Menopause

Question 1

what is the definition of the menopause?

Answer 1

absence of menses for 12 months, with no other reason for amenorrhoea

Question 2

what is premature ovarian failure?

Answer 2

menopause <40yrs

Question 3

features of menopause?

Answer 3

hot flush
night sweats
palpitations
insomnia
headache
dryness/decreased libido
vaginal/breast atrophy
incontinence
dry hair and skin

Question 4

conservative Tx for menopause?

Answer 4

diet
wt loss
exercise
decrease caffeine

Question 5

what is Tx if post menopausal? what is this?

Answer 5

continuous HRT

2yrs since LMP

Question 6

what is Tx if peri menopausal? what is this?

Answer 6

sequential HRT

<2yrs since LMP

Question 7

benefits of HRT?

Answer 7

decrease # risk
decrease CC risk
improves symptoms

Question 8

risks of HRT?

Answer 8

gallbladder disease
VTE
endometrial cancer
CVD
stroke
breast cancer

Question 9

what occurs with the risk of breast cancer in HRT?

Answer 9

risk decreases back to normal after 5yrs off HRT

Question 10

if hysterectomy, what hormone in HRT is needed?

Answer 10

oestrogen only

Question 11

if mirena coil, what hormone in HRT is needed?

Answer 11

oestrogen only

Question 12

if uterus present, what hormone in HRT is needed?

Answer 12

oestrogen and progesterone

Question 13

in premature ovarian failure, what hormone levels are raised?

Answer 13

FSH

LH