menopause Flashcards

1
Q

average age of menopause

A

51/52

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2
Q

define early menopause

A

<45

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3
Q

define premature menopause

A

<40

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4
Q

define late menopause

A

> 54

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5
Q

when are FSH and LH raised

A

menopause
stopping COCP/depo
breast feeding
drugs (eg SSRI)

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6
Q

symptoms of menopause

A
menorrhagia 
hot flushes
night sweats
palpitations 
insomnia
joint aches
headaches
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7
Q

psychological symptoms of menopause

A
mood swings
irritability 
anxiety
difficulty concentrating 
forgetfulness
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8
Q

sexual symptoms of menopause

A
loss of libido 
vaginal dryness (may present as pain)
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9
Q

conservative management of menopause

A

diet
weight loss
exercise
caffeine

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10
Q

what may help menorrhagia

A
mefenamic/tranexamic acid 
progesterones
IUS
endometrial ablation
hysterectomy
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11
Q

what medical treatment can help in menopause

A

oestrogen and progesterone

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12
Q

what are women at risk of during menopause

A

osteoporosis

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13
Q

risks of HRT

A

VTE
cardiovascular
breast cancer
gallbladder disease

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14
Q

what should be ruled out

A

thyroid disease

psychiatric conditions

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15
Q

diagnostic of menopause

A

2 consecutively low FSH

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16
Q

who should be given combined HRT

A

women with uteruses

17
Q

who should be given oestrogen only HRT

A

women without uteruses

18
Q

why can women without uteruses be given oestrogen only HRT

A

no risk of endometrial cancer

19
Q

contraindications for HRT

A
oestrogen dependant cancer 
past PE
undiagnosed PV bleeding 
elevated LFTs
pregnancy 
breast feeding
20
Q

alternative options to HRT

A

SSRI - vasomotor symptoms