Prescription team: HRT 3 month review

To ensure your medication is prescribed safely and you are aware of all this information we review your prescription after 3 months of starting. On completion of this reviews will be 12 monthly unless you have any issues, in which case you should contact us via this form.  

Hormone replacement therapy (HRT) is a treatment to relieve symptoms of the menopause. It replaces hormones that are at a lower level as you approach the menopause.

The main benefit of HRT is that it can help relieve most of the menopausal symptoms, including: hot flushes, night sweats, mood swings, vaginal dryness and reduced sex drive.

Many of these symptoms pass after a few years, but they can be unpleasant and taking HRT can offer relief for many women.

Whilst the benefits of HRT often outweigh the risks, some types of HRT can increase your risk of breast cancer and blood clots. It is important to remain vigilant for signs of breast cancer & we encourage you to attend breast screening when invited

If your review is now due (3 month since starting) please complete the following form and fill in as much information as possible. Some of this information will already be included in your medical records but this is a good opportunity to update any changes.

Equivalent dosing for various HRT preparations
If you are having issues finding your HRT in stock we may need to prescribe you an alternative. The table below outlines the topical options & their dosing.  


Equivalent doses


25 micrograms

50 micrograms

75 micrograms

100 micrograms

Gel (Oestrogel)

1 pump

2 pumps

3 pumps

4 pumps

Gel sachet (Sandrena)

0.5mg sachet




Spray (Lenzetto)

1 spray

2 sprays

2-3 sprays

3 sprays


Please do not write any clinical queries on this form. Any clinical queries or request for appointments via this form will be discarded. To make an appointment either book online via the NHS app/Patient access or by calling reception 01926 331401. We will start to process your form by the next working day but it will take up to 5 working days to complete. Please DO NOT call before 5 working days as you will not receive a status update from reception or the administrative team. If you are NOT a registered patient then your form will be discarded. This service is only for patients registered at the surgery aged 16 and over; and for parents or legal guardians of children. Forms must be completed in the UK due to GDPR regulations.

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Prescription team: HRT 3 month review
This form is ONLY for those completing their 3 month review (+/- a few months)

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