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

So the reassurance within at least three to six months of starting, it is not uncommon to expect some form of bleeding.

But in this scenario of starting to become worrying,

in the form of the menstrual flow or in the form of the pattern, if there is any associated other symptoms, then it may warrant a little bit closer look to see if there are other causes can be minimized or mitigated during the starting process at least.

Unlikely at all.

Look, also in the form of the history backings, how important is the history is to engage the woman herself and she will express her concerns about this complaint in a little bit more details.

And in fact, also stressing the fact whether are there any other risk factors that could probably invite a little bit of a closer look.

Very importantly as well, whether the body weight is optimized or not.

Smoking, alcohol, diabetes, hypertension, previous pregnancy or not.

It's a previous history of common gynecological pathologies, fibroids, adenomyosis, endometriosis, a little bit of a detailed gynecological history

Yeah.

Absolutely on this point, Louise.

Look, again, HRT, I have to say, has been treated unfairly on the media as a causing factor for endometrial cancer.

This type of cancer comes with other common risk factors, like you mentioned, categorically higher body weight or higher BMI, the pregnancy status, diabetes, hypertension.

In the absence of these factors, the women, they deserve some reassurance on this front in particular, for sure.

That's fairly true.

I always also explain to patients, please listen to your feelings.

Always when you know something is not right, often this is the case.

It just deserves a little bit more attentive listening.

Yes.

And if the patient, despite of that, of the reassurance and is still concerned, it's our obligation and duty to listen and engage and make sure she is reassured in the best possible way.

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