MSRA: Menopause

Question 1

When to consider FSH testing?

Answer 1

Aged 40-45 with menopausal symptoms including irregular menstrual cycles

Aged under 40 and menopause is suspected

Question 2

What are the risks of HRT?

Answer 2

VTE (with oral not transdermal HRT)
Stroke
Breast cancer

Question 3

What non-HRT options are available for the management of vasomotor symptoms?

Answer 3

SSRIs such as Fluoxetine or Citalopram, or SNRIs eg Venlafaxine

Question 4

What is meant by premature ovarian failure?

Answer 4

Menopause before the age of 40

Question 5

What HRT should be offered to women with premature ovarian failure?

Answer 5

Combined HRT until the age of 51

Question 6

What contraception advise is needed during menopause?

Answer 6

Need for contraception following the menopause:
12 months after last period in women aged >50
24 months after last period in women aged <50