HRT

Key points

• HRT: oestrogen alone (hysterectomised) or combined oestrogen + progestogen (intact uterus — unopposed oestrogen risks endometrial cancer).
• Risks: VTE, breast cancer (combined > oestrogen-only), stroke.
• Benefits: symptom relief, osteoporosis protection.
• Tibolone: steroid with oestrogenic/progestogenic/androgenic activity.

Decision points in this pathway

• Uterus intact?

The full step-by-step algorithm, including what to do at each branch, opens in the app for approved members.