Menopause Flashcards

1
Q

When dose the menopause start?

A

Average age is 51 years

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2
Q

Do you still need contraception?

A

Yes, for 12 months post last period if over 50 and 24 months if under 50 years old.

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3
Q

Symptoms?

A

Change in periods, vasomotor symptoms e.g. hot flushes and night sweats, vaginal dryness, vaginal atrophy, increased urinary frequency, anxiety, depression

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4
Q

Management?

A

Exercise, weight loss, good sleep hygiene, and stress reduction.
Hormone replacement therapy- contraindications include breast cancer, undiagnosed vaginal bleeding or endometrial hyperplasia. Don’t give unopposed oestrogens due to increased risk of endometrial cancer. Give oral or transdermal combined HRT.
Risks: VTE, stroke, CHD, breast cancer, ovarian cancer.
For the vasomotor symptoms you can give fluoxetine, citalopram or venlafaxine.

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5
Q

Premature ovarian failure

A

Onset of menopause before 40 years. Causes: idiopathic, oophorectomy, previous radiotherapy or chemotherapy, mumps, autoimmune conditions.
Symptoms: hot flushes, night sweats, amenorrhea, infertility, raised FSH and LH but low oestradiol.

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