Secondary Amenorrhoae and Menopause Flashcards
what is menopause
last ever period
average age 51
perimenoapuse approx 5 years before
FSH rises
what are the symptoms of menopause
hot flushes
vaginal dryness
low libido
can lead to osteoporosis
what is the treatment for menopausal symptoms
HRT
oestrogen vaginal ring/cream/pessary
what are contraindications of HRT
unexplained bleeding
breast cancer
ovarian cancer
what to give a woman with a uterus
combined HRT
what to give a woman without a uterus
oestrogen only
what are causes of secondary amenorrhoea
pregnancy
polycystic ovaries
early menopause
androgen secreting tumour
what is secondary amenorrhea
no period in 6 months
what investigations for SA
BhCG
FSH/LH
testosterone
pelvic USS
what is PCOS
polycystic ovarian syndrom
what is the criteria
2 of 3
morphology on scan
hyperandreogenism
amenorrhea or infertility
what are the symtposm
hirtusism
infrequent periods
anchanthosis nigricans
what is the management for PCOS
weight loss
antiandroge
metformin
progesterones
