menopause Flashcards
peri menopause
when period stops
menopause
due to
when no period for 12 months
ovarian failure
treatment
HRT
HRT benefits
Reduction of vasomotor symptoms (hot flushes, night sweats)
Improved mood
less osteoporosis risk
Improvement of sexual and cognitive function
Prevention and treatment of urogenital + vulvovaginal atrophy
HRT contraindications
History of breast cancer or endometrial cancer
* Coronary heart disease, transient ischaemic attack or
stroke- no risk if under 60
* Active liver disease
* Unexplained vaginal bleeding
premature ovarian insufficiency
before 40 age
treatment for premature ovarian insufficiency
HRT till the average age of menopause (51)/ CHC (continuously)
continue contraception
early menopause
treatment
40-44
HRT till 51
Urogenital Atrophy
menopause symptom
vaginal dryness/discharge, irritation, postcoital bleeding, and soreness
treatment of Urogenital Atrophy
vaginal oestrogen - take as long as needed / moisturisors
often comes back if you stop medication
indications and what is transdermal HRT
ow or no increased VTE risk is better for
symptom control and associated with less CVD risks.
indicated if GI problems with oral, higher BMI
when can you stop contraception if over 40
2 years after last period
2 years after 2 results of FSH of ≥ 30 IU/l, taken at least 4-6 weeks apart
when can you stop contraception if over 50
1 year after last period
or
1 year after FSH of ≥ 30 IU/l
when can you stop contraception if over 55
can stop
side effects of HRT- oestrogenic
bigger/tender breasts, bloating (fluid retention)
headaches, nausea
mood swings maybe
