Thank you

[Wherediditallgo]

I just love these menopause threads. I’ve learned so much especially those who post links to papers and research, so just wanted to say thank you to anyone who has provided information over the years.

I was told by my GP I should be on it for “as short a time as possible”. I’ve no idea why or what paper her information comes from, or if it’s a cost cutting thing since prescriptions are free in Scotland, but I’m keeping a note of the references to arm myself for the future.

Currently on Evorel Conti- 1 year in. Sorted all my symptoms and allows me to continue in my stressful job!

'I was told by my GP I should be on it for “as short a time as possible”. I’ve no idea why or what paper her information comes from'

Some posters will say this is nonsense and some women are on it into their 80s but I believe evidence does suggest after 5yrs risks increase, so in theory yes you can take as long as you like but that is with the proviso that risks increase. Also it may be said that increased risks are with the old type of hrt and the new body identical is safer however I don't think we have any data to support that long term use is safe.

I would just keep reading and researching, if it works for you and you're happy to accept small increased risks after 5yrs for the benefits gained then that is an individual choice.

@Janiie Recently, I watched a recorded conference call that included Nick Panay and a Portuguese (I think) specialist discussing the pros and cons of HRT (long term.)

I can't find it now but will post the link if I do!

It cited the research papers on Utrogestan (one from France and one from Denmark) that looked at women on HRT/ Utrogestan for many years. They showed no increase in BC. Obviously these papers may be reviewed in time and new info come to light. @Janiie is right to say be 'cautious'.

The current evidence for BC is that there will be around 4 extra cases per 1000 women, over a 10 year period. This was based on the synthetic types of progesterone, not Utrogestan.

The five year guidance is there for GPs but IME there are very few consultants who say that - in fact, they leave the choice to the woman, having explained possible risks. Panay is on video describing his patients in their 80s on it, and my consultant says he has women in their 90s on it.

Thank you for that- there seems to be new evidence coming out all the time. At least I have a few years to wait before I need to be concerned about them taking me off it .

Prescriptions may be free in Scotland to the end user, but they still cost the NHS, so could still be cost cutting.