HRT Review

Section

Blood Pressure

If you do not have a blood pressure monitor to take your own reading please contact the surgery via the Request an Appointment with a Nurse or Healthcare Assistant form. We require this form to be completed, together with your blood pressure reading before a repeat HRT medication can be issued by a clinician.

Please use this date format: DD/MM/YYYY.
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Rhythm of pulse:
Weight Measurements:
Smoking status:
Have you been experiencing side effects since starting HRT?
Have you experienced any persistent unexpected bleeding or increased bleeding?
Are you aware about the increased risk of blood clots and some cancers associated with HRT?

Please visit www.nhs.uk/hormone-replacement-therapy-hrt-risks to read about the risks of Hormone replacement therapy (HRT)

Do you regularly self-check your breasts?

Please visit www.nhs.uk/how-should-i-check-my-breasts to read about how to check your breasts

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