Menopause Flashcards
1
Q
What is menopause?
A
Point at which menstruation has stopped for at least 12 months
2
Q
What is perimenopause?
A
Time around menopause with irregular periods and vasomotor symptoms
3
Q
What is the physiology of menopause?
A
Reduced development of ovarian follicles
Reduced oestrogen levels
Raised LH + FSH - due to lack of negative feedback
4
Q
What causes perimenopausal symptoms?
A
Lack of oestrogen
5
Q
What are perimenopausal symptoms?
A
Hot flushes Emotional lability Irregular periods Reduced libido Joint pain Vaginal dryness
6
Q
How are perimenopausal symptoms managed?
A
HRT
Tibolone = synthetic steroid hormone
Clonidine = agonist of alpha-adrenergic receptors
CBT
Vaginal oestrogen