Skip to main content

HRT (hormone replacement therapy) review

HRT (Hormone Replacement Therapy) Review

Section

BMI

e.g. 1.75
e.g. 60.6
Please note: BMI calculator is only for patients aged 18 and over.

Blood Pressure

Please note if you are unable to provide a blood pressure reading, Reception will reply to arrange a HCA appointment.

Alcohol Consumption

This is one unit of alcohol:

Amount of different types of drink representing one unit of alcohol

And each one of these, is more than one unit:

Amount of different types of drink representing more than one unit of alcoholAmount of different types of drink representing more than one unit of alcohol
How often do you have a drink containing alcohol? *
How many units of alcohol do you drink on a typical day when you are drinking? *
How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year? *

Review

Do you smoke? *
Do you find HRT effective? *
Are you experiencing any side effects? (e.g. Migraines) *
Has there been any changes to your health since your last HRT check? *
Has there been any changes to your medications since your last HRT check? *
Do you have any vaginal dryness or discomfort? *
Are you attending the following recommended screening programmes?
Cytology: *
Mammography: *
Breast awareness: *
Do you have any concerns about vaginal bleeding? *
Do you need contraception? *
*