Menopause Flashcards
management of Bartholin’s cysts?
broad spectrum antibiotics
incision and drainage
word catheter and marsupialisation if recurrent
define menopause
no periods for >12 months
what is perimenopause?
irregular periods
average age of women entering menopause?
51
early menopause age
40-44
how long do symptoms of menopause last?
7 years
presentation of menopause
- GU problems e.g. dry vagina, painful sex, urinary symptoms
- Mood swings, night sweats, hot flushes
- Dry skin, acne, dry hair, tiredness
diagnosis of menopause (treat patients not levels)
- FSH levels x 2 (6 weeks apart) indicated if atypical symptoms, 40-45
- Check FSH, E2, TFTs, glucose, prolactin and FAI in women <40.
what does high FSH indicate?
low ovarian reserve
management of menopause
- Lifestyle= diet, BMI, exercise, sleep, smoking, alcohol, stress, cool environment
- Alternative therapy e.g. antidepressants, acupuncture, hypnotherapy, herbal
- HRT
- Vaginal oestrogen (moisturisers or lubricant form)
adverse of HRT
breast and endometrial cancer
VTE
CVD
what age is HRT given in?
40-51
alternative to HRT
CHC
what preparation of HRT has lower risk of VTE?
transdermal
does HRT allow conception
yes
HRT if hysterectomy?
only needs oestrogen
psychosexual problems
vaginismus ED post-TOP chronic pelvic pain recurrent discharge contraception-related problems
management of psychosexual problems
perineal massage
lubricants
vibrator
presentation of atrophic vulvovaginitis
itch dryness soreness thin discharge atrophy of labia
management of atrophic vaginitis
vaginal oestrogen
what is chronic pelvic pain syndrome?
constant or intermittent pain in the lower abdomen or pelvis for at least 6 months
