Women's Health Flashcards
What is oestrogen replacement for?
Low Oestrogen levels (treats symptoms)
What is progesterone replacement for?
Protection of the endometrium - if uterus intact
When do women need contraception on HRT?
1 year if LMP >50yr old
2 years if LMP <50 yr old
If someone is perimenopausal with an LMP <1 year ago what HRT should they get?
Combined Sequential HRT = Oestrogen Daily, Progesterone 14 days per month or Mirena Coil
If someone is post menopause with an LMP >1 year ago what HRT should they get?
Combined Continuous HRT = Oestogen and Progesterone Daily or oestrogen daily and mirena coil
If a woman has a uterus which options of HRT are available?
Combined Sequential (Oestrogen and Progesterone)
OR
Combined Continuous (Oestrogen and Progesterone)
If woman does not have a uterus what HRT should they be given?
Oestrogen only HRT
What is the assessment for HRT?
Symptoms
Main symptoms of concern
Impact on QoL
What has been tried and outcome
Risk Factors: personal and family history of breast cancer and thromboembolism
Osteoporosis risk assessment
What medications are in the oral combined sequential HRT?
Oral - Femoston 1/10. Increase to 2/10
Elleste Duet 1mg, increase to 2mg
What medications are in the patch combined sequential HRT?
Patches -
Evorel Sequi
Femseven Sequi
What medications are in the separate sequential HRT orally?
Oestradiol 1mg increased to 2mg
Progesterone D14-D28 each month - Micronised progesterone 200mgs nocte or Utrogestan improves sleep
OR
Medroxyprogesterone 10mgs OD
What is the oral medication for combined continuous HRT?
Oral:
Femoston Conti
Elleste Duet Conti
What is the patch medication for combined continuous HRT?
Patch:
Evorel Conti
Femseven Conti
What oestogren patches can be used for separate sequential HRT?
Estradiol 25mcg. Increase in 26mcg increments. Change twice a week.
What alternative to oral medications can be used for separate sequential HRT?
Mirena coil
