1. From the following choices for HRT, choose the most appropriate option; each may be used once, more than once or not at all.

Possible Answers

For each of the questions below, select the answer which is most appropriate. Each option can be used once, more than once or not at all.

a.) A perimenopausal woman on oestrogen-only HRT who requires endometrial protection. She also wishes to have contraception and a ‘no bleed’ regimen.

Choose from one of the following answersA Combined oral contraceptiveB Continous combined oestrogen and progestogenC Mirena IUSD Oestrogen aloneE Progesterone-only pillF Sequential combined oestrogen and progestogenG Testosterone replacementH TiboloneI Topical oestrogens

b.) A postmenopausal woman who wishes to have amenorrhoea and has vasomotor, psychological and libido problems. She has had a previous fragility fracture.

Choose from one of the following answersA Combined oral contraceptiveB Continous combined oestrogen and progestogenC Mirena IUSD Oestrogen aloneE Progesterone-only pillF Sequential combined oestrogen and progestogenG Testosterone replacementH TiboloneI Topical oestrogens

c.) A woman 5 years postmenopausal who has no symptoms other than reduced libido.

Choose from one of the following answersA Combined oral contraceptiveB Continous combined oestrogen and progestogenC Mirena IUSD Oestrogen aloneE Progesterone-only pillF Sequential combined oestrogen and progestogenG Testosterone replacementH TiboloneI Topical oestrogens

d.) A woman who has had a total abdominal hysterectomy for uterine fibroids aged 40 and 3 years later has menopausal symptoms.

Choose from one of the following answersA Combined oral contraceptiveB Continous combined oestrogen and progestogenC Mirena IUSD Oestrogen onlyE Progesterone-only pillF Sequential combined oestrogen and progestogenG Testosterone replacementH TiboloneI Topical oestrogens

e.) A 47-year-old woman who is perimenopausal who wishes to continue regular periods.

Choose from one of the following answersA Combined oral contraceptiveB Continous combined oestrogen and progestogenC Mirena IUSD Oestrogen aloneE Progesterone-only pillF Sequential combined oestrogen and progestogenG Testosterone replacementH TiboloneI Topical oestrogens

f.) A 53-year-old woman who has postmenopausal symptoms but is unsure whether she is menopausal as she had a TCRE for menorrhagia 18 months ago and has had no bleeding since. She enjoys not having periods, but wants to improve her symptoms.

Choose from one of the following answersA Combined oral contraceptiveB Continous combined oestrogen and progestogenC Mirena IUSD Oestrogen aloneE Progesterone-only pillF Sequential combined oestrogen and progestogenG Testosterone replacementH TiboloneI Topical oestrogens

g.) A 70-year-old woman with symptoms of atrophic vaginitis; she has had a vaginal hysterectomy.

Choose from one of the following answersA Combined oral contraceptiveB Continous combined oestrogen and progestogenC Mirena IUSD Oestrogen aloneE Progesterone-only pillF Sequential combined oestrogen and progestogenG Testosterone replacementH TiboloneI Topical oestrogen