Chapter 6 BNF (Sex Hormone Responsive Conditions) Flashcards

1
Q

Name some natural Oestrogens?

A

Estradiol
Estriol
Estrone

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2
Q

Name some synthetic Oestrogens?

A

Ethinylestradiol

Menstranol

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3
Q

What’s the treatment for vaginal atrophy?

A

Topical Oestrogens

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4
Q

What are the vasomotor symptoms Postmenopause ?

A

Hotflushes

Night sweats

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5
Q

What’s the treatment of vasomotor symptoms?

A

Systemic oestrogens

Patches

Clonidine

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6
Q

Where must oestrogen patches be applied?

A

Below waistline

Away from breast

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7
Q

Which HRT is recommendations for patients with no uterus?

A

Oestrogen only!

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8
Q

What type of combined HrT are available?

A

Cyclical or continuous

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9
Q

Which type of continuous HRT is recommended in peri menopausal women and women less than 12 months after last period ?

A

Cyclical

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10
Q

When should HRT be stopped before surgery?

A

4-6 weeks

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11
Q

Does HRT provide contraception?

A

No

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12
Q

What contraception is recommended in under 50 and over 50?

A

Under: combined (low oestrogen)

Over: barrier

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13
Q

What are side effects of HRT?

A

Ovarian
Breast
Cervical
Endometrial (add progestogen)

CHD: if started 10 years post menopause

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14
Q

What are some reasons to stop HrT?

A
VTE 
Stroke
Liver 
BP (160/95) 
Cancer
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15
Q

What’s clomifene used for?

A

Ovulation stimulant

6 cycles

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