Bleeding on HRT: what’s normal and what’s not

In this episode, Dr Louise Newson is joined by consultant gynaecologist Mr Osama Najifor a reassuring and practical conversation about one of the most common concerns women have when starting HR, bleeding.

Together,they explain why bleeding can happen, when it is a normal response to changinghormones and when it may need further investigation. They also discuss the common causes of unscheduled bleeding, the role of scans and checks and whywomen should never be left feeling frightened or dismissed.

Louise and Osama also tackle the fear around endometrial cancer, the importance of lookingat the whole clinical picture and why women deserve clear information and individualised care rather than unnecessary alarm.

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Balance+ AI provides information and guidance to support understanding of your hormone health. It is not a substitute for professional medical advice, diagnosis or treatment. Always consult your doctor or a qualified healthcare professional with any questions you have regarding your health. If you think you may be experiencing a medical emergency, please contact the emergency services or seek immediate medical attention.

© Dr Louise Newson 2026