Secondary Amenorrhoea and Menopause Flashcards

1
Q

Average age of menopause?

A

51

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Premature menopause?

A

Last period at 40yrs or less

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which hormon3 rises in menopause?

A

FSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What may cause sudden menopause?

A

Oophrectomy
Radiotherapy or chemotherapy affecting ovaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Symptoms of menopause?

A

Hot flushes
Night sweats
Vaginally dryness
Muscle or joint aches
Mood changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When may menopause changes occur?

A

1-2yrs before
Usually lasts 2-5yrs after but may be more than 10yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which silent change can occur either menopause?

A

Osteoporosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Risk factors for osteoporosis?

A

Smoking
Malabsorption of vitamin D or calcium
Oral corticosteroids
Hyperthyroid
FH
Thin
Caucasian

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Prevention and treatment of osteoporosis?

A

Weight bearing exercise
Adequate calcium & vitD
Bisphosphonates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which drug ca be given to manage menopausal symptoms?

A

HRT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What type of HRT can be given for vaginally symptoms of menopause?

A

Oestrogen pessary, ring or cream

->need to use longterm to maintain benefit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are some of the systemic oestrogen HRT options?

A

Patch
Gel
Oral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are some of the contraindications to systemic HRT?

A

Current Hormone dependant cancer- breast/endometrium

Current active liver disease

Uninvestigated abnormal vaginal bleeding

->seek advice if previous VTE, thrombophilia, breast cancer BRCA carrier, FH VTE.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Contraindications for vaginal HRT?

A

Women on aromatase inhibitor treatment for breast cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Benefits of HRT?

A

Helps symptoms of menopause
Reduces risks of osteoporosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Risks of HRT?

A

Breast cancer if combined HRT
Ovarian cancer

17
Q
A