How do I minimise menopausal symptoms when coming off long-term HRT?

Answer: The best chance of avoiding or minimising menopausal symptoms when wanting to come off long-term HRT is to gradually reduce the dose. Change the dose at 3 to 4 weekly intervals, working down to the lowest available dose of tablet or patch. After getting onto the lowest dose, halve the tablets or patches and then stop after another 3 to 4 weeks. This works for most women, but a few will get a return of bad symptoms and may always have difficulty in trying to come off HRT.