menopause

Question 1

menopause

Answer 1

point at which menstruation stops

no periods for 12mo

Question 2

average age menopause

Answer 2

51yrs

Question 3

perimenopause

Answer 3

time around menopause

women may have vasomotor symptoms, irreg periods

Question 4

premature menopause

Answer 4

before age 40yrs

result of premature ovarian insufficiency

Question 5

menopause is caused by

Answer 5

lack of ovarian follicular function

Question 6

hormone levels in menopause

Answer 6

oestrogen + progesterone low

FH and FSH high

Question 7

perimenopausal symptoms

Answer 7

hot flush 
emotional lability, low mood 
PMS
irregular periods
joint pains
vaginal dryness and atrophy 
reduced libido

Question 8

lack of eostrogen increases risk of certain conditions….

Answer 8

CVS disease, stroke
osteoporosis
POP
urinary incontinence

Question 9

diagnosing menopause without investigations

Answer 9

diagnosis of perimenopause and menopause can be made in women over45 with typical symptoms w/o performing investigatins

Question 10

when to consider doing investigation

Answer 10

consider FSH blood test in

• women <40yrs with suspected premature menopause
• women 40-45 with menopausal symptoms or change in cycle

Question 11

good contraceptive options for women approaching menopause

Answer 11

barrier methods
mirena or copper coil
POP 
pogesterone implant 
pogseterone injection (<45yrs)
sterilisation

Question 12

2 key side effects of depot injection

Answer 12

weight gain

reduced bone mineral density (meaning it is unsuitable for women >45yrs)