MS-2738
Samantha, a 49-year-old teacher, visits her GP complaining of menopausal symptoms that have been bothering her for more than a year. She experiences hot flushes, headaches, and fatigue. Samantha has not had her period for 12 months, has three adult children, and has never undergone surgery. She insists on being prescribed an oestrogen-only hormone replacement therapy (HRT) regimen, citing poor tolerance of combined HRT as reported on the internet.
What are the reasons why oestrogen-only HRT should not be recommended for this patient?