We recommend a pelvic scan at the start of your treatment in order to assess the endometrial thickness (the thickness of the lining of your womb) and also to make sure there are no cysts or polyps which could result in a bleed after starting HRT.

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If you, together with your doctor, choose to start on a compounded form of HRT then it is necessary to repeat this scan every two years in order to monitor the endometrial thickness.

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Any post-menopausal woman who has an unscheduled bleed will be asked to have a pelvic ultrasound.