Patches. You apply HRT patches once or twice a week to any area below the waist. They help with the short-term symptoms of menopause. Gel. Oestrogen is available as a gel that you use once a day. You put the gel on a clean, dry and unbroken area of skin. It usually goes on the upper arm, shoulder or inner thigh.. Summary. If people decide to stop taking hormone replacement therapy (HRT), they should reduce the dosage gradually. Stopping abruptly may cause a return of menopause symptoms, such as hot flashes.

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Stopping HRT. When stopping HRT, it is generally recommended that a high estrogen dose preparation (e.g. 2mg tablet oestradiol or 75 or 100mcg patch) should be reduced for 2-3 months before stopping to minimise the chance of estrogen deficiency symptoms returning. If already on a medium or low dose preparation (e.g. 1mg tablet oestradiol or 25.. • For those women who elect to stop HRT, if the bleeding has settled at a 4-week follow-up, and continued cessation of HRT is acceptable, no further investigations are required. If the bleeding has settled at a 4-week follow-up and there is a preference to restart HRT, offer adjustments in HRT for six months and then an