What is the proper regimen for taking sequential Hormone Replacement Therapy (HRT)?

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How to Take Sequential HRT

Sequential HRT should be administered as transdermal 17β-estradiol 50-100 μg daily continuously, combined with oral micronized progesterone 200 mg daily (or medroxyprogesterone acetate 10 mg daily) for 12-14 days every 28 days. 1, 2

Estrogen Component

  • Transdermal 17β-estradiol is the preferred first-line route over oral formulations due to avoidance of first-pass hepatic metabolism, superior cardiovascular risk profile, better bone mass accrual, and lower venous thromboembolism risk 1, 2

  • Apply patches releasing 50-100 μg daily, changed twice weekly or weekly depending on the specific brand 1, 2

  • Alternatively, vaginal gel can be used at doses of 0.5-1 mg daily if patches are not tolerated 1

  • Administer estrogen continuously without interruption (not cyclically) 1, 2

  • If oral estrogen is necessary, use micronized estradiol 1-2 mg daily, though this is second-line 1, 3

Progestogen Component

  • Add progestogen for 12-14 days every 28 days (never less than 12 days) to ensure adequate endometrial protection 1, 4

  • Micronized progesterone 200 mg daily is the preferred progestogen due to minimal cardiovascular risk, lowest thrombotic risk profile, and neutral effects on blood pressure 1, 4, 2

  • Administer orally or vaginally during days 15-28 (or 15-26) of each 28-day cycle 1

  • If micronized progesterone is unavailable or not tolerated, medroxyprogesterone acetate 10 mg daily for 12-14 days is an acceptable alternative 1, 2

  • Dydrogesterone 5-10 mg daily for 12-14 days is another option with favorable metabolic effects 1

Expected Bleeding Pattern

  • Withdrawal bleeding typically occurs during or shortly after the progestogen phase (days 15-28) 1, 2

  • This mimics a menstrual cycle pattern with predictable monthly bleeding 5, 6

  • If breakthrough bleeding occurs outside the expected withdrawal period, increase the progestogen dose to 200 mg daily or extend duration to 14 days 4

Monitoring and Adjustments

  • Conduct clinical review annually once established on therapy, focusing on compliance 1

  • Reassess at 3 months to evaluate bleeding pattern and symptom control 4, 3

  • No routine monitoring tests are required unless prompted by specific symptoms or concerns 1

  • If breakthrough bleeding persists beyond 3 months despite optimized sequential regimen, consider switching to continuous combined therapy (estrogen plus progestogen daily without interruption) 4

Special Populations

For adolescents with premature ovarian insufficiency:

  • Begin cyclic progestogen only after at least 2 years of estrogen therapy or when breakthrough bleeding occurs 1
  • Start with lower estrogen doses (transdermal 6.25-25 μg daily) and gradually increase over 2-3 years to adult doses 1

For women requiring contraception:

  • Consider 17β-estradiol-based combined oral contraceptives (with nomegestrol acetate or dienogest) as first choice instead of traditional sequential HRT 1

Critical Cautions

  • Sequential regimens with only 10 days of progestogen carry a 5.3% risk of complex endometrial hyperplasia and 0.7% risk of atypical hyperplasia—this is why 12-14 days minimum is mandatory 5

  • Women with cardiovascular risk factors should preferentially receive micronized progesterone rather than synthetic progestogens like medroxyprogesterone acetate 2

  • Any undiagnosed persistent or recurring abnormal vaginal bleeding requires endometrial sampling to rule out malignancy before continuing HRT 3

  • Continue HRT until the average age of natural menopause (45-55 years) in women with premature ovarian insufficiency 2

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Hormone Replacement Therapy Regimens

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Management of Breakthrough Bleeding with Hormone Replacement Therapy

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

The endometrial response to sequential and continuous combined oestrogen-progestogen replacement therapy.

BJOG : an international journal of obstetrics and gynaecology, 2000

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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