Menopause Flashcards
In menopause management of menopausal symptoms with HRT is contraindicated in ?
Current or past breast cancer
Estrogen sensitive cancer
Undiagnosed vaginal bleeding
Untreated endometrial hyperplasia
If women has uterus what is improtant that you don’t give unopposed ?
Estrogen
It will increase the risk of endometrial cancer
If women do not have uterus then we can give
Unopposed Estrogen
Risks HRT brings when used in menopause ?
VT
Stroke - oral Estrogen HRT
Coronary heart disease - combined Estrogen
Breast cancer
Ovarian cancer
How to give HRT in perimenopausal period
<12mo of your last period then this is given in a cyclical regime
progesterone is only given in the last 14 days
whereas >12mo, both can be given continuously