Menopause Flashcards

1
Q

What is menopause?

A

Point at which menstruation has stopped for at least 12 months

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2
Q

What is perimenopause?

A

Time around menopause with irregular periods and vasomotor symptoms

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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

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4
Q

What causes perimenopausal symptoms?

A

Lack of oestrogen

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5
Q

What are perimenopausal symptoms?

A
Hot flushes
Emotional lability 
Irregular periods
Reduced libido 
Joint pain 
Vaginal dryness
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6
Q

How are perimenopausal symptoms managed?

A

HRT

Tibolone = synthetic steroid hormone

Clonidine = agonist of alpha-adrenergic receptors

CBT

Vaginal oestrogen

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