Menopause Flashcards

1
Q

Contraception in >50 menopause

A

12 months after the last period

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2
Q

Contraception in women <50 years

A

24 months after the last period

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3
Q

Hot flushes mx

A

egular exercise, weight loss and reduce stress

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4
Q

Sleep disturbance

A

avoiding late evening exercise and maintaining good sleep hygiene

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5
Q

Mood

A

sleep, regular exercise and relaxation

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6
Q

Cognitive symptoms

A

regular exercise and good sleep hygiene

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7
Q

Contraindications for HRT

A

Current or past breast cancer
Any oestrogen-sensitive cancer
Undiagnosed vaginal bleeding
Untreated endometrial hyperplasia

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8
Q

How long does treatment of menopause last for

A

2-5 years on average

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9
Q

Risk of HRT

A

Split into cardiovascular and malignancy

Venous thromboembolism: a slight increase in risk with all forms of oral HRT. No increased risk with transdermal HRT.
Stroke: slightly increased risk with oral oestrogen HRT.
Coronary heart disease: combined HRT may be associated with a slight increase in risk.
Breast cancer: there is an increased risk with all combined HRT although the risk of dying from breast cancer is not raised.
Ovarian cancer: increased risk with all HRT.

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10
Q

Which form of HRT provides no risk of VTE

A

Transdermal

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11
Q

Non-HRT management of Vasomotor symptoms

A

fluoxetine, citalopram or venlafaxine

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12
Q

Vaginal dryness

A

vaginal lubricant or moisturiser

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13
Q

Psychological symptoms

A

self-help groups, cognitive behaviour therapy or antidepressants

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