles with time. Wearing a good-fitting and supportive bra can usually help.


You may feel bloated and uncomfortable like having trapped wind. This can be due to the progesterone and usually settles with time.

Your HRT: Top tips for getting started
Dr Louise Newson

Written by
Dr Louise Newson

Dr Louise Newson is a GP and pioneering Menopause Specialist who is passionate about increasing awareness and knowledge of the perimenopause and menopause, and campaigns for better menopause care for all people.

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