HRT Review

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Please read all the information provided under the links

HRT increases your risk of breast cancer. Please read this leaflet carefully.
HRT and breast cancer – MHRA information leaflet
Have you read links above

Personal Details

Name
Please complete this form as part of your HRT review if you have been asked to do so. You will need an up to date blood pressure reading before you complete the online details.

HRT Review

If you do not have access to a blood pressure monitor please contact your community pharmacy or make an appointment with any of our practice nurses or phlebotomist.
Do you smoke?
Have you ever had a blood clot, heart disease, stroke, cancer, migraine or major illness?
Are you still in need of contraception?
HRT is not contraception. If under 55 you may need contraception.
Have you had a hysterectomy?
Do you have a coil with hormone in it such as a mirena coil?
Do you understand and have you read about all the risks of taking HRT including the increased risk of breast cancer, stroke and deep vein thrombosis?