Flashcards in Menopause Deck (20):
What is the average age if menopause?
What is early menopause?
What is premature menopause?
What is late menopause?
How much ova do women have at birth?
What are the effects of oestrogen?
Secondary sexual characteristics
Hair distribution, body shape & fat distribution
Effect on collagen
How is menopause diagnosed?
Pattern of periods
Describe FSH and LH release
Released in pulsatile fashion
Single raised level does not confirm menopause
Raised just prior to ovulation
Raised with stopping COCP or depo
Raised with breastfeeding or certain medication (SSRI)
What are the physical symptoms of menopause?
Describe hot flushes in menopause?
60-80% of women
Average 2 years, 10% for 15yrs
What are the psychological symptoms of menopause?
What are the sexual symptoms of menopause?
Loss of libido
What are later symptoms of menopause?
Increased urine frequency
Dry hair and skin
Atrophy of breast and genitals
What perimenopausal DUB can occur?
What is the conservative management of menopause?
What are some treatments for menorrhagia?
In what forms can HRT be used in menopause treatment?
Oestrogen and progesterone
Topical or oral
What are the benefits of HRT?
Quality of life
Reduced Osteoporotic fracture
Reduced Bowel cancer
Possibly protective Alzheimer’s & Parkinson’s diseases
HRT <10years after menopause fewer risks and less cardiovascular events
What are the risks of HRT?
VTE (2-7 extra /1000)
Breast cancer (6 extra /1000)
HRT >20 years after the menopause greater risk of harm