Gynae - menopause

Question 1

What is the average age of menopause?

Answer 1

45-55, average 51
40-45 early menopause
<40 premature ovarian failure

Question 2

What are 3 types of treatment for the menopuase?

Answer 2

lifestyle 
hormonal e.g. HRT 
non-hormonal e.g. SSRI 
non-pharmacological e.g. CBT
contraception

Question 3

Name 5 symptoms of the menopause

Answer 3

Mood change 
loss of memory, concentration, energy, confidence, libido 
headaches 
dry, itchy skin 
joint pain

Question 4

What are the pros and cons of HRT?

Answer 4

Pros - relief of symptoms, bone marrow density protection, prevents long term morbidity
Cons - breast cancer risk, VTE, CVD, stroke, irregular bleeding

Question 5

What is vagifem?

Answer 5

vaginal oestrogen - can be used to treat atophic vaginitis
but must do pelvic US first to exluce cancers
endometrium must be <4mm