L4: Menopause Flashcards
Def of Menopause
- Permanent cessation of menstruation > 12 months due to complete depletion of all primordial follicles from the ovaries..
Def of Climacetric
- Period of life where females change from reproductive to non-reproductive states.
Pre-Menopause
from 40-45 years.
Peri-menopause
from 45-55 years (5 years before & 5 years after the average age of menopause).
Post-Menopause
Period which begins one year after last period.
Age of Menopause
Ranges from 45-55 years, the mean age is 51 years.
Types of Menopause
Types of Menopause
- Physiological
normal menopause
Types of Menopause
- Pathological or Abnormal
- Premature menopause.
- Artificial menopause “induced menopause”.
- Menopausal syndrome.
- Delayed menopause
Normal Changes in Menopause
Normal Changes in Menopause
- Endocrinal (Hormonal) Changes
Normal Changes in Menopause
- Genital
Normal Changes in Menopause
- General / Systemic
General Changes in Menopause
- Psychological
Anxiety, Depression.
General Changes in Menopause
- Breasts
Atrophied so become shrunken and flat.
General Changes in Menopause
- Bones
Calcium mobilization from it with subsequent osteoporosis.
General Changes in Menopause
- Hair Changes
Weakness and grayness of hair.
General Changes in Menopause
- Lipoproteins
- Increased LDL
- Decreased HDL
General Changes in Menopause
- Skin
Wrinkling of the skin
General Changes in Menopause
- Vasomotor instability
VD after VC leading to hot flushes.
Types of Abnormal Menopause
- Premature Menopause
- Artificial (Induced) Menopause
- Delayed Menopause
Def of Premature Menopause
Cessation of menstruation before the age of 40 years
Causes of Premature Menopause
Def of Artificial Menopause (Induced Menopause)
Destruction Of the ovarian follicles before the age of the natural menopause
Causes of Artificial Menopause (Induced Menopause)
Def of Delayed Menopause
Cessation of menstruation after the age of 55 years.
Causes of Delayed Menopause
Def of Menopausal Syndrome
Exaggerated normal physiological changes at menopause to become symptomatizing.
CP of Menopausal Syndrome
CP of Menopausal Syndrome
- Psychological
CP of Menopausal Syndrome
- Hot Flashes
CP of Menopausal Syndrome
- Osteoporosis
CP of Menopausal Syndrome
- CVS
CP of Menopausal Syndrome
- GIT
CP of Menopausal Syndrome
- Genital
……. are considered as major symptoms.
Hot flushes and osteoporosis
INvx for Menopausal Syndrome
TTT of Menopausal Syndrome
TTT of Menopausal Syndrome
- General
TTT of Menopausal Syndrome
- Medical
Hormonal TTT of Menopausal Syndrome
Hormonal TTT of Menopausal Syndrome
- Indications
Hormonal TTT of Menopausal Syndrome
- CI
Hormonal TTT of Menopausal Syndrome
- Complications
Hormonal TTT of Menopausal Syndrome
- Regimens