Dear Sarah, Thank you so much for your message. The fact that your periods have changed significantly, warrants investigation. I would recommend seeing your GP as there are a number of factors in your medical history that need to be considered before a plan of investigation and management can be adv...

Hi there Thank you for your message. A change in one's menstrual cycle, to the point where it is affecting your quality of life (i.e. having to set an alarm to get up in the middle of the night to change) is considered significant and should be investigated. At the age of 52, being peri-menopausal, ...

Dear Becky Thank you for your question. PCOS can lead to ovulatory disorders and hence lead to a disturbance in how one menstruates. It is important to have a period every 3 months, approximately, whether that is naturally or with the help of medication, when a person has PCOS. If a person with PCOS...

Dear Sarah, Many thanks for your question. There are a number of factors that need to be considered when discontinuing or changing one's HRT. I would recommend a consultation with your GP as they would have your full medical history and therefore can advise you better. There are many different types...

Dear Joanne, Thank you for your question and I am sorry to hear of your gynaecological troubles. In view of your history, I would agree that you do need a referral to gynaecology services. Heavy bleeding to the point where your haemaglobin dropped to 4, is classed as abnormal uterine bleeding (AUB)....

Thank you for your questions. Let me take them in order: 1) This is unlikely. 2) You may wish to try switching brand, but again you would ideally need a few months on the new brand to see if anything changed. I am uncertain if this would solve the problem. 3) When hormonal contraception has been suc...

Dar Sue, Many thanks for your question. The guidelines suggest that in view of your post-menopausal bleeding episode, you do need a referral to gynaecology services, often to a "postmenopausal bleeding" (PMB) clinic. The GP should be able to organise this for you. Transvaginal ultrasound i...