Hormone Therapy Follow Up

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 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”.2

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”.3

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

“Women on HRT should be re-assessed by their doctor at least annually”.4

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”.5

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”.6

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”.7

Health Care Provider

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

In Menopausal Symptom Treatments: 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 to manage menopausal symptoms that bother you. Most women have symptoms for about 4 to 7 years after menopause (their final menstrual period). One in 3 women have symptoms into their 60s and 70s”.8

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

Where may I find Links related to Hormone Therapy Follow Up?

Your Country may have Links similar to:

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: Hormone Replacement Therapy (HRT)
  4. Bioidentical Hormones: Are They Safer?
  5. Bleeding on HRT Explained | Dr Louise Newson Live
  6. Can HRT Stop Your Periods?
  7. Can You Have HRT If You Are Overweight?
  8. Can You Have HRT With Uterine Fibroids
  9. Compounded Bioidentical Hormone Therapy [Video]
  10. Consumer Video and Podcast Series: 2024 Consumer Videos and Podcasts – Preparing for Your Menopause Health Care Visit
  11. Deciding About Hormone Therapy
  12. Deciding About Hormone Therapy Use
  13. EMAS On-Demand Webinars [European Menopause and Andropause Society] [Multiply Languages]: FDA Decision on MHT Warnings – A Live EMAS Roundtable
  14. EMAS On-Demand Webinars [European Menopause and Andropause Society] [Multiply Languages]: Genitourinary Syndrome of Menopause (GSM): Diagnosis and Evidence-Based Management
  15. Early Menopause: Women’s Experiences – Resources and Information: Quick Links – 1. Question Prompt List
  16. FAQs: Hormone Therapy for Menopause
  17. Find A Menopause Practitioner [United States and Other]
  18. Find A Practitioner [Australasian Menopause Society i.e. Australia and New Zealand]
  19. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  20. Genitourinary Syndrome of Menopause
  21. Genitourinary Syndrome of Menopause (GSM)
  22. Guidance on Menopausal Hormone Therapy
  23. HRT Questions Answered [Video]
  24. 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]
  25. HRT – Types, Doses and Regimens
  26. Handling Hot Flushes and Night Sweats| Dr Louise Newson
  27. Hormone Replacement Therapy (HRT)
  28. Hormone Replacement Therapy (HRT): A Summary
  29. Hormone Replacement Therapy (HRT): About Hormone Replacement Therapy (HRT)
  30. Hormone Replacement Therapy (HRT): Alternatives To Hormone Replacement Therapy (HRT)
  31. Hormone Replacement Therapy (HRT): Benefits and Risks
  32. Hormone Replacement Therapy (HRT): Types of Hormone Replacement Therapy (HRT)
  33. Hormone Replacement Therapy (HRT): Vaginal Oestrogen
  34. Hormone Replacement Therapy (HRT): Vaginal Oestrogen – Who Can and Cannot Use Vaginal Oestrogen
  35. Hormone Replacement Therapy (HRT): When To Take Hormone Replacement Therapy (HRT) – How Long To Take HRT for
  36. Hormone Replacement Therapy (HRT): When To Take Hormone Replacement Therapy (HRT) – Stopping HRT
  37. 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]
  38. Hormone Therapy: Is It Right for You?
  39. Hot Flashes
  40. Hot Flashes
  41. How Should You Come Off Your HRT?
  42. How To Find Relief for Hot Flashes At Night
  43. How Vaginal Hormones Can Transform the Health of Women
  44. International Menopause Society (IMS) Recommendations and Key Messages on Women’s Midlife Health and Menopause
  45. 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
  46. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Hormone Replacement Therapy (HRT) [+ Video] [Other Languages and Formats]
  47. Managing Menopause Symptoms [+ Video Courtesy: Mayo Clinic News Network]
  48. Menopausal Symptom Treatments
  49. Menopause
  50. Menopause
  51. Menopause
  52. Menopause Hormone Therapy: Does It Cause Vaginal Bleeding?
  53. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Questions for Your Health Care Provider
    Hormone Therapy Follow Up
  54. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Symptom Tracker
    Hormone Therapy Follow Up
  55. Menopause Symptoms: Mayo Clinic Expert Outlines Hormone and Nonhormonal Therapies
  56. Menopause: Identification and Management [NICE Guideline]
  57. Menopause: Identification and Management [NICE Guideline]
    Hormone Therapy
  58. Mymenoplan.org [My Menoplan, United States]
  59. Navigating Menopause: Honest Answers To All Your Questions [+ Video: What To Expect in Menopause]
  60. Navigating Menopause Care Resource Guide
  61. Online Events [International Menopause Society]: IMS Partnership Symposia Series – What’s Hot? Options for Treatment of Hot Flushes 2025
  62. Online Events [International Menopause Society]: Past Webinars – 2025: The Burn, the Itch, the Pain, the Urge: GSM In Women
  63. Online Events [International Menopause Society]: Past Webinars – 2026: New IMS Recommendations – Midlife Body Changes
  64. erimenopause and Menopause Checklist: Translated Checklists
  65. Perimenopause and Menopause Symptom Checklist
  66. Practical HRT Tips | Dr Louise Newson
  67. Pros and Cons of HRT Patches
  68. Risks and Benefits of MHT
  69. Slynd As Endometrial Protection
  70. The 2023 Practitioner’s Toolkit for Managing Menopause
  71. The Menopause Society Statement on Misinformation Surrounding Hormone Therapy
  72. The Women’s Health Initiative Randomized Trials and Clinical Practice
  73. The Women’s Health Initiative Trials: Clinical Messages
  74. Treatments for Menopause
  75. Updated BMS Guidelines on Unscheduled Bleeding on HRT
  76. Updated 2024 NICE Menopause Guidance Summary
  77. Urogenital Problems
  78. Vaginal Dryness
  79. Video: Hormone Therapy Protects Bone, Heart, Brain Health During Menopause
  80. Videos & Podcasts: Videos – Menopause and Hormone Therapy: Current Perspectives and Controversies
  81. What Types of Vaginal Oestrogens Are There?
  82. Why You Get An Itch or Thrush on Vaginal Estrogen and What To Do About It
  83. World Menopause Day 2024: Leaflet for Women – Menopause and Menopause Hormone Therapy [Multiply Languages] 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: 28 July 2026
  2. 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: 28 July 2026
  3. 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: 28 July 2026
  4. Hormone Replacement Therapy (HRT): Benefits and Risks: In Summary. Reviewed: July 2026:5. Women’s Health Concern https://www.womens-health-concern.org/wp-content/uploads/2026/07/11-NEW-WHC-FACTSHEET-HRT-BenefitsRisks-JULY2026-A.pdf Accessed: 28 July 2026
  5. 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: 28 July 2026
  6. 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: 28 July 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: 28 July 2026
  8. Menopausal Symptom Treatments: Menopausal Hormone Therapy (MHT) – How Long Do You Need To Take MHT? Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-topics/menopause/treatments-for-menopause/#menopausal-hormone-therapy-mht Accessed: 28 July 2026
Topic Last Updated: 28 July 2026 – Topic Last Reviewed: 28 July 2026

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