In short
Overview
You have had a hysterectomy and are considering HRT, or you want an existing prescription reviewed. The details of the operation matter. “I had a hysterectomy” does not always provide enough information to select the right hormone regimen. Bring the surgical report if you have it. Dr. Felix reviews your symptoms, operation history and relevant conditions in Dubai before discussing treatment. The decision should reflect your actual surgery and medical circumstances, not a general rule taken out of context.
Direct Answer
NICE generally recommends oestrogen-only HRT for people who have had a total hysterectomy and want treatment for menopausal symptoms. However, a condition that could be affected by HRT may require specialist advice on the choice. The type of surgery and reason for it need to be clear. Do not stop a prescribed progestogen solely because an article says that everyone after hysterectomy needs the same treatment. Ask for the prescription to be reviewed in context.
Who This Applies To
This is for you if you are starting treatment after surgery, have moved to a new clinician or do not understand why your HRT includes particular components. Bring the relevant documents to your hormone replacement therapy consultation. Explain whether the ovaries were removed if you know.
Option Comparison / Decision Criteria
provide the surgical report rather than relying on an abbreviated description. Ask for clarification if you are unsure what was removed.
tell the doctor why the surgery took place and bring any specialist follow-up advice that affects hormone treatment.
ask why each component is included, whether the plan still fits and what follow-up is appropriate.
Why an In-Person Physician Review Matters
The review connects your symptoms with the operation and the reasons behind the existing prescription.
Dr. Felix can explain when the available information is sufficient and when advice from the treating specialist is needed. Bring all current products, including creams or preparations prescribed elsewhere. You should not have to guess whether two products duplicate each other or whether a medicine was intended to be temporary. The appointment should resolve those questions before a change is made.
Frequently Asked Questions
No. The exact surgery and relevant medical conditions need to be understood. A general recommendation is not a substitute for reviewing your own records.
Do not change an existing prescription on that assumption alone. Ask the prescriber why it was included and whether there is a specific reason to continue it.
Tell the practice what information is available. Clarifying the surgical history may be necessary before changing treatment; do not fill the gap with guesses.
Evidence
Where this information comes from
Every figure on this page is taken from the sources below. All of them are free to read, so you can check them yourself.
- NICE NG23: Menopause identification and management
- British Menopause Society: Updated prescribing resources, June 2026
This page is general medical information and does not replace a personal consultation. Trial results are averages across large groups, not a prediction for any one person.