Menopause and mental health TOG 2023 Flashcards
On average, what proportion of a women life is post-menopausal?
1/3
Global age of menopause vs UK
UK 51
Global 48.7
Which countries have higher age of menopause?
Europe, Australia and USA
What is the gold standard for characterising reproductive stages?
STRAW staging system (Stages of reproductive ageing workshop)
Menstral & qualitative hormonal criteria are used at each stage
What mental health conditions are around the menopause?
Depression - evidence
No evidence
Anxiety
Sleep disorders
Alzheimers
Which age group has highest prevalence of depression?
45-59
Link between perimenopause and depression
Higher rate of depression in perimenopause
Higher risk if
- previous major depressive episode
- Earlier age of menopause
Link between menopause and anxiety
No clear link between anxiety and menopause
Treatment of menopausal depression
1st line antidepressant
SSRI - expect response within 2 weeks
CBT is particular helpful for what issue?
Menopause-related insomnia
What drugs interaction can occur with St Johns Wart?
Similar SE as SNRI - lead to hepatoxicity
Due antidepressants have any link to osteoporosis?
Prolonged SSRI use linked to osteoporotic fractures
