SPOTTING MONTHS INTO HRT
Spotting a few months in. Normal?
The NHS says it's common early on, and not usually a sign of anything serious.
What counts as expected
It depends on your type of HRT (NHS)
- NHS, sequential HRT: bleeding at the end of each progestogen course is normal
- NHS, continuous combined HRT: irregular spotting is common in the first 4 to 6 months
Around 3 months in
Still spotting around 3 months in?
NHS guidance places the first HRT review at 3 months and says to mention irregular bleeding then. If it doesn't go away, it notes a doctor might suggest changing your progestogen dose.
The timeline to know
6 months after starting HRT
The NHS says irregular bleeding that carries on more than 6 months after you start HRT is worth a doctor visit.
When to get it checked
The NHS says to see a doctor if
- Your bleeding becomes heavier
- You bleed after a while with no periods
Bring this to your appointment
Questions for your doctor
- Is the bleeding I'm having expected for my type of HRT?
- What should I track about the bleeding before my next appointment?
- What would make you want to look into it further?
As slides
Sources
General information, not medical advice.