Menopause and PMS Flashcards
1
Q
How often should women be reviewed on HRT?
A
Initially after 3 months then annually once stable
2
Q
What are non-HRT medications for vasomotor symptoms
A
Clonidine (alpha adrenoreceptor agonist), gabapentin, progestogens
3
Q
What is the prevalence of PMS?
A
40%
4
Q
How do you diagnose PMS?
A
Prospective symptom diary over 2 cycles
5
Q
How do you manage PMS?
A
1st line: excersize, CBT, Vit B, CHCP, SSRIs
2nd line: increase SSRI, eostradiol patches wiht micronised progestogen
3rd line: GnRH analgoues and HRT
4th line: surgical