Menopause Flashcards
When is it recommended to use contraception if you think you are going through/have gone through the menopause?
12 months after last period in women >50
24 months after last period in women <50
State three lifestyle modifications for menopause management
Hot flushes
regular exercise, weight loss and reduce stress
Sleep disturbance
avoiding late evening exercise and maintaining good sleep hygiene
Mood
sleep, regular exercise and relaxation
Cognitive symptoms
regular exercise and good sleep hygiene
What are the contraindications for HRT?
breast cancer
oestrogen sensitive cancer
undiagnosed vaginal bleeding
untreated endometrial hyperplasia
When can oestrogen alone be given as HRT?
if woman does not have a uterus. If they do then you cannot give unopposed oestrogen
List three risks associated with HRT?
VTE Stroke Coronary heart disease breast cancer ovarian cancer
How can vasomotor symptoms be managed?
fluoxetine, citalopram, venlafaxine
How can urogenital atrophy be managed?
vaginal oestrogen
List two risks associated with the menopause?
osteoporosis
ischaemic heart disease
Aside from natural causes of menopause, what can induce early onset menopause?
radiotherapy, chemo, and surgery
List three complications of menopause
urinary incontinence
osteoporosis
CDV
What age can you commence HRT?
51/52
