Public Pricelist

Female Patient - HRT Treatment

Page 1 of 2

STEP 1 OF 2

What is your birth sex? *

Are you using Hormone Replacement Therapy (HRT) at the moment? *

Can you choose the HRT that you are currently taking? *

How long have you been on HRT? *

Have you had a review with your doctor about your HRT treatment in the last 12 months? It's important that you have a discussion about the risks and benefit of HRT every 12 months. *

Can you tell us your current height (enter as centimetres)?

Can you tell us your current height (enter as kg)?

Have you any history of diabetes or high blood sugar levels? *

Have you ever been diagnosed with heart disease, high blood pressure or have you ever been prescribed treatment for high blood pressure? *

Have you ever had liver problems? *

Have you ever had any kidney problems? *

Have you ever had an operation to remove any part of your bowel? *

Are you pregnant or planning to become pregnant within the next six months? *

Are you breastfeeding at the moment? *

Have you noticed any unexpected or unusual vaginal bleeding in the last 12 months? *