If you want to discuss Menopause and Hormone Replacement Therapy (HRT) options, we ask kindly that you complete two requests first:
1. Read / watch the below information from the British Menopause Society
WHC factsheets and other helpful resources – Women’s Health Concern (womens-health-concern.org)
Short videos on menopause and HRT
2. Complete a menopause questionnaire here
Please bring a copy of the completed questionnaire to your appointment if you have already been booked in.
Booking your appointment
After you have completed the above steps, please contact the practice and we will be in touch to book an appointment with a clinician.
Injectable weight loss drugs and HRT
Weight loss medications such as Mounjaro (Tirzepatide) and Ozempic, Wegovy and Rybelsus (Semaglutide) work by slowing down how your stomach empties, which can affect how well other medicines (including HRT tablets) are absorbed by your body.
If your HRT includes progesterone tablets like Utrogestan, Norethisterone or Medroxyprogestone acetate (also called Provera), there is some concern that weight loss medication may reduce how well your HRT tablet is absorbed. This could lead to irregular bleeding and may affect the protection of your womb lining (potentially leading to an increased risk of endometrial cancer).
Other options are available for your HRT:
- Mirena Coil (IUS) – Progestrone cover for HRT for up to 5 years and a contraceptive for 8 years.
- Combined HRT patch – Can contain both hormones (oestrogen and progestogen) and bypasses the stomach.
- Increase oral progesterone dose – Your clinician or private specialist may recommend a higher dose for 4 weeks after starting or increasing the dose of your weight loss medication.
- Using progesterone oral capsules vaginally – Not licensed but is commonly used in other cases. You can start using this if already prescribed.
Injectable weight loss drugs may also impact contraception.