In general, you can follow up with your doctor once a year for a pelvic exam, a mammogram and to reassess your need for ongoing hormone therapy.

But, you may need reevaluation sooner than your next yearly checkup if you experience changes in your health, such as:

• Unexpected vaginal bleeding
• Persistent menopausal symptoms
• A blood-clotting disorder
• Symptoms of heart and blood vessel (cardiovascular) disease
• Hormone-dependent breast cancer or another hormone-dependent cancer

Developing any one of these conditions could mean that hormone therapy is no longer recommended for you.