Menopause Flashcards
What is menopause?
End of menstruation - no periods for 12 consecutive months
What is early menopause?
Menopause that occurs under 45
What is physiological menopause?
Normal decline in ovarian function due to aging
Occurs 45-55
What is pathological menopause?
Gradual or abrupt cessation of menstruation before 40
What are the phases of menopause?
Pre-menopause
Peri-menopause
Menopause
Post-menopause
What is pre-menopause?
Time prior to menopause
What happens during pre-menopause?
Follicular stage shortens
Less oestrogen secreted
LH + FSh levels rise
Reduced fertility
What is peri-menopause?
Phase characterized by physiological changed associated with the end of reproduction capacity
What is the menopause phase?
Permanent cessation of menstruation caused by ovarian follicular development failure
What is the post-menopausal phase?
Time after a woman has had 12 months of amenorrhea
What causes menopause?
When the ovaries are depleted of follicles and do not respond to gonadotrophins
What happens to the gonadotrophins during menopause?
LH rises
FSH rises - dramatically
What are the symptoms of menopause?
Hot flushes
Sweating
Insomnia
Psychological symptoms
What causes the menopause symptoms?
Oestrogen deficiency
What is dysfunctional uterine bleeding?
Spotting between cycles or extremely heavy bleeding
What causes dysfunctional uterine bleeding?
Continued oestrogen - without progesterone
Endometrium keeps thickening
What changes occur to the ovary?
Atrophy of ovaries
Reduced oestrogen production
What changes occur to the skin?
Skin loses elasticity - loss of elastin and collagen
What changes occur to weight?
Weight increase likely due to irregular food habit
More fat deposition around hips, waist + buttocks
What changes occur to hair?
Hair becomes dry and coarse
What changes occur to voice?
Voice becomes deeper due to thickening of vocal cords
What changes happens to the GI system?
Decreased motor activity - constipation likely
What changes happen to the urinary system?
Loss of pelvic tone - increased frequency of urination
What changes occur to the bone?
Calcium loss - increases risk of osteoporosis
What are non-hormonal managements for menopause?
Dress in light layers
Reduce dietry fat intake
What management us there for menopause?
HRT