menopause and secondary amenorrhoea Flashcards
What is menopause
Womens last ever period
What is perimenopause
The 5 years before menopause
What are the symptoms of menopause
Hot flushes
Night sweats
Vaginal dryness
Low libido
Muscle and joint aches
Mood changes
Asymptomatic is an option
What is the treatment for vaginal menopause symptoms
Local vaginal HRT - hormone replacement therapy
What is the treatment for systemic menopause symptoms
Systemic oestrogen transdermal patch, gel or oral
What are the risks associated with HRT
Breast cancer and ovarian cancer risk increased
What is the first line treatment for osteoporosis associated with menopause
Bisphosphonates
What is andropause
The gradual decrease in testosterone following the age of 30
What is primary amenorrhoea
Women has never had a period
What is secondary amenorrhoea
Has had periods in the past but not had for the last 6 months
What is the idea BMI for ovulation
between 20 and 30
What is needed to diagnose polycystic ovarian syndrome
2 out of the 3 of the following:
Oligo/amenorrhoea
Androgenic symptoms - excess hair and acne
Polycystic ovarian morphology on scan
What does less than 4 periods a year increase the risk of
Endometrial hyperplasia
What is the management of polycystic ovarian syndrome
Weight loss and exercise to a BMI between 20 and 25
Antiandrogen - combined hormonal contraception, spironolactone or eflornithine
