Irregular bleeding on therapy warrants evaluation; ultrasound and endometrial assessment can rule out hyperplasia

https://www.scribd.com/document/1001283501/BHRT-and-Bone-Health-Protecting-Density-After-Menopause-134330

Irregular bleeding on therapy warrants evaluation; ultrasound and endometrial assessment can rule out hyperplasia, and adjusting hormone balance often resolves spotting or heavy flow.