🩸 Why Might a Woman Bleed on HRT? Basically all women are different and respond to every HRT differently. There’s no right or wrong type as a whole. Here’s 5 reasons you might bleed: 1. Timing & Type of HRT ✅Sequential HRT (e.g. oestrogen daily 2w progestogen): causes predictable monthly withdrawal bleeds- may get lighter over time as get into full menopause. ✅Continuous combined HRT (oestrogen progestogen daily): should ideally lead to no bleeding, but spotting is common in the first 3–6 month