menopause Flashcards
how long to use contraception for after menopause
12 months after last period in women > 50
24 months after last period in women < 50
symptoms of menopause
change in periods
vasomotor symptoms: hot flushes, night sweats
urogenital changes: vaginal dryness, urinary frequency
psychological
long term: osteoporosis, IHD
contraindications for HRT
current or past breast cancer
any oestrogen-sensitive cancer
undiagnosed vaginal bleeding
untreated endometrial hyperplasia
risks of HRT treatment
VTE- oral HRT
stroke- oral oestrogen HRT
coronary heart disease
breast cancer
ovarian cancer
menopause management with non-HRT
vasomotor symptoms: fluoxetine, citalopram, venlafaxine
vaginal dryness: lubricant or moisturiser
self help groups