menopause Flashcards
average age of menopause
51/52
define early menopause
<45
define premature menopause
<40
define late menopause
> 54
when are FSH and LH raised
menopause
stopping COCP/depo
breast feeding
drugs (eg SSRI)
symptoms of menopause
menorrhagia hot flushes night sweats palpitations insomnia joint aches headaches
psychological symptoms of menopause
mood swings irritability anxiety difficulty concentrating forgetfulness
sexual symptoms of menopause
loss of libido vaginal dryness (may present as pain)
conservative management of menopause
diet
weight loss
exercise
caffeine
what may help menorrhagia
mefenamic/tranexamic acid progesterones IUS endometrial ablation hysterectomy
what medical treatment can help in menopause
oestrogen and progesterone
what are women at risk of during menopause
osteoporosis
risks of HRT
VTE
cardiovascular
breast cancer
gallbladder disease
what should be ruled out
thyroid disease
psychiatric conditions
diagnostic of menopause
2 consecutively low FSH
who should be given combined HRT
women with uteruses
who should be given oestrogen only HRT
women without uteruses
why can women without uteruses be given oestrogen only HRT
no risk of endometrial cancer
contraindications for HRT
oestrogen dependant cancer past PE undiagnosed PV bleeding elevated LFTs pregnancy breast feeding
alternative options to HRT
SSRI - vasomotor symptoms
