What are the contraindications for prescribing HRT that I should be aware of in my practice?

Contraindications for prescribing hormone replacement therapy (HRT) include a personal history of breast cancer or high risk of breast cancer, where HRT should not be routinely offered and referral to a specialist is recommended ².

HRT should be stopped in women diagnosed with breast cancer, in line with NICE guidelines ².

HRT is contraindicated in individuals with hormone-sensitive cancers or conditions where hormones may exacerbate the condition, and advice should be sought from a healthcare professional with expertise in the condition ².

Women with contraindications to hormonal treatments should be advised accordingly, including those with certain medical conditions that may be affected by HRT ².