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Theory in Practice Video—Hormone-replacement Therapy With Dr Toni Hazell

In the First in a New Series of Videos, Dr Toni Hazell and Dr Kevin Fernando Discuss Hormone-Replacement Therapy

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Theory in Practice (TIPs) videos are a new series of interviews in which Dr Kevin Fernando consults healthcare professionals about topical issues in primary care, asking two questions and agreeing two key take-home messages.

Key: BMI=body mass index; BMS=British Menopause Society; HCP=healthcare professional; HRT=hormone-replacement therapy; PCWHF=Primary Care Women’s Health Forum; RCOG=Royal College of Obstetricians and Gynaecologists; SNRI=serotonin and norepinephrine reuptake inhibitor; SSRI=selective serotonin reuptake inhibitor

In this TIPs video, the first in the series, Dr Kevin Fernando interviews Dr Toni Hazell about hormone-replacement therapy (HRT), asking two questions:

  • how should healthcare professionals explain the risks associated with HRT to patients, and what are the key messages they should use?
  • how should testosterone deficiency be managed in primary care, and should GPs be prescribing testosterone to perimenopausal and menopausal women?
Useful Resources

For Healthcare Professionals:

For Patients:

BMS=British Menopause Society; WHC=Women’s Health Concern; RCOG=Royal College of Obstetricians and Gynaecologists; PCWHF=Primary Care Women’s Health Forum 

Note: At the time of publication (October 2022), some of the drugs discussed in this article did not have UK marketing authorisation for the indications discussed. Prescribers should refer to the individual summaries of product characteristics for further information and recommendations regarding the use of pharmacological therapies. For off-licence use of medicines, the prescriber should follow relevant professional guidance, taking full responsibility for the decision. Informed consent should be obtained and documented. See the General Medical Council’s Good practice in prescribing and managing medicines and devices for further information.

Dr Kevin Fernando

GP Partner, North Berwick; content advisor for Medscape UK and Global

Dr Toni Hazell

Portfolio GP, Tottenham

Dr Hazell is on the Executive Committee of the Primary Care Women’s Health Forum, a role that includes paid and unpaid work, and she also does paid work for the Patient website

If you would like to suggest a topic for a future TIPs video or even take part in one, get in touch at:

Reflect on your learning and download our Reflection record

Keen to Learn More?

Read Dr Toni Hazell’s related articles on hormone-replacement therapy.

Hormone-replacement Therapy: What Are the Risks and Benefits?

In the first of a two-part series on hormone-replacement therapy, Dr Toni Hazell explains the importance of helping women to weigh up the risk–benefit ratio

Hormone-replacement Therapy: What to Prescribe and When

In the second of a two-part series on HRT, Dr Toni Hazell addresses prescribing issues, outlining the factors to consider when initiating treatment