Menopause Flashcards
what is the average age of the menopause?
51
what is premature ovarian insufficiency (POI)?
when the menopause occurs <40
what is classified as early menopause?
when the menopause occurs 40-44
when is someone considered to be post menopause?
no periods for over a year
when are FSH tests indicated in perimenopausal women?
> 50 wanting to stop hormonal contraception
> 45 with atypical symptoms
40-45 with menopausal symptoms
what can be used to help diagnose the menopause?
menopause symptom charts
what bloods should be checked in women <40 who seem to be menopausal?
FSH E2 TFT glucose prolactin FAI
besides bloods, what should be checked in women <35 if appearing to be menopausal?
chromosomes
exclude autoimmune disorders
what are some contraindications for HRT?
history of breast cancer
coronary heart disease
stroke
unexplained vaginal bleeding
what should be offered to women with premature ovarian insufficiency?
HRT until age of menopause (51)
could also continuously use CHC as an alternative
what can be considered for women with early menopause?
HRT til average age of menopause
what are some indications for using transdermal HRT over oral HRT?
poor symptom control malabsorption increased VTE risk migraine hepatic inducing enzyme drugs gallbladder disease
what contraceptive advice should be given to women <40 experiencing menopausal symptoms?
continue with contraception
POI may be transitional
when can contraception be stopped in women aged 40-49?
2 years after LMP
2 years after two results of FSH >30 at least 4-6 weeks apart
when can contraception be stopped in women >50?
one year after LMP
one year after an FSH result of >30
