Menopause

Question 1

What is the average age of menopause?

Answer 1

51 y/o

Question 2

What is classed as premature menopause?

Answer 2

Menopause <40 y/o

Question 3

What is classed as early menopause?

Answer 3

Menopause <45 y/o

Question 4

What is classed as late menopause?

Answer 4

Menoapuse > 54 y/o

Question 5

What causes menopause?

Answer 5

Absence of oestrogen

Question 6

What are the effects of oestrogen?

Answer 6

Secondary sexual characteristics
Hair distribution, body shape 7 fat distribution
Effects on collagen & bone growth
Proliferates endometriu

Question 7

When might FSH & LH levels be raised?

Answer 7

Released inpulsatile fashion 
Menopause 
Just prior to ovulation 
When stopping COCP or depo 
Breastfeeding 
Certain medications (SSRI)

Question 8

What are the symptoms of menopause?

Answer 8

Hot flushes 
Night sweats 
Palpitations 
Psychological 
Insomnia 
Joint aches 
Headaches 
Sexual (dryness,libido)

Question 9

What is trefenamic acid?

Answer 9

An NSAID that reduces blood supply to the uterus

Question 10

What are the benefits of HRT?

Answer 10

Reduced fractures
Reduced bowel cancer
Less CVS events

Question 11

What are the risks of HRT?

Answer 11

VTE
Breast cancer
Gallbladder disease
CVA

Question 12

What non-HRT medications can be used to manage menopause?

Answer 12

Clonidine (Decreases vasomotor symptoms)

SSRI’s (decrease vasomotor & mood symptoms)