Menopause Flashcards
menopause
cessation of menstrual periods
what is the average age
52
pre-menopause
period before menopause
start of last period and up to 12 months later
signs
hot flush night sweats vaginal dryness reduce libido difficulty orgasm low mood tired
investigations
history
management
lifestyle management
HRT
manage symptomatically
what is given if the patient does/nt have a uterus
uterus present:
opposed oestrogen
uterus not present:
oestrogen only
premature ovarian insufficiency and what should be offered
onset of menopause before 40
combined HRT till 51
what is a interesting feature about the coil in terms of management of HRT
can be the progesterone part of HRT up to 4yrs
what can be given to control the vasomotor signs
SSRI
what are the risks of taking HRT
breast cancer
VTE
stroke
which part of HRT causes the increased risk of breast cancer
progesterone