Menopause Flashcards
What is the average age of menopause?
~51
How long is the average duration of symptoms?
7.5 years
At what stage do you get symptoms?
Before periods stop
How do you diagnose menopause?
Who would you test in?
FSH x2 (6 weeks apart)
Women >45 with atypical symptoms
Women 40-45 with menopausal symptoms
What drug is used to manage?
What is the main risk women are worried about?
HRT
Breast cancer
HRT can contain oestrogen or progesterone + oesterogne.
You would normally give both, in what situations would you only give oestrogen?
Why do you give oestrogen and progesterone?
Hysterectomy/ Mareina coil
Oesterogen - symptomatic relief
Progesterone - protective against oestrogenic side effects
What is the safest way of getting HRT?
Transdermal - no risk of VTE as compared to oral
How long of amenorrhea can contraception be stopped?
2 years
At what age even if periods are still present can contraception be stopped?
55
What is the contradiction of HRT?
PMH of breast cancer
What does the term perimenopause mean?
Irregular periods
What does the term perimenopause mean?
Irregular periods
Describe how FSH, LH and oestrogen will be in menopause?
FSH and LH high
Oestrogen low
Describe how FSH, LH and oestrogen will be in menopause?
FSH and LH high
Oestrogen low
