menopause and premature ovarian insufficency Flashcards

1
Q

at birth all primoidal oocytes are

A

primoidal

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2
Q

primoidal oocytes arrested when

A

prophase 1 meiosis

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3
Q

how is secondary oocyte formed

A

meiosis 1

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4
Q

meiosis 2 completes when

A

egg is fertilized

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5
Q

how is trioploidy extruded

A

second polar body extruded after meiosis 2

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6
Q

stages of ovarian cycle

A

follicullar
ovulatory
luteal

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7
Q

stage of uterine cycle

A

menstration
proliferative
secretary phase

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8
Q

men gamete difference

A

no gamete exhaustion

no sudden fall in fertility

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9
Q

menopause is

A

last menstrual period

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10
Q

menopause measured how

A

no periods for a year

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11
Q

how to diagnose menopause

A

perimenopause vasomotor symptoms and irregular bleeding

diagnosis harder in women taking hormone meds

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12
Q

menopause what happens

A

due to limited oocytes
less oocyte less estrogen
fsh increase

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13
Q

menopause leads to

A

anoulutory cycles
physical changes
psycological changes

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14
Q

menopause technical term

A

hypoestrogenism

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15
Q

hypoestrogenism symptoms

A
hot flush
headaches
palpitations
cramps
urogenital symptoms
mood change 
libido down
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16
Q

average age

A

52

17
Q

women spend what% of their life in menopause

A

1/3

18
Q

longterm consequence

A

osteoporosis
cardiovascular disease
vaginal dryness\atrophy
alzheirs

19
Q

treatment options

A

oestrogen
prodesterone
testosterone

20
Q

benefit of hormonal treatment

A

protect bones
aleiviate symptomsreduces risk colorectal cancer
protect cvd

21
Q

risk of hormonal treatment

A

breast cancer

endometrial cancer

22
Q

2 types hormonal treatment

A

oral (implant/local)

transdermal

23
Q

premature ovarian insufficiency is

A

premature menopause

premature ovarian failure

24
Q

diagnosis for premature ovarian insufficiency

A

amenorrhoea 4 months

FSH >30 U/L on 2 occasions

25
Q

incidence i under 40s

A

1%

26
Q

incidence i under 30s

A

0.1%

27
Q

incidence i under 20

A

0.01”%

28
Q

is POI and early menopause the same thing

A

NO

29
Q

treatment POI

A

hormone replacement
fertility treatmetn
psycological

30
Q

what % POI cause identified

A

70%

31
Q

what% POI is familal

A

30

32
Q

What repeat is responisble

A

55-200 cggg repeat

33
Q

heritable?

A

highly

34
Q

environmental

A

1-2 year effect max

35
Q

where genes

A

mitochondria codes for 37 genes including POI