HRT Flashcards
1
Q
Types of HRT
A
Continuous combined - oestrogen, Premarin and MPA
Sequential combined - oestrogen and Premarin every day, add MPA for days 14-28
Oestrogen only
2
Q
Risks of HRT
A
Increased risk of VTE, MI and stroke
Increased risk of breast cancer
Increased risk of ovarian and endometrial cancer in ERT
3
Q
Benefits of HRT
A
Symptoms relief e.g mood swings, hot flushes, vaginal dryness, dyspareunia
Protects against CV disease and osteoporosis
4
Q
Who is given sequential HRT
A
Women still having vaginal bleeding
5
Q
Other treatments for menopausal symptoms
A
Oestrogen pessary - don’t need progesterone because low systemic absorption
For hot flushes - venlafaxine (SNRI) and clonidine (alpha agonist)
For low libido - testosterone off license
