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Unscheduled bleeding following HRT - assessment and management


J.A.V.S. Jayalath ,

Base Hospital, Udugama, LK
About J.A.V.S.
Acting Obstetrician and Gynaecologist
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M.I.F. Ifla

Castle Street Hospital for Women, Colombo, LK
About M.I.F.
Registrar in Obstetrics and Gynaecology
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Menopause is defined as permanent cessation of monthly menstrual periods due to permanent depletion of ovarian follicular activity which results in reduced production of ovarian steroids. This in turn causes short term and long term complications in postmenopausal women. Hormone replacement therapy (HRT) is considered as the treatment of choice in the management of these complications. However, unscheduled bleeding following HRT is a well known complication. Diagnosis of unscheduled bleeding is confirmed after careful assessment and exclusion of secondary endometrial pathologies. This can be managed effectively by adjusting or changing the hormone profile in HRT preparations.

How to Cite: Jayalath JAVS, Ifla MIF. Unscheduled bleeding following HRT - assessment and management. Sri Lanka Journal of Menopause. 2021;2(2):5–11. DOI:
Published on 01 Mar 2021.
Peer Reviewed


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