57 – Bleeding on HRT: what’s normal and what’s not

In this episode, Dr Louise Newson is joined by consultant gynaecologist Mr Osama Naji for a reassuring and practical conversation about one of the most common concerns women have when starting HRT, bleeding.

Together, they explain why bleeding can happen, when it is a normal response to changing hormones and when it may need further investigation. They also discuss the common causes of unscheduled bleeding, the role of scans and checks and why women should never be left feeling frightened or dismissed.

Louise and Osama also tackle the fear around endometrial cancer, the importance of looking at the whole clinical picture and why women deserve clear information and individualised care rather than unnecessary alarm.

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