Menopause, Urogynaecology and Prolapse

Question 1

Post-menopausal bleeding

Investigations

Answer 1

FBE
Ca125
TVUS (lining of uterus should be <4mm)
Hysteroscopy D&C
Mammogram
CXR, ECG

Question 2

Continuous estrogen and progesterone

Answer 2

Women with uterus

or women without uterus but hysterectomy was due to severe endometriosis

Question 3

COCP

Answer 3

Ages <50
Helps with hot flushes, night sweats, mood swings
No comorbidities

Question 4

Venlafaxine and clonidine

Answer 4

Ages <50
Hot flushes
CI for COCP (due to smoking, obesity, etc)

Question 5

Topical vaginal oestrogen

Answer 5

Post-menopausal women to help with dyspareunia