Hormone Therapy Follow Up

“See your healthcare professional regularly to make sure
the benefits of menopause hormone therapy continue
to outweigh the risks. You also should continue to have…”.1

Umbrella

What may the Hormone Therapy Follow Up Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Hormone Replacement Therapy (HRT) Follow Up/Review
  • Hormone Therapy (HT) Follow Up/Review
  • Menopausal Hormone Therapy (MHT) Follow Up/Review

Initial Follow Up

Initially, if menopausal women choose to use hormone therapy (HT), how often should they follow up?

In Menopause: Treatment – Follow-Up Appointments according to the (United Kingdom) NHS:


“If you’re having treatment for your symptoms of menopause or perimenopause, you’ll need to return to the doctor or nurse who is prescribing your HRT for a follow-up review after 3 months.

When you and your doctor or nurse agree your treatment is working well for you, you’ll need to see them once a year”.2

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Effectiveness: Managing Clinical Side Effects of MHT Therapy, published online 30 October 2023, the authors explain:

“Optimally, women using systemic MHT should have a medical review at 3 months to assess symptom relief and side effects. This is also an opportunity to discuss any patient concerns and ensure correct use of the prescribed therapy. Further follow-up will be determined by whether any treatment adjustments are made or investigations initiated. Long-term follow-up should be at least yearly”.3

Regular Follow Up

If menopausal women choose to use hormone therapy (HT), when is regular follow up required?

On page five of Menopause and Menopause Hormone Therapy: 3. When Should MHT Be Started and Stopped? When To Stop the International Menopause Society’s (IMS) Leaflet for Women for World Menopause Day 2024, the IMS note:

  • “It’s important to regularly check with your healthcare professional to see if continuing MHT is the right choice for you”.4

The (United Kingdom) Women’s Health Concern note:

“Women on HRT should be re-assessed by their doctor at least annually”.5

In the Hormone Therapy: Is It Right for You: Who Can Benefit From Hormone Therapy? the (United States) Mayo Clinic also note:

  • “Get regular follow-up care. See your healthcare professional regularly to make sure the benefits of menopause hormone therapy continue to outweigh the risks. You also should continue to have regular screenings, such as mammograms, blood pressure measurement and cervical cancer screening”.6

Follow-Up Format

What may the follow-up include?

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Effectiveness: Managing Clinical Side Effects of MHT Therapy, the authors also note:

“Review should include updating medical history and a general medical examination and breast assessment as indicated. Investigations should be individually determined, with mammography frequency according to local recommendations”.7

In Menopause: Treatment – Follow-Up Appointments the NHS explain:

“During your reviews, your doctor or nurse may:

  • Make sure your symptoms are under control
  • Ask about any side effects and vaginal bleeding
  • Check your weight and blood pressure
  • Review the type of HRT you’re taking and make any necessary changes”.8

Unscheduled or Prolonged Bleeding

What may unscheduled or prolonged bleeding require?

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Effectiveness: Managing Clinical Side Effects of MHT Therapy, the authors explain:

“Unscheduled or prolonged bleeding 3–6 months after commencing MHT needs investigation (ultrasound and/or biopsy), and where indicated, specialist referral. The need for ongoing MHT, the formulation and dose requirement should be reviewed”.9

Health Care Provider

How long can I take HT or menopausal hormone therapy (MHT)?

In Treatments for Menopause: Menopausal Hormone Therapy (MHT) – How Long Do You Need To Take MHT? the JH note:

“You can take MHT at low doses for as long as you need. Many women have symptoms for around 8 years and one in 4 women have symptoms into their 60s and 70s.

When using MHT in midlife:

  • Start low
  • Go slow
  • Review often”.10

The NHS explain:

“You can choose to continue taking HRT. The doctor or nurse prescribing your HRT can discuss with you the benefits and risks, so you can decide what’s right for you.

