Menopausal Hormone Therapy Flashcards
Name some non-pharmacological treatment options for Vasomotor Sx
- keep cool
- avoid triggers
- quite smoking
- reduce weight
- increase exercise
- paced respiration
Name some triggers of vasomotor Sx
Can be spontaneous or triggered by…
- embarrassment
- change in room temp
- stress
- alcohol
- caffeine
Vaginal dryness can be treated by…
Low dose vaginal estrogen
Available in creams or pessaries
Estrogen creams or pessaries need to be combined with progestogen. True or false?
False
Women who have had a total hysterectomy do not need which hormone?
Progesterone
What role does progesterone play?
Protects the uterus / provides endometrial protection
First line treatment for vasomotor Sx for peri/ post menopausal women?
Transdermal estradiol (+ progesterone for some)
Progestogens are added to estrogen because…
They reduce the risk of endometrial cancer associated with unopposed estrogen
Short term risks of MHT?
Breast tenderness, bloating, vaginal bleeding
Define HSDD
Hypoactive sexual desire disorder
Other can increasing libido, what other benefits does testosterone have?
Improves mood, energy, stamina, concentration, etc
Tibolone is the first choice for which patients?
Women with endometriosis
Explain tibolone
Progestogen with selective estrogenic activity.
Used to treat vasomotor Sx and mood and libido
Tibolone reduces proliferation of breast epithelial cells, true or false?
True. Means it does not increase mammography density
Which class of antidepressants can be used for vasomotor Sx in women who cannot have MHT?
SSRI or SNRI
