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What to Expect Adjusting Your Initial Dosage

in the First Four Months If you are experiencing any unwanted symptoms including any of those set out
above, it is important that you contact the AMC helpline on 1300 883 405 and
book an appointment as soon as possible.

It’s important to understand that it may have taken years for your body to become Regular Follow Up

hormonally imbalanced - it’s not possible to correct this instantly. One of our goals is to provide you symptom relief using the lowest required dose of

BHRT for as short a duration as is required.
Every woman will respond differently. Response will also be dependent on the par-

ticular stage of the menopause a woman is at. Your response will be in accordance In order to fine tune your treatment and reach this goal, your treatment dosage
with your body’s natural sensitivity and absorption rate of the various hormones. will, from time to time, require a review.
You may experience rapid symptom relief or, as is more usually the case, this may
take a number of weeks. If after your initial consultation with one of our doctors, you decide to join our

program, we will contact you as follows:
Some women, especially in the first 14 days after starting BHRT, may experience an After the date your first medication is dispensed, you will receive a Welcome Call
increase in hot flushes and night sweats. These may actually increase in intensity from us where we will go over the details of your treatment program and confirm
and frequency before they start to reduce. This may be due to what we refer to as that you have received what is needed to start your treatment program. We will

an “oestrogen dip” - this is when your body reduces production of its own oestro- also schedule follow up clinical reviews with our clinical team. We will then contact
gen in response to the BHRT supplementation. you regularly during this time.

When you begin your treatment program, you may experience symptoms that re- You will also be able to contact us for advice.
flect insufficient supplementation or over-sensitivity to the hormones. These symp-

toms may include uncomfortable reactions such as:

Insufficient response to the medication ~ your
symptoms haven’t completely subsided

At all times it is vital that you take the medication according to the
Break-through bleeding
instructions supplied with the medication and the advice given

by our clinical team.
Breast tenderness

Bloating

Headaches

Your response to the medication should stabilise over a period of time.

The Australian Menopause Centre 6 The Australian Menopause Centre 7