HRT

Question 1

Important points of HRT

Answer 1

• HRT, Types, Route
• Benefits Sf HRT (hot flushes and low mood /sexual desire and reduce vaginal
dryness/preventing osteoporosis.)
• Common side effects (bleeding 3 months, sore breast, headache, feel sick), serious
risks ( clot 12/1000, stroke, breast CA)
• Patch reduces clot & stroke
continue using contraception for 1 year after last period after the age of 50 years
(before 50 years of age continue using contraception for 2 years)
Testosterone patch
• Vaginal moisturisers and lubricants helpful for vaginal dryness.
• Estrogen given vaginally in the form of a tablet, cream or ring is effective

Question 2

Management of menapouse

Answer 2

Treatment options include lifestyle changes, non-prescribed treatments
and prescribed treatments
• Lifestyle changes (exercise, cut alcohol, smoking, stress, well ventilated
room, cool clothes)
• Non-prescribed treatments (herbal)
• Alternative therapies (acupressure, acupuncture or homeopathy )
• Complementary therapy (aromatherapy )
• Non-hormonal medical treatments (clonidine or gabapentin for hot
flushes)
• Cognitive behavioural therapy (CBT)