You can take HRT for as long as you need it. You can discuss this with your doctor or nurse at your yearly review”.11

Health Topics A-Z

Where may I find Health Topics A-Z related to Hormone Therapy Follow Up?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

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Links

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New or Updated

  1. ACOG Explains: Managing Menopause Symptoms [American College of Obstetricians and Gynecologists] [October 2023]
  2. Askearlymenopause.org [Ask EM] [+ Video: What Is Early Menopause?]
  3. BMS TV: Bioidentical Hormones
  4. BMS TV: HRT and Bleeding
  5. BMS TV: HRT and Breast Cancer: Overall Risks and Benefits
  6. BMS TV: HRT and the Risk of Breast Cancer
  7. BMS TV: Hormone Replacement Therapy (HRT)
  8. BMS TV: Testosterone Explained
  9. Bioidentical Hormones: Are They Safer?
  10. Bleeding on HRT Explained | Dr Louise Newson Live
  11. Can HRT Stop Your Periods?
  12. Can You Have HRT If You Are Overweight?
  13. Can You Have HRT With Uterine Fibroids
  14. Compounded Bioidentical Hormone Therapy [Video]
  15. Consumer Video and Podcast Series: 2024 Consumer Videos and Podcasts – Preparing for Your Menopause Health Care Visit
  16. Deciding About Hormone Therapy
  17. Deciding About Hormone Therapy Use
  18. EMAS On-Demand Webinars [European Menopause and Andropause Society] [Multiply Languages]: FDA Decision on MHT Warnings – A Live EMAS Roundtable
  19. Early Menopause: Women’s Experiences – Resources and Information: Quick Links – 1. Question Prompt List
  20. Experts Answer Your Menopause Questions In New Video
  21. FAQs: Hormone Therapy for Menopause
  22. FDA Direct: Removing Black Box Warnings for HRT (Part 1/2) [10 November 2025]
  23. FDA Direct: Removing Black Box Warnings for HRT (Part 2/2) [11 November 2025]
  24. Find A Menopause Practitioner [United States and Other]
  25. Find A Practitioner [Australasian Menopause Society i.e. Australia and New Zealand]
  26. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  27. Genitourinary Syndrome of Menopause
  28. Genitourinary Syndrome of Menopause
  29. Genitourinary Syndrome of Menopause (GSM)
  30. Guidance on Menopausal Hormone Therapy
  31. HRT Questions Answered [Video]
  32. HRT – Types, Doses and Regimens
  33. HRT: Benefits and Risks
  34. Handling Hot Flushes and Night Sweats| Dr Louise Newson
  35. Hormone Replacement Therapy (HRT)
  36. Hormone Replacement Therapy (HRT): About Hormone Replacement Therapy (HRT)
  37. Hormone Replacement Therapy (HRT): Alternatives To Hormone Replacement Therapy (HRT)
  38. Hormone Replacement Therapy (HRT): Benefits and Risks of Hormone Replacement Therapy (HRT)
  39. Hormone Replacement Therapy (HRT): Types of Hormone Replacement Therapy (HRT)
  40. Hormone Replacement Therapy (HRT): Vaginal Oestrogen
  41. Hormone Replacement Therapy (HRT): Vaginal Oestrogen – Who Can and Cannot Use Vaginal Oestrogen
  42. Hormone Replacement Therapy (HRT): When To Take Hormone Replacement Therapy (HRT) – How Long To Take HRT for
  43. Hormone Replacement Therapy (HRT): When To Take Hormone Replacement Therapy (HRT) – Stopping HRT
  44. Hormone Therapy: Four Things A Mayo Clinic Women’s Health Specialist Wants You To Know [+ Video Courtesy: Mayo Clinic News Network. Name Super/CG: Taryn Smith, M.D./Internal Medicine/Mayo Clinic]
  45. Hormone Therapy: Is It Right for You?
  46. Hot Flashes
  47. Hot Flashes
  48. Hot Flashes: What Can I Do? [+ Video: What Are the Signs and Symptoms of Menopause?]
  49. How Should You Come Off Your HRT?
  50. How To Find Relief for Hot Flashes At Night
  51. How Vaginal Hormones Can Transform the Health of Women
  52. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause
  53. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Hormone Replacement Therapy (HRT) [+ Video] [Other Languages and Formats]
  54. Managing Menopause Symptoms [+ Video Courtesy: Mayo Clinic News Network]
  55. Menopausal Hormone Therapy
  56. Menopausal Hormone Therapy and Breast Cancer Risk
  57. Menopausal Hormone Therapy and Venous Thromboembolism
  58. Menopausal Hormone Therapy, Heart Disease and Stroke
  59. Menopause
  60. Menopause
  61. Menopause
  62. Menopause Hormone Therapy: Does It Cause Vaginal Bleeding?
  63. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Questions for Your Health Care Provider
    Hormone Therapy Follow Up
  64. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Symptom Tracker
    Hormone Therapy Follow Up
  65. Menopause Symptoms: Mayo Clinic Expert Outlines Hormone and Nonhormonal Therapies
  66. Menopause Treatments: What Works, What Doesn’t
  67. HRT and the Likelihood of Some Medical Conditions. A Discussion Aid for GPs and Patients. Menopause: Identification and Management (NICE Guideline NG23) [07 November 2024]
  68. Menopause: Identification and Management [NICE Guideline Published: 12 November 2015 Last Updated: 07 November 2024]
    Hormone Therapy Follow Up
  69. Misinformation Surrounding Hormone Therapy 
  70. Mymenoplan.org [My Menoplan, United States]
  71. National Women’s Health Week 2025 [11-17 May]: Navigating the Road To Menopause
  72. Navigating Menopause: Honest Answers To All Your Questions [+ Video: What To Expect in Menopause]
  73. Navigating Menopause Care Resource Guide
  74. Perimenopause and Menopause Checklist: Translated Checklists
  75. Perimenopause and Menopause Symptom Checklist
  76. Practical HRT Tips | Dr Louise Newson
  77. Pros and Cons of HRT Patches
  78. Risks and Benefits of MHT
  79. Slynd As Endometrial Protection
  80. The 2023 Practitioner’s Toolkit for Managing Menopause
  81. The Menopause Society Statement on Misinformation Surrounding Hormone Therapy
    Hormone Therapy Follow Up
  82. The Women’s Health Initiative Randomized Trials and Clinical Practice
  83. The Women’s Health Initiative Trials: Clinical Messages
  84. Tips To Help Manage Menopause Symptoms
  85. Treatments for Menopause
  86. Updated BMS Guidelines on Unscheduled Bleeding on HRT
  87. Updated 2024 NICE Menopause Guidance Summary
  88. Urogenital Problems
  89. Vaginal Dryness
  90. Video: Hormone Therapy Protects Bone, Heart, Brain Health During Menopause
  91. Video & Podcast Library: Videos – World Menopause Day 2024: Menopause and Hormone Therapy: Current Perspectives and Controversies
  92. Videos & Podcasts: Videos – Menopause and Hormone Therapy: Current Perspectives and Controversies
  93. Webinars: Symposia – What’s Hot? Options for Treatment of Hot Flushes 2025
  94. Webinars: The Burn, the Itch, the Pain, the Urge: GSM In Women
  95. What Types of Vaginal Oestrogens Are There?
  96. Why You Get An Itch or Thrush on Vaginal Estrogen and What To Do About It
  97. World Menopause Day 2024: Leaflet for Women [Multiply Languages]

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Hormone Therapy: Is It Right for You? 18 April 2025. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/in-depth/hormone-therapy/art-20046372 Accessed: 20 January 2026
  2. Menopause: Treatment – Follow-Up Appointments. Page Last Reviewed: 17 May 2022. NHS https://www.nhs.uk/conditions/menopause/treatment/ Accessed: 20 January 2026
  3. Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – – Effectiveness: Managing Clinical Side Effects of MHT Therapy. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 20 January 2026
  4. Menopause and Menopause Hormone Therapy: 3. When Should MHT Be Started and Stopped? When To Stop. 2024:5. International Menopause Society https://www.imsociety.org/wp-content/uploads/2024/10/2024-WMD-Leaflet_English.pdf Accessed: 20 January 2026
  5. HRT Benefits and Risks: In Summary. Updated: November 2020. Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/hrt-know-benefits-risks/ Accessed: 20 January 2026
  6. Hormone Therapy: Is It Right for You? 18 April 2025. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/in-depth/hormone-therapy/art-20046372 Accessed: 20 January 2026
  7. Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – – Effectiveness: Managing Clinical Side Effects of MHT Therapy. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 20 January 2026
  8. Menopause: Treatment – Follow-Up Appointments. Page Last Reviewed: 17 May 2022. NHS https://www.nhs.uk/conditions/menopause/treatment/ Accessed: 20 January 2026
  9. Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – – Effectiveness: Managing Clinical Side Effects of MHT Therapy. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 20 January 2026
  10. Treatments for Menopause: Menopausal Hormone Therapy (MHT) – How Long Do You Need To Take MHT? Last Updated: 13 May 2025 | Last Reviewed: 22 April 2025. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 20 January 2026
  11. Menopause: Treatment – Follow-Up Appointments. Page Last Reviewed: 17 May 2022. NHS https://www.nhs.uk/conditions/menopause/treatment/ Accessed: 20 January 2026
Topic Last Updated: 20 January 2026 – Topic Last Reviewed: 20 January 2026

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