The Menopause Flashcards
Diseases associated with menopause
Breast cancer
Ischaemic heart disease
Stroke
Osteoporosis
Which hormones are given as menopausal hormone therapy
Combined estrogen/progesterone
Estrogen
How are hormones administered in menopausal hormone therapy
Pills
IMplants
Patches
Creams
Which group of women should be given combined oestrogen/progesterone
Women with a uterus (because oestrogen alone will give uterine cancer)
Which group of women should be given oestrogen only
Women who have undergone hysterectomy
What does progesterone do
Mood swings, bloating etc
How to treat vaginal dryness and bleeding during sex during menopause
Creams or pills locally in the vagina
Which symptoms does menopausal hormone therapy reduce/ prevent
Depression Mood swings Weight gain Bloating Hair loss Skin changes Wrinkling
What are hot flushes a symptom of
Falling oestrogen levels
Which diseases does menopausal hormone therapy reduce or increase?
breast cancer- increased risk
osteoporosis- prevents
Ischaemic heart disease- no change
Stroke- increase
Why do we need randomised trials
To control for unknown factors
How is the treatment for vasomotor symptoms
Effect is temporary
When should menopausal hormone therapy be used
Only for symptoms, and in the lowest dose and for the shortest time possible.
Should not be used for health promotion