Mr Osama Naji

speaker

109 appearances 1 recordings 1 series first heard Apr 2026 last heard 14 Apr

Mr Osama Naji’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Apr 2026 with 1.

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The Dr Louise Newson Podcast · 57 – Bleeding on HRT: what’s normal and what’s not · 14 Apr 2026 podcast

Very nice place, in fact.

Yes.

Thank you very much for having me.

Very good gynaecology knowledge, I have to say, yes.

Absolutely.

Quite often when we see patients, whenever the consultation...

started to divert towards HRT.

I always explain, HRT is not only about prescribing medications, it's a complete different scope of consultation.

It requires having an extremely detailed history, discuss lifestyle, discuss sleep, diet, exercise, sports, and then HRT comes as an additional.

So it does require a more detailed consultation to give it justice.

Indeed, yeah.

Quite often, most of the times, the causes are reassuring and non-concerning.

It's a functional transient or longer-term hormonal imbalance and sometimes can be triggered by pathology.

And that's why to stress the fact that you said the extraction of the knowledge and the information from the history is crucial on this matter.

But when it comes to HRT,

We try to mimic what happens in the nature and often we get it right.

Yes.

Often the case of this scenario, it requires a little bit of more reassurance to the patients to tell them it is expected or not uncommon to have a little bit of unscheduled bleeding at the start.

It's often the body trying to adjust accordingly to these extra hormones.

And hopefully most of the times it does the job itself without unnecessary.

